If creatinine 140μmol/L is acutely elevated or physiologically elevated, most of them can be reduced to normal; a small number of patients with chronic creatinine elevation may keep creatinine 140μmol/L unchanged for 20 years if actively treated, but most of the patients’ creatinine will slowly increase.
If the creatinine 140μmol/L is caused by acute elevation such as fever, nausea, vomiting, urinary tract obstruction, etc., most of the patients can return to normal after active anti-infective treatment, rehydration, antiemetic, and relief of obstruction; if it is physiological elevation, such as eating a lot of meat, or after strenuous exercise, most of the patients can be reduced to normal after a light diet and rest.
The rate of creatinine elevation in patients with chronic kidney disease is related to the type of primary disease, dietary control, age, and treatment.
Creatinine 140μmol/L is already mildly elevated, and creatinine will only be elevated when the kidney disease is relatively severe, when the patient’s kidney damage is relatively serious. If not actively treating the primary disease, strict low-salt, high-quality and low-protein diet, strict control of blood pressure and urinary protein, the patient’s creatinine generally can’t remain unchanged for 20 years, it will increase year by year, and even progress to uremia.
However, if patients strictly control the diet, actively cooperate with the doctor’s treatment, it is possible to keep 20 years without progression, or 20 years do not develop into uremia.
Patients with elevated creatinine, it is recommended to consult a regular hospital in a timely manner and standardize treatment under the guidance of a physician.