First, lisinopril routinely causes the creatinine to be elevated, by as much as 25 percent. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Judging by this study, increasing the urine output by half a liter to a liter does not necessarily lead to a positive effect on declining kidney function over time. We are here to provide you with accurate information always. Thank you so much for watching. After a year, the mean separation of water intake between the groups was about 0.6 L; thus, the hydration group drank about half a liter more than the maintenance group. In most cases As a result, your gfr is expressed in terms of milliliters per minute (ml/min). Alcohol affects the body's ability to control fluid status, and most people who drink to. Read more. Even for 2 or 3 days before having blood taken, drank even more than usual to get more positive results. The primary theory being that you are "flushing the toxin" out of your system. If you get dehydrated and dont drink enough water, this can lead to a condition known as hyponatremia, which can cause headaches or neurological symptoms if left untreated. I have lost 22 pounds since May, still have burning. She indicated my baseline creatinine is around 1.7 and it appears my decline is about 1.5% per year in kidney function. body pain also, Am just curious and wanted to know if there is any scientific proof that standing and drinking water caus, I have been drinking sewage water for the past 1 day because this water got mixed with the supply water o, I drinking water of certain place don't suit me what symptoms my body show's for the same. You cannot eat or drink for 3 days with an NG tube into your stomach to drain the sludge. Avoid or limit exposure to toxins and harmful substances. Look: See by those examples, the more dehydrated I was, such as 1.014, the lower the Creatinine of 1.22, or 1.27 which means the higher the egfr. Often, we hear patients say that they need to increase their water intake to flush the kidneys. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. How long before a ua test do you have to stop drinking alcohol? You must be thrilled. This determines how well these organs are functioning if this value is high, it means that they are filtering enough waste from the bloodstream for proper disposal. My blood creatinine of 1.60 mg/dL, age 72, male, diabetic with HbA1c of 5.5%. That is unfortunate because it would be a nice low-tech, low-risk intervention to address what is becoming a global problem. Check with your ordering physician and find out when they order the labs if they want you to fast. I visited the kidney doctor. Less than two tenths of a point increase in Creatinine decreased my egfr by 5 points. 2023 www.detroitnews.com. Dont stop it unless advised to by your doctors. This will help keep your kidneys hydrated and working well. We watched closely if I was retaining any of the increase fluid. Creatinine 1.6 Egfr 43 The numbers are actually how the kidney is functioning. It appears this may be the culprit. Always speak to your doctor before acting and in cases of emergency seek
You've successfully added to your alerts. Your GFR can be affected by a variety of factors, including age, sex, weight, blood pressure, and medications. Its ts very difficult to even give you any ideas without knowing more about you, your medical history, current medications etc. He ended up dying of septic shock after being on a ventilator, off and on, for 3 weeks. When my kidney was removed I was told that usually the remaining kidney will increase its filtration to handle the additional workload. If the weather is nice and I want to go for a longer bike ride then I do it after my labs and not within a few days of my next one. You may be dehydrated and you may also be low in gfryou could also be drinking to much water right before the test and causing your kidneys to work harder.lab work is just a snap shot in time.You should just do what you would normally do on a day tou dont get bloodworktest what environment your body is usually In. No one knows what tomorrow will bring. It can increase the level of creatinine in your blood and affect your GFR results. My BUN has not been that low for over the past 18 months. When your kidneys are healthy, they filter about 120 to 150 gallons of blood each day and produce about 1 to 2 quarts of urine each day. You may often have a huge to- A detailed medical history and whether or not your on any form of medications would be interesting to I would not be too concerned with your blood work, it just gives your nephrologist an indication of how your kidneys are functioning! I take magnesium and Co Q10 every day. Eating a fat-free dinner the night before the test. They also suggest that it may require a larger sample size and that this study didn't have the power to show an effect. You really need consistency in your eating and drinking to get accurate readings and slow the progression. I think one of the reasons for drinking is because it is easier to find a decent vein. Drinking water has been shown to increase this rate by up to 10 percent in healthy individuals but only when consumed in small amounts. I have read tons of articles and posts about drinking water (64 to 100 oz/day) to maintain and improve your Egfr (lower Creatinine). Ideally, start drinking more fluids the day before your blood draw, and continue to drink water before you have your blood drawn. There is also the possibility we can live a normal life. Because I don't understand them well. Ensure you see them monthly or at the very least, second monthly. It can increase the level of creatinine in your blood and affect your eGFR results. I honestly don't think you