Concerns About Kidney Health: Interpreting My Lab Results
I’m a 35-year-old female, weighing 165 pounds and standing around 5 feet 6 inches tall. Currently, my BUN/Creatinine ratio has risen to 27, while my CO2 levels are notably low at 17. Additionally, my alkaline phosphatase is slightly reduced, measuring at 42. On a positive note, my estimated Glomerular Filtration Rate (eGFR) is 120, which seems to indicate a healthy kidney function. I’d appreciate some assistance in understanding these results. All other tests from my Comprehensive Metabolic Panel (CMP) came back normal, though I do have elevated lipid levels—albeit still within an acceptable range thanks to my high HDL. Please note that I am not seeking medical advice and would value any insights you might have.
Answers (1)
7/12/2025, 9:01:26 PM
OpenHealth AI
Your lab results show a mix of findings that merit interpretation. Here’s a breakdown of your key results and what they might mean:
-
BUN/Creatinine Ratio of 27:
- A higher BUN (Blood Urea Nitrogen) to creatinine ratio can suggest dehydration, increased protein intake, or kidney function issues, but your eGFR of 120 indicates good kidney function. In isolation, this ratio can indicate some other factors affecting hydration or diet.
-
Low CO2 Levels (17):
- Low CO2 may suggest acidosis or respiratory issues, but it can also result from metabolic causes such as a high-protein diet or fasting. It’s essential to consider any symptoms you may have, including fatigue or difficulty breathing.
-
Alkaline Phosphatase of 42:
- While this value is slightly below the normal range, it is usually not concerning unless correlated with other liver function abnormalities or specific symptoms.
-
eGFR of 120:
- This is indicative of excellent kidney function, as normal values are typically above 90. It suggests that your kidneys are efficiently filtering waste.
-
Elevated Lipid Levels:
- While it's good that your HDL (the “good” cholesterol) is high, keep an eye on your overall lipid profile. Keeping a balanced diet and regular exercise can help manage lipid levels.
Next Steps:
-
Stay Hydrated:
- Ensure you are drinking enough fluids, which can help normalize your BUN/Creatinine ratio. Aim for at least 8-10 cups of water per day, adjusting based on activity level and climate.
-
Monitor Symptoms:
- Keep track of any symptoms you might experience, especially regarding energy levels or breathlessness, which may provide more context for your low CO2 levels.
-
Evaluate Diet:
- Consider your protein intake and overall nutrition. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support your metabolic health and lipid levels.
-
Follow Up:
- Continue regular check-ups and lab work as recommended by your healthcare provider. Monitoring your kidney function and lipids alongside other metabolic markers will allow for proactive health management.
These steps should help you maintain your overall health and provide a clear picture of how your metabolic functions are operating. If you notice any significant changes in your health or new symptoms arise, be sure to follow up accordingly.
Related Questions
Concern Over Possible Nail Clipping Incident in Eye
Male, 20. My hair falls just within my line of vision. Around twelve hours ago, while I was trimming my nails, I experienced an odd sensation in my left eye. It struck me as peculiar, leading me to suspect it might be due to a nail fragment. I promptly rinsed my eye using a cup filled with warm water, blinking frequently and moving my gaze up and down. I also administered some saline solution. After retiring for the evening, I woke up five hours later to find that the discomfort in my eye persisted. After taking a shower, I accidentally splashed my left eye, and once again used eye drops and rinsed with warm water about an hour ago. Despite these measures, I still feel as though something is lodged in my left eye. Fortunately, my vision remains clear, and there is no redness present. Could this be a corneal scrape? Might the irritation stem from my hair brushing against my eye? Since my hair extends to my forehead, I am uncertain whether a piece of my nail actually entered my eye. However, I am puzzled as to why the irritation has lasted this long. Being a Saturday, I will have to wait until at least Monday to see an eye specialist. (Should the discomfort diminish or resolve on its own, I intend to provide an update on this situation.)
Electric Sensation in the Neck
Details: Female, 50 years old, height 5 feet 6 inches, weight 145 pounds. Diagnosed with Multiple Sclerosis (MS). Currently on medications including gabapentin, Adderall, Ocrevus, Botox (administered in the calf and hamstring), and citalopram. I experience a sudden, sharp sensation in my neck that feels like a small electric shock or pain. This occurs sporadically, and changing the position of my head does not seem to affect it. I often feel compelled to scratch the area in a futile attempt to alleviate the discomfort. Could there be any other conditions, aside from MS, that might explain this symptom?
Experiencing Ambiguity in Biopsy Results?
As a 38-year-old male, I've undergone a series of diagnostic procedures including an X-ray, CT scan, PET scan, and a small needle biopsy on a mediastinal or lung mass measuring approximately 3cm. Regrettably, after a 10-day wait, the biopsy results remain undetermined. The medical team has now suggested a second biopsy, planning to approach it via my back instead of the original method through my throat. I am left wondering about the frequency of inconclusive results from similar biopsies. Additionally, I question why the alternative biopsy approach wasn’t considered earlier, given the limitations of the small needle technique in establishing a clear diagnosis.
When to Seek Emergency Care for a Possible Ruptured Ovarian Cyst
I'm a 19-year-old female, standing at 5 feet tall and weighing 110 pounds. I’m currently on medications including pantoprazole for potential ulcers, levothyroxine due to low thyroid function, and iron for anemia. Imaging has shown signs of possible ovarian cysts, and I reside in Ontario, California. Earlier this year, my stepdaughter experienced a serious health scare when she vomited blood, and I want to express my gratitude for the support I received during that time. Today, around 4 PM, she experienced an episode of intense, stabbing pain in her lower abdomen. The pain was so overwhelming that she found it impossible to release her grip. After some time, she managed to take two Midol capsules and took a hot shower to ease her discomfort. However, even after seven hours, she is still experiencing abdominal pain, coupled with a headache, mild brain fog, and shakiness. Her temperature is at 37.7°C, blood pressure is 138/78, and her pulse is at 89 beats per minute, which is typical for her. Based on the imaging results and her current symptoms, we suspect it might be a ruptured ovarian cyst. I’d like to know how long these symptoms usually persist and at what point we should seek further medical attention. Thank you for your insights in advance!
Concerns About Pimple Near Nipple and Vagina
I'm a 26-year-old woman, standing 5'3" and weighing 114 pounds. Recently, I experienced the re-emergence of a pimple located on my nipple for the second time. The initial incident was quite distressing, as the discomfort made it unbearable to wear a bra, and even soft fabrics brushed against it felt painful. I consulted my doctor due to the interference it was causing with my work; however, by the time my appointment arrived, the swelling had subsided. This time, I thought it prudent to document the occurrence. As I gently pressed on it to capture the image, a thick, odorless, white fluid expelled from one of my milk ducts. Additionally, I've noticed what seems to be a pimple forming at the top of my vaginal area. The discomfort was mild on the first day, but it enlarged significantly by the second day. Yesterday, it appeared to shrink, yet this morning it has swelled again, resembling an irritated, large whitehead. I'm curious about the possible causes of these occurrences, whether the presence of these pimples signifies something more serious, and what the best methods for managing them are. I also wonder if I should be concerned about shaving when my doctor examines the vaginal area. I appreciate any insights shared by those who read this. Thank you!