OpenHealth Q&A

Get answered by medical professionals

Seeking Guidance on Recent CKD 3a Diagnosis and Symptoms at 24 Years Old

9/12/2025, 4:10:39 AMMale25-34

Hello everyone, I’m reaching out for some assistance regarding my recent health concerns. I'm 24 years old and was informed after a blood test that I have been categorized as having Stage 3a Chronic Kidney Disease (CKD). This diagnosis really caught me off guard. I've also observed that my urine has been foamy intermittently. While I do not experience any pain in my kidneys, I maintain an active lifestyle by visiting the gym about three to four times each week and had been consuming a diet rich in protein prior to this revelation. Since receiving this news, I have reduced my protein intake. My creatinine levels were slightly elevated, but I've learned that factors such as muscle mass, physical activity, and dietary habits can influence eGFR results. Although I have not undergone follow-up laboratory testing, I haven't formally been diagnosed with CKD by a healthcare professional. I have a few questions that I hope some of you can help me with: - Can eGFR readings sometimes give an inaccurate portrayal of renal health in younger, more active individuals? - Would it be wise to discuss the cystatin C test or a 24-hour urine test with my doctor for further verification? - If I indeed have CKD 3a, how prevalent is this condition at my age, and is there a possibility for improvement or at least stabilization? - What dietary or lifestyle changes should I implement immediately to safeguard my kidney health? I’m feeling quite anxious about this situation and would greatly appreciate any insights from others who may have faced similar issues. Thank you for your support!

ArthritisCrohn's DiseaseEndocrinology

Answers (1)

Cony

9/12/2025, 4:10:56 AM

OpenHealth AI

It's understandable to feel anxious after receiving a diagnosis of Stage 3a Chronic Kidney Disease (CKD), especially at a young age. Your concerns about your kidney health and overall wellbeing are valid. Let’s address your questions systematically.

Key Points:

  1. Understanding eGFR and limitations in active individuals.
  2. Consider follow-up testing for accuracy.
  3. Prevalence and management of CKD in young adults.
  4. Dietary and lifestyle changes for kidney health.

Explanation:

  1. eGFR Considerations: The estimated Glomerular Filtration Rate (eGFR) can sometimes be influenced by muscle mass and physical activity. Young, active individuals may have variations in their kidney function readings that don’t fully reflect underlying health. Therefore, a single reading should not be the sole basis for a diagnosis.

  2. Additional Testing: Discussing the cystatin C test and a 24-hour urine test with your healthcare provider can help clarify your kidney function. These tests can give a more accurate picture of kidney health and confirm the diagnosis.

  3. CKD Prevalence and Management: Although Stage 3a CKD is less common in younger individuals, it can be due to various factors, including genetics, hypertension, or diabetes. With early interventions like lifestyle and dietary modifications, it is possible to stabilize or even improve kidney function. Frequent monitoring is essential.

  4. Dietary and Lifestyle Changes: To safeguard your kidney health, consider the following steps:

    • Dietary Adjustments: Continue reducing your protein intake, focusing on high-quality sources. Incorporate more fruits, vegetables, and whole grains to support overall health. Limit sodium to reduce kidney strain.
    • Hydration: Drink plenty of water to maintain hydration without overloading your kidneys.
    • Monitor Blood Pressure and Sugar Levels: Keep these in check to prevent further kidney damage.
    • Regular Check-ups: Schedule follow-up appointments to monitor your kidney function and overall health.

Next Steps:

  • Schedule a visit with your healthcare provider to discuss your diagnosis, potential follow-up tests, and the best approach for your specific situation.
  • Keep a health journal detailing any changes you notice, your dietary habits, and exercise routines to share with your provider.
  • Stay proactive about your health, and don't hesitate to seek support to manage your anxiety around this diagnosis.

Feel free to reach out if you have more questions or need additional support. You're not alone in this journey.

Related Questions

Concern Over Recent Health Issues: Is It Stress or Something More Serious?