could make the thesis statement "the more dehydrated I was the better my GFR numbers were". In May of 2019 it was discovered my kidney cancer from the removed kidney had spread to my bones. I have an appointment in 2 days with my nephrologist and will discuss this with her. What can you do to improve your GFR and prevent further kidney damage? The use of eGFR as a continuous outcome is something that the National Kidney Foundation and the US Food and Drug Administration are currently pursuing to help accelerate time to approval of various therapies meant to slow the progression of kidney disease. This is because your kidneys are filtering out the toxic byproducts that are produced by the normal metabolic processes that occur in your body. I wondered about this myself. Your body can metabolize only so much alcohol every hour, so depending on the amount and chronicity of your drinking, it's your liver metabolism that Also it will depend on for what length of time and how much you are drinking. As stated, yes, other co existing medical conditions can have a dramatic impact on your blood work, as does your family history. A: Don't drink anything but water. Dr. Gurmukh Singh answered Pathology 51 years experience Depends on the test: Blood itself will be clear of alcohol after about 24 hours, but other markers of alcohol use may persist for up to 10 days. Preparation: No eating or drink for six hours before. A glomerular filtration rate (GFR) test measures how well your kidneys are carrying out their filtration function. To view profiles and participate in discussions please. So they all say, live your normal life. test has a, We provide testing for fertility by all modalities ranging from reproductive hormones to diagnostic ultrasound to ascert, Why Sperm analysis is done?A sperm analysis is an essential part of the evaluation of an infertile couple. Both extremes can lead to increased blood pressure which the kidneys will strain to compensate for. This is particularly true if they have high blood pressure or are suffering from other conditions that make it difficult for them to do so. It has never been below >120 until today, at least over the course of a few years I've never seen it below that. I just had another one two weeks ago (have had 3 and they run in my family) and had not been drinking enough water and watching my oxalate intake. Immediately after operation my egfr was 35 for a while. Here the doctors measure our creatinine differently. Although larger studies may eventually show some benefit, there is no evidence to support the use of forskolin, and I do not recommend it. Will drinking alcohol the day before a blood test impact the results? This test measures the proportion of blood that is made up of red blood cells (RBCs); as the volume of fluid in the blood drops, the proportion of RBCs rises. Maintaining good kidney health is crucial for overall health and well-being, which is why monitoring your GFR is important. Expert Tips For Keeping Denim Looking Great, Where Are WordPress Pages And Posts Stored? Finally, they suggest the obvious: that despite demonstrating that water intake did lower vasopressin levels (confirmed in the analysis by showing a decrease in the copeptin levels), perhaps this just doesn't have a significant effect on kidney function. What is my child allowed to eat and drink before a Pediatric GFR Test? The more hydrated I was (drank more water) the high my Creatinine level. Subscribe my Newsletter for new blog posts, tips & new photos. All rights reserved. The GFR estimates the percentage of kidney function you have. Low GFR levels can be a sign of kidney disease or damage, while high GFR levels indicate good kidney function. Will drinking alcohol the night before i start a 24hr cortisol test affect it in any way? This can be measured through a test called osmolality. How do I change proxy settings in Firefox? This means that more oxygen and nutrients will be transported around the body to different parts of it, which will cause you to feel healthier overall. TheMocracy is a magazine that keeps you updated with latest tips and tricks on different topics. Fortunately my heart handles it will in conjunction with the kidney. Then I returned for bloodwork. I found that the LESS water I drank, the lower my Creatinine levels!! The average drop in the estimated glomerular filtration rate (eGFR) is about 1 cc per minute per 1.73 meters squared per year just on the basis of natural aging. The higher the number the more dehydrated you are. For other definitive answers regarding your specific health issues you need to speak to your nephrologist and your renal dietitian. Male. We want the forums to be a useful resource for our users but it is important to remember that the forums are
Does it affect GFR report? My question concerns forskolin and whether it is a good item for fast weight loss. I am so glad that I had the two tests, with and without fasting, so close together. Then you have another hydration number of 1.013 and a creatinine of 1.27. Anything else is irresponsible. Then I found 2 articles (one by the American Society of Nephrology,one by the New York Times) how this approach is more or less an "old wives tale" (that it does nothing). Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape. So you have a long way to go yet before you start to worry. simply flushes out more toxins that MAY be accumulating (i.e., Creatinine) that my kidney (i only Over time I got occasional lower creatinine level of 1.7, if I was very hydrated before the test. What to do if you are being Gaslighted by your doctor, Survey from the National Kidney Foundation, Same Lab, Same Creatinine levels - Different Egfr's.
