Patient's question:
My lower back has been hurting for over two months, and it's caused by drinking alcohol. In the past, drinking alcohol would make my lower back hurt the next day, but it would improve after a few days. This time, I didn't drink much—just two or three bottles of beer—but since the second day, it has been hurting for over two months. My back has been aching irregularly. Sometimes it's on the left, sometimes on the right, sometimes higher up, and sometimes lower down. Yesterday, I had a blood test at the hospital, and three results came back abnormal. They were: creatinine (Cr) 132.40 μmol/L, which is higher than the normal value; triglycerides 1.92 mmol/L, which is higher than the normal value; and high-density lipoprotein cholesterol 0.79 mmol/L, which is lower than the normal value. The doctor saidDoctor's answer:
Hello, based on your description, it can be determined that it is not nephrotic syndrome or chronic nephritis. The slightly elevated triglycerides are related to alcohol consumption and a high-fat diet, and they will gradually improve through dietary adjustments. High-density lipoprotein cholesterol is the same.Recommendations:
1. Currently, the key point to note is that serum creatinine has increased, which may be related to kidney issues. However, since the urinalysis did not show any abnormalities, it is highly likely that nephrotic syndrome or chronic nephritis can be ruled out.
2. The above condition should be suspected as kidney damage caused by hypertension, as the patient has a family history of hypertension. The current increase in serum creatinine suggests further testing for creatinine clearance, blood pressure measurement, and fundus examination.
3. The above medication is appropriate and can be continued. However, it is important to maintain blood pressure below 130/75 mmHg. Medications such as Amlodipine or Telmisartan can be taken for treatment. A follow-up check for the above tests is recommended in one month.
Doctor's Inquiry: