Creatinine 120μmol / L may be physiological causes such as high protein diet, generally no treatment, regular review can be; acute creatinine elevation, generally can be given to rehydration, relief of obstruction, prednisone and other causative treatment, most of which can be returned to normal; chronic creatinine elevation can be directed at the cause of the treatment at the same time, to correct a variety of complications, such as anemia, acidosis, calcium and phosphorus disorders and other comprehensive treatment.
Physiological causes: such as high protein diet, or strenuous exercise, muscular athletes, etc., this time without special treatment, pay attention to rest, regular review can be.
Acute elevation: such as acute blood loss, shock, urinary tract obstruction, such as stones, tumors, prostate hypertrophy, medication renal injury and other reasons can lead to acute elevation of creatinine, at this time need to be rehydrated to improve the effective blood volume, improve renal perfusion; extracorporeal shockwave lithotripsy, surgery to lift the obstruction; discontinue use of renal injury medication, prednisone acetate to inhibit inflammation and so on, generally creatinine can be reduced to normal.
Chronic elevation: If chronic nephritis, diabetic nephropathy, hypertensive nephropathy, polycystic kidney and other diseases lead to chronic elevation of creatinine, you can follow the doctor’s instructions to take oral prednisone, Benadryl, tolvaptan and other drugs to treat the primary disease, and at the same time give diuretic to reduce swelling (furosemide), to correct the anemia (roxarestat), to correct the acidosis (sodium bicarbonate) and so on to slow down the progress of the disease, and if necessary to carry out renal replacement therapy.
Patients with high creatinine, it is recommended to go to the regular hospital in a timely manner to clarify the cause, improve the relevant examination, follow the doctor’s instructions for treatment, do not self-medication.