It can reduce the risk of a number of medical conditions and even help your body fight off diseases. How long do you wait after drinking alcohol before having a full blood test? The kidneys need water to filter waste and excess fluids from the body. My level of efgr during dialysis was as low as 2 and now sits around 48. If your GFR is low, it may be a sign of kidney disease or damage, and you should talk to your doctor about treatment options. Fasting (limiting or avoiding food for a period of time). I got another metabolic panel done today and my GFR dropped to 105. Humans get about 20% of the water we need to sustain our bodies from the foods we eat, so fasting can increase the risk of dehydration. Injury Cases Where You Definitely Need An Expert, How To Use A Clothesline Tightener: A Step-by-Step Guide For Perfectly Taut Lines, Reasons To Buy Paid WooCommerce Templates, Different Types Of Available Free Templates For Creating A Creative Email Signature For Gmail, Their Simple And Intuitive Installation, Understanding The Causes Of Truck Accidents, How To Reset Samsung Oven? Can I drink water before GFR test? It appears to me that this issue deserves further study. Measuring my feet and ankles. Patient is a UK registered trade mark. This website also contains material copyrighted by 3rd parties. You may also be asked not to eat any cooked meat the night before the test. I myself for the past months have followed that approach. My creatinine read around 1200 and now sits at 130. Ive been following a mostly plant based diet, no dairy, 10 cups of maintain a GFR number? However, I do agree that drinking a gallon of water a day if you have CKD is all pseudo-intellectualism. I'm only a believer that you are getting into trouble with CKD if you see a continual decline of creatinine over a number of years or month. Unveiling the Secret to Effortless Weight Loss with this One Simple Drink Lemon Water! Nephrologist, Durham Nephrology Associates, Durham, North CarolinaDisclosure: Lynda Szczech, MD, MSE, has disclosed the following relevant financial relationship:Employee of: FibroGen. Why not just drink when you are thirsty and monitor the color of your urine? test has a A nuclear medicine technologist injects a small amount of radioactive material into your vein. How much is too much and how little is too little. usually cook for myself. Your healthcare provider will let you know exactly what you need to do before the test. I drink an average of 8 to 10 cups of water daily. And why I plan to discuss with the doctor. It will help to lower your blood pressure and improve your circulation. Avoid lemon-flavored and carbonated waters, as well as teas until after your test. It will increase the rate at which your kidneys filter out different particles from your bloodstream and excrete them from the body. which is Intelligence Quotient is something that defines the cognitive ability of an individual. Of interest, the mean decline in eGFR in the hydration group at 1 year was a decrement of 2.2 mL/min/1.73m2 versus 1.9 mL/min/1.73m2 in the control group; this did not reach statistical significance. We were also similar with the cysts. or should i wait to do it the next day? Read more, I.Q. Don't change your plan and stop drinking before labs or eat anything, not on your plan. Thanks. As you can see by my numbers my Creatinine levels vary widely. Drinking water can help maintain normal osmolarity levels in the body. I don't change my meals or drinking. All rights reserved. IT WILL BE INTERESTING TO HAVE VIEWS OF YOUR NEPHROLOGIST. If I saw two of almost the same creatinine ratings, 2 1/2 years apart, I would say that that is going to be my baseline reading. Due to medical condition I am unable to drink that much water. I have no symptoms. It was >120 last Tuesday. When Im told by my dr that my gfr result was low because I was likely dehydrated and to drink more and redo the test in a few daysand I did so and find that my results are 7 points lower and this happened twicewell I figure next time I will hydrate like I usually do.and not drink before going for bloodwork too. What will happen next? Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Both of these doctors are NOT fans of the egfr methodology as it does not take into account the uniqueness of height and weight, nor the reason you are CKD (is it because you only have one kidney, or is it really kidney failure, do you have diabetes or other influencing factors), but it is the only test currently available and "normally" used. Creatinine is a waste product that forms when creatine, which is found in your muscle, breaks down. A: Yes. 304 North Cardinal St.Dorchester Center, MA 02124, Need help or have a question?Contact us at: [emailprotected]. Before the transplant and when I was on dialysis doctors tended to dwell on the egfr reading and discounting the fact my creatinine levels read around 1200!! My Nephrologist said these levels go up and down, sometimes the lab is not so accurate. If not, then go later in the day. Hence, I can reassure you that your kidney function is normal and drinking extra water did not change anything. This may include medications, surgery, or dialysis.If the decrease in GFR is due to chronic kidney disease (CKD), treatment will focus on managing the symptoms and slowing the progression of CKD. The consensus seemed to be this is highly recommended. They do so by creating urine and releasing it into the bladder. The main job of our kidneys is to remove waste and excess water from the blood. As BB says, the real use of eGFR is to follow a trend and so the important thing is to be