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High ACR, Low urine creatinine
Hi , my husband had a urine and blood test in July this year Egfr was 93 normal , blood creatinine normal Random urine collection - Albumin 56 mg/l Urine creatinine 1.7 mmol/l ( lab sugested low creatinine , may have to redo with first morning urine) Acr was 31.8 mg/mmol which is high We have redone tests in October Egfr is same normal, blood creatinine normal And From urine results - Sample gravity <= 1.0005 (it says dilute urine) Protein - negative Albumin 36 mg/l Urine creatinine 1.3 mmol/l (same lab suggested  creatinine may falsely elevate ACR. Suggest repeat using first morning urine.) Acr is 30 mg/mmol Note - acr limit is <=3 mg/mmol male - 31 yrs, no bp, no diabetes But has left renal atrophy  with size of 8cm and normal right kidney(nephrologist suggested that may be there since childhood as we know this since 2021) We are confused if its dilute urine causing creatinine to be so low and elevate acr or any other reason? Please help
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Nothing to worry. Given his normal kidney function, no diabetes or hypertension, and stable labs, the mildly high ACR is likely from dilute urine rather than kidney disease. The next step is to repeat the ACR using a first morning urine sample (before drinking anything). If that result is normal, it confirms this was just a dilution effect, not a true problem.
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I suggest you maintain a healthy lifestyle.
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Since the left kidney is smaller, these tests don’t show how well each kidney is working individually. To get a clear picture, i recommend a DTPA scan(not an emergency, just to clear your doubts), which accurately measures the function of each kidney separately and can help guide further care if needed.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.