Question

I have been experiencing back and waist pain for over two months, which I suspect might be caused by drinking. In the past, I would have back and waist pain the day after drinking, but it would resolve after a few days. This time, I drank only a few bottles of beer, but from the second day onward, the pain has continued for over two months, with the back pain being irregular. Sometimes it’s on the left side, sometimes on the right, sometimes higher up, sometimes lower down. Yesterday, I went to the hospital for a blood test, and three items showed abnormal results. These were creatinine (Cr) at 132.40 μmol/L, which is higher than the normal value; triglycerides at 1.92 mmol/L, which is higher than the normal value; and high-density lipoprotein cholesterol at 0.79 mmol/L, which is lower than the normal value.

Answer

Hello, based on your description, it appears that you are not suffering from nephrotic syndrome or chronic nephritis. The slightly elevated triglycerides are related to drinking and high-fat diet, and they should gradually improve with dietary adjustments. The high-density lipoprotein cholesterol is also similar. Guidance:

  1. The current concern is the elevated blood creatinine levels, which suggest a potential kidney issue. However, there were no abnormalities found in the urine test, so it can be basically ruled out that you have nephrotic syndrome or chronic nephritis.
  2. The situation above should be suspected as kidney damage caused by hypertension, as you have a family history of hypertension and currently have elevated blood creatinine levels. It is recommended to check for creatinine clearance rate, measure blood pressure, and examine the fundus of the eyes.
  3. The above-mentioned medication treatment