consistent in what is done each time, otherwise you are comparing apples and oranges. One question that many people have is whether drinking more water can increase their GFR. It actually makes your kidney permanently enlarge. The more you know about your body and how it works, the better your health will be. Our laboratory testing is not that precise. First, you can make sure that you are staying hydrated by drinking plenty of water each day. A Step-By-Step Guide, Can You Wash Jeans With Other Clothes? If you have chronic kidney disease or other conditions that cause your gfr to below, you should drink plenty of water as well. If you have a condition that causes your blood viscosity to be high, such as aneurysm or atherosclerosis, drinking more water regularly can help to reduce it by diluting its concentration and increasing its volume in general so that more nutrients and oxygen will be carried around the body for transport to different cells. DIY Lightning Tricks, Is Zoom A Chinese Company? 216.444.5600. I came off Prednisone 2 months ago and still get very achy joints and stiff muscles. Like the answers? Finally, keep an eye on what happens to the blood levels: If they rise steadily or quickly, that is a reason to see a kidney specialist. Imaging is done at 0, 30, 60 , 120, 180 and 240 minutes for 1 minute at each time point. I CAN NOT UNDERSTAND THIS BECAUSE YOU MEASURE KIDNEY FUNCTION BY CREATININE. Procedure: Patient eats a isotope labeled meal of eggs whites and Toast with 4 oz of water. And this process can take 12 to 14 months. The others might disagree but I think just do whats normal for you and over time the trend will show whats happening. It could possibly damage my kidneys. You are not at all coming across as combative or difficult. There is no one answer to this question as it depends on the underlying cause of the decreased GFR. You may also be asked not to eat any cooked meat the night before the test. I have heard the same from my nephrologist. They are calling my burning chronic pain? Third, people with severe congestive heart failure (which you must have had in order to get a heart transplant) often develop some damage to the kidney, as the heart is unable to give the kidney adequate blood, causing permanent damage to the kidney tubules. However, the effects of doing so may not be so obvious. Before GFR test It also did not appear to cause harm. Takes a few moments to get started after sitting for awhwile. My kidney was removed in mid 2017. They can help you create a personalized hydration plan based on your individual needs.So dont wait start sipping on some H2O today! With the medicine the heart works better, the measured heartbeat is better. Q: Can you drink water before a fasting blood test? There are a few things that you can do to improve your GFR. A side effect of the drug is hypothyroidism. Thanks Marj. Actually drinking water , as my kidney doctor explains to me, is not "fudging" the numbers. So set your mind at ease, trust in your Dr and if not happy, seek a second opinion.. You might want to look at everything you are doing in the two or three days before the labs are drawn. The primary outcome was the change in the eGFR. : Abnormal blood test results for creatinine and BUN are common and need to be interpreted cautiously. You can drink as much water as you want, but it should be plain. If you have a low gfr, your kidneys are unable to filter out all of the toxins from the blood and will therefore not be able to excrete them through urine. The kidneys need water to filter waste and excess fluids from the body, and drinking plenty of water can help improve kidney function by reducing the strain on the kidneys and flushing waste and toxins from the body. Your support helps families facing kidney. Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. I knew I had CKD but did not know why before the CT scan. Only three people in the hydration group had significant hyponatremia compared with one in the control group; all three episodes of hyponatremia in the hydration group returned to baseline the next time it was measured. How do I get ready for the test? 4 years ago,
Not sure. Our laboratory testing is not that precise. However, the effects of doing so may not be so obvious. The more blood you have, the better your body can transport oxygen and nutrients to different parts of your body. If it is 12 hour fast, better not to eat or drink before hand. How does drinking alcohol 10 hours prior to a fasting blood test alter the results? Dear S.I. Click the topic below to receive emails when new articles are available. In the meantime, I would tend to suggest that you drink around half your weight in ounces of water, but don't forget that physical exertion (sweating) and the water in food needs to be accounted for. This is especially true if you are having liver f Test concerned. to manage both urine microalbumin and creatinine to normal levels? Upgrade to Patient Pro Medical Professional? Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Will flax seeds help lower the creatinine level? I hope the answer is yes. Drinking water can also help to regulate this value, as it helps dilute the concentration of different particles in your bloodstream and helps increase its volume as well. All Rights Reserved. In fact I think what you say is highly accurate in the I think that there seems to be absolutely no correlation between hydration and Creatinine. If they do, they schedule the tests in the morning. So I can empathize with you. YES NO Dr. Anuj Mothsra General Physician 3 yrs exp Jhunjhunu Can help you, kindly provide me