I find myself puzzled about my well-being lately. At just 20 years old, I've been experiencing some unsettling sensations following a particularly stressful trip last year. It seems that anytime stress arises, I start to feel quite off. This peculiar feeling began in August of last year when I began to notice shortness of breath and strange numbness on the left side of my body. There were moments, particularly at night, when I feared I was having a stroke due to these odd sensations. The next day presented new challenges; I found my limbs feeling tingly, my chest and abdomen tight, accompanied by dizziness. A visit to the hospital revealed that my lungs, heart, and circulation were all functioning properly. A nurse noted that, despite the absence of any physical issues, it could be a case of anxiety manifesting in my body, something I had never considered because I had never experienced an anxiety attack before. In the following days, while the symptoms did persist, they were less intense, appearing only as occasional discomfort and odd feelings, with a marked decrease in shortness of breath. However, as months went by, I began to notice other strange sensations, particularly in the left side of my head. It felt like chills would sweep through, accompanied by minor aches in the areas between my neck and left shoulder, especially during stressful situations, suggesting a possible link. Now, after three days of recurrent symptoms, I'm starting to feel anxious about it. This leads me to wonder: should I be concerned about these developments? Is there a possibility that I could be at risk for a stroke or some other serious condition?

COPDInternal MedicineEndocrinology
Male25-34
46 minutes ago

Is This Neurogenic Claudication?

As a 23-year-old male, I have been grappling with persistent pain in my lower calves for the past year and a half, which has gradually intensified. At this point, walking continuously for more than one to three minutes has become a challenge due to discomfort, and this pain is particularly pronounced in my left leg. I experience a tight, burning sensation in my calves, accompanied by muscle hardness, which is only triggered while walking and affects the outer parts of my lower calves. Following an MRI, I was diagnosed with degenerative disc disease, specifically a desiccated disc in my lower back. I have endured mild to moderate back pain since I was around 15 years old. While medical professionals suggest that the claudication may stem from my back condition, I suspect it might be related to vascular problems. I underwent an exercise ankle-brachial index (ABI) test, and although my ABI results were within normal ranges, the pulse volume recordings (PVR) indicated moderate dampening at both the low thigh and tibial levels. However, after a CT angiogram (CTA) returned normal findings, my physician concluded that there were no vascular concerns, attributing the dampened PVR results to possible environmental factors, such as the temperature in the room during the test.

ArthritisCrohn's DiseaseCOPD
Male25-34
2 hours ago

Clarity on Brown Discharge and Itching

Greetings! I’m a 23-year-old female currently enjoying my vacation abroad. Just before my trip began, I started experiencing typical brown spotting that I usually notice leading up to my menstrual cycle. However, five days have passed, and I find myself dealing predominantly with a thick brown discharge. Occasionally, when I urinate and wipe, I notice a slight pink tint that resembles menstrual blood, yet generally, it’s just this unusually thick brown discharge, and there isn’t any odor associated with it. As I reach the fifth day of this experience, I've begun to feel an uncomfortable itching sensation, which has raised my alarm. Upon inspection, I noticed some redness and possibly slight swelling in the area. Prior to my holiday, I did engage in unprotected intimacy with a new partner. However, he mentioned he hadn’t been sexually active since breaking up with his girlfriend of three years. Given these circumstances, how likely is it that my symptoms indicate a sexually transmitted infection? Or could this simply be an atypical menstrual cycle triggered by my change in environment? I would greatly appreciate any guidance, as I am quite anxious about the situation.

