Blood Test Inquiry from a 43-Year-Old Woman
Hello, I have a query regarding my recent blood test results. My bicarbonate level stands at 17, and my Glomerular Filtration Rate (GFR) is measured at 75. This information is unfamiliar to me, so I'm looking for some clarity. Additionally, I recently completed a course of 875mg amoxicillin due to dental procedures. I also take 800mg of ibuprofen twice daily as needed. Any explanations or insights would be much appreciated!
Answers (1)

8/2/2025, 1:31:08 AM
OpenHealth AI
Your bicarbonate level of 17 and Glomerular Filtration Rate (GFR) of 75 indicate some important information about your kidney and metabolic health. Here’s a breakdown of what these results may suggest, along with some actionable steps.
Main Points:
- Your bicarbonate level is slightly low, which can indicate metabolic acidosis or other issues related to acid-base balance.
- A GFR of 75 suggests that your kidney function is generally in the mild range of reduction, which is typically classified as stage 2 chronic kidney disease (CKD).
Explanation:
-
Bicarbonate Level (17): Normal bicarbonate levels range from 22 to 28 mEq/L. A low level may indicate that your body is experiencing acidosis, which can occur due to various reasons like kidney issues, uncontrolled diabetes, or severe dehydration. It’s important to consider the context of your overall health and any symptoms you may have.
-
GFR (75): This number gives an estimate of how well your kidneys are filtering waste from your blood. While a GFR of 75 is still considered mild (stage 2 CKD is typically between 60-89), it suggests that your kidneys may not be functioning at optimal levels. It's essential to monitor this alongside other kidney health markers.
Next Steps:
-
Monitor Symptoms: Pay attention to any symptoms you might be experiencing, such as fatigue, swelling, or changes in urination. Keep a diary if needed.
-
Stay Hydrated: Ensure you are drinking enough fluids, as proper hydration supports kidney function. Aim for at least 8 glasses of water a day, or more if your doctor advises it.
-
Review Medications: Since you are taking ibuprofen, it's wise to use it cautiously, as it can sometimes affect kidney function, especially when used long-term. Consider alternative pain management strategies (e.g., acetaminophen) if you experience any kidney-related issues.
-
Follow-Up Testing: It's important to discuss these results and any concerns you have with your healthcare provider. They may recommend follow-up tests to further assess your kidney function and bicarbonate levels.
-
Dietary Considerations: Focus on a balanced diet that includes plenty of fruits, vegetables, and whole grains while being mindful of salt and processed foods, which can affect kidney health.
In summary, continue to monitor your health, stay hydrated, be cautious with medications, and consider discussing your results further with a healthcare professional for a thorough and personalized approach. Let me know if you have any more specific questions or concerns!
Related Questions
Concern Over Raised Purple Spot on Penis
Greetings. I am a 23-year-old male with no previous instances of sexually transmitted infections or unprotected sexual encounters. Recently, I observed a small raised spot that varies in color from purplish to dark on the glans of my penis, slightly positioned off-center. This spot does not feel painful to the touch, is not itchy, and there is no discharge associated with it. I suspect it may have developed after some vigorous masturbation about two days back. Currently, I am not experiencing any other symptoms — there’s no swelling, no unpleasant odor, no issues with urination, and no noticeable lumps in the groin area. I’m feeling quite anxious about this, especially after encountering information online regarding severe health concerns like penile cancer.
