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Knee Pain

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midagetrolop | 12:33 Mon 19th Apr 2021 | Body & Soul
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I had a telephone appointment with my doctor yesterday re knee pain, he asked me what I had been taking for painkillers and when I said ibuprofen, he said I should not be taking that as I have stage 3 kidney disease - I was shocked as this was news to me, it has never been mentioned to me. Should I be worried and should I take this up with the doctor. I do not have any of the symptons. What do you think?

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Being told you had Stage 3 CKD seems to me not that lmportant and may well have alarmed you unnecessarily, as it clearly has done. There is no specific treatment for Stage 3 CKD, just the treatment of predisposing conditions like high BP and diabetes, which I would bet that you have. Also.....ask your GP what evidence he has for your diagnosis. Not a big...
14:05 Mon 19th Apr 2021
What do Ithink and what would I do?
Your doctor is correct.......theoretically.
If Ibuprofen can be replaced by another effective painkiller then i would/might change over.
If Ibuprofen gave me the pain relief I was seeking, I would continue taking it.
Ibuprofen 400mgms twice a day or even three times a day would not,in my opinion affect your Stage 3 CKD.

Your choice.
Has your GP arranged for you to have an x-ray of your knee?
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What I want to know is should I have been told I had Stage 3 Kidney disease?
You certainly should.
Yes. I would want to know if there is anything I should be doing about it and why nobody had told me.
I would be steaming mad if that was me.
Being told you had Stage 3 CKD seems to me not that lmportant and may well have alarmed you unnecessarily, as it clearly has done.
There is no specific treatment for Stage 3 CKD, just the treatment of predisposing conditions like high BP and diabetes, which I would bet that you have.
Also.....ask your GP what evidence he has for your diagnosis.
Not a big deal........
Question Author
I am not diabetic, my blood pressure is ok and my cholesterol is 5.00. I am having a face to face appointment next week, so I will take it up with him then, and yes I was taken aback it was the first I knew.
midagetrolop a friend of mine has often been told she has kidney disease, although nobody has ever said what stage, and she always says to them,
'So I keep being told, although nothing has ever been done about it.'
I can only presume they know this by blood tests, but as sqad has said, it has alarmed you and if I were you, I would discuss it with your GP who can hopefully put your mind at rest.
Barsel is correct CKD staging is dependant on the results of blood tests alone.
Write them down, bring them onto AB and we will make out comments lol...lol.
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SERUM CREATININE 97UMOL/l SERUM UREA LEVEL 8.9mmo/L
I don't understand those figures as staging of CKD is usually measured in mls per min of filtration.
I will give it further thought after dinner.
I have given this further thought and am convinced that the figures that you have given cannot be used to diagnose stage 3 CKD or indeed any kidney damage.
The figures we are looking for midage is the amount of blood your kidneys are filtering, what is known as the Glomerular Filtration Rate ( GFR)......get these values and get back to us.
It will show as egfr
I went in to the Stage 3 CKD zone, from eGFR blood results and it was kept an eye on initially. I did see renal at one stage (after a while of my GFR going down and having the extra risk factor of Rheumatoid Arthritis) who checked a lot of things out and did a kidney ultrasound. I don't have high blood pressure or diabetes.

I was taking ibuprofen regularly as part of my pain relief medication, mainly for RA but I also have OA in my knees and other conditions. I was advised to stop the ibuprofen and my eGFR results went up a bit (in the right direction). It included NSAIDs generally, not just ibuprofen.

I have bloods done pretty regularly anyway, so easy to keep track of my GFR, and it's a bit of a balance. It's not that I can't take any ever again, but it's more when the balance outweighs, eg having it occasionally, or a shorter burst of taking it more often. So more if I'm, say, having a really bad flare, especially if I'm off my RA meds for some reason, like an infection. People react differently though. Time and monitoring helped in my case.
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I found this eGFRcreat(CKD-EB)1.73m ......56mL/min.
That is late Stage 2 and early Stage 3 at the date of testing (whenever that was).
No reason to be alarmed.
AFAIK they like it to be above 60 (lower if you are afro-carribean)
do you have regular BT?
Question Author

Thanks you sqad and bed nobs, but i think i will take it up with doctor when I go with knee next week. Thank you again I was quite taken back when he said it.

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