LupusCrohn's DiseaseRheumatology
Male25-34
2 hours ago

Seeking Answers for My Health Struggles

I apologize in advance as I have multiple questions and concerns. I'm grateful for any assistance you can provide, even if it’s regarding just one of my queries. **Diagnosis History**: I have been living with anxiety since I was eight, and I’m now 27. Other diagnoses, including depression, ADHD, OCD, and insomnia, have been established more recently within the past year. I suspect I might also have autism and am experiencing seizures, although these have not yet been diagnosed. POTS has been ruled out, although I wonder if that conclusion was incorrect. **Current Medications**: My medication regimen consists of fluoxetine, diazepam, famotidine, atenolol, trazodone, bupropion, and ondansetron. **Seizure Concerns**: A significant worry I have revolves around potential seizures. I recently shared with my therapist the distressing symptoms I experience during what I’ve termed "panic attacks." These episodes involve intense muscle contractions, severe shaking, nausea, a feeling of urgency to use the restroom, and difficulty concentrating, often accompanied by tears and disjointed speech. My therapist suggested that these symptoms appear more seizure-like than anxiety-related. A friend and fellow therapist also concurred with this assessment. Historically, I have noticed that I often feel nauseous before these episodes, which I previously thought was due to anxiety; however, I now suspect that it may serve as a precursor to the seizures, which have occurred intermittently since childhood—sometimes intensifying to 1-3 instances per month, while at other times I may go months without experiencing them. Given this context, could these indeed be seizures? If so, what type might they be, and do they pose a risk to my health? **POTS and Heart Rate Responses**: Regarding POTS, prior to starting atenolol, I observed a dramatic fluctuation in my heart rate, rising from 75 while seated to as high as 150 when standing, occasionally hitting 160-168 during showers. Standing brought on episodes of darkening vision and muffled hearing, similar to underwater sensations. Although atenolol has seemed to stabilize my resting heart rate, the tilt table test I underwent may have yielded unreliable results, as it was performed shortly after commencing medication. Could it be possible that POTS is still a factor despite the delayed test outcomes? **Swallowing Difficulties**: At times, I struggle to swallow water, as my throat seems to resist the motion, leading to unsuccessful attempts at drinking. Interestingly, I can manage flavored drinks, but they sometimes cause discomfort and tendency to regurgitate, especially when bending over. I wonder if GERD could be behind this issue, as my stomach often seems slow to digest, with food lingering for up to 12 hours post-consumption. Could this indicate GERD, or might there be another underlying condition? **Bowel Movement Frequency**: I have also faced severe irregularity, averaging a bowel movement every 7-10 days, with a peak of 12 days. When I do experience this, the abdominal pain is excruciating—resembling contractions rather than standard discomfort—rating around 6-9 on a pain scale. The severity has led me to gag, become pale, sweat profusely, and feel weak. Could this simply be IBS, and what strategies might help normalize my bowel movements? Previous attempts with fiber supplements and medications have proven ineffective. The only thing that yields results is a laxative, which I only take after prolonged periods without relief, yet I’m apprehensive about relying on that method too frequently. **Muscle and Joint Pain**: As the day progresses, I've noted a trend where my entire body becomes sore and achy. This discomfort affects my joints, muscles, and skin, intensifying as night approaches regardless of whether I’ve been active or sedentary. Could this pain be linked to any of my existing conditions, or does it suggest a separate issue? **Migraines**: Finally, headaches that last 1-2 days are also a concern. They cause significant pain with movement, discomfort behind my eyes, and a heightened sensitivity to light and sound. Ibuprofen has provided minimal relief. Are these typical migraines, or could they be related to one of my other health challenges?

Multiple SclerosisCrohn's DiseaseThyroid Disorders
Male25-34
2 hours ago

Concern Over Possible Chordoma Diagnosis

At 21 years old, I'm seriously worried about the possibility of having a chordoma. For the past two years, I've been dealing with persistent pain in my tailbone. At times, the discomfort eases, but more often it intensifies, particularly when I'm seated. Additionally, I experience radiating pain that extends into my hips, which occasionally flares up due to certain movements. For instance, while bending at work, I triggered significant pain, but it subsided afterward. Could it be possible that I have chordoma lingering undetected for two years, given my ongoing symptoms?

ArthritisMultiple SclerosisCrohn's Disease
Male25-34
3 hours ago