Navigating Ongoing Health Issues
A 37-year-old woman is grappling with persistent symptoms that have lasted for several months. Despite her primary care physician's diligent efforts, she is still uncertain about the underlying cause. Now, she seeks guidance on how to refine her questions for her next appointment, as the costs of numerous referrals that haven’t led to answers are becoming burdensome. **Current Symptoms:** - Daily nausea since the end of March 2025 (not related to pregnancy) - Persistent fatigue - Occasional mild headaches (weekly frequency) - Anxiety - Feelings of restlessness - Intense dreams during sleep - Difficulty falling asleep - Episodes of dizziness - Intermittent side pains (right side, sometimes radiating to the back) - Pain in the right shoulder and neck (starting late 2024) - Cramping in the lower right abdomen **Tests Conducted and Results:** - Ultrasound of the gallbladder and liver yielded normal results. - Ultrasound of the lower rib area showed no significant findings. - Celiac disease blood test returned negative. - Normal iron levels indicated no deficiency. - H. Pylori stool test was negative. - Colonoscopy revealed no significant abnormalities; some minor benign polyps were removed, and there was inflammation from the prep, but no signs of colitis, IBD, or microscopic colitis were found. Potential IBS and GERD were suggested following a consultation with a gastroenterologist. - Engaging in shoulder and neck stretching exercises provided only temporary pain alleviation. **Noteworthy Medical Background:** - Took a low dose of sertraline (10mg) for about a year, which caused diarrhea. - Started amitriptyline two months ago, right before the onset of nausea. - Experienced intermittent heartburn over the last five years, mostly linked to dietary choices. - Diagnosed with endometriosis based on symptoms. - Small fibroids detected in 2022, deemed insignificant. - Mild sleep apnea is managed with a CPAP machine. - History of craniosynostosis at birth; underwent craniotomy as an infant and still has sutures. - Adhered to a bland diet for approximately one month, which alleviated nausea somewhat but didn’t resolve it completely. **Considering Next Steps with PCP:** - Requesting an endoscopic examination - Referral to an ENT specialist (to explore inner ear causes?) - Following up with the gastroenterologist for pH testing - Consultation with an OBGYN to evaluate the progression of endometriosis and fibroids - Obtaining a CT scan of the shoulder and neck region *Is there a particular order to prioritize these requests? Is there anything significant that should be added? Would any of these suggestions not be worth pursuing?* Feeling exhausted from daily nausea and fatigue, the individual is adamant about not wanting medications that merely mask her symptoms. Her main concern is finding the reason behind her ongoing nausea, especially after stopping amitriptyline and altering her diet. The uncertainty is weighing heavily on her, and she longs for clarity about her health situation. *Any insights or assistance would be greatly appreciated!*
Addressing Body Imbalances Between Sides
As a 20-year-old male who recently began working out just two weeks ago, I made an intriguing discovery during my bicep workout yesterday: my right side feels significantly less strong than my left. While I comfortably completed 8 to 10 repetitions with my left arm, I struggled to manage only about 5 to 6 repetitions with my right. This pattern seems to persist across all the exercises I attempt; I predominantly notice the effort on my left side, while my right side feels almost absent. I can’t help but worry that this imbalance might stem from a rotator cuff injury I suffered last year. Despite knowing this type of issue is somewhat common, it's difficult for me to fully accept it. In response to my new fitness routine, I have increased my protein consumption and adopted a healthier diet plan to support my training efforts.
Why Has My Appetite Vanished While Traveling?
As a male traveler aged 18, I am nearing the conclusion of my journey, and I’ve come to a curious realization: I have been significantly neglecting my eating habits, yet I don't feel compelled to consume food. My meals have dwindled to eating only when I experience hunger or a hint of boredom—though the latter hasn’t been an issue lately, as I’ve been busy exploring a vibrant new city. Typically, I have a hearty appetite, so this sudden disinterest in eating is surprising. I’ve encountered this sensation in the past, but this is the first time in four days where my food intake has been so limited: - **Day One:** A couple of chocolate bars, a BBQ sandwich, accompanied by iced tea and water. - **Day Two:** Two more chocolate bars, iced tea, an ice cream treat in the evening, plus water. - **Day Three:** Only a Red Bull, iced tea, a cappuccino, and water—no solid food at all. Now, on my fourth and final day of travel, I find myself feeling a strong aversion to food; merely seeing it is enough to turn my stomach. There’s a slight hunger pang that creeps in during the evenings, but it's manageable enough that I can easily ignore it and drift off to sleep. This feeling is not even remotely as intense as what I would traditionally experience after an entire day of just drinking liquids. Today, there’s a hint of hunger, yet I feel that I could satisfy it with something minor, like gummy bears or a small candy bar, rather than a full meal. The thought of consuming a substantial hot dish makes me feel nauseous, and even the prospect of taking a bite or two seems overwhelming. What could be the cause of this unexpected shift in my appetite? Is there an underlying issue at play?
Assessing the Need for Stitches on M17's Injury
Recently, M17 sustained an injury that resulted in significant bleeding for approximately 30 to 40 minutes. Thankfully, I was able to manage the situation and successfully halt the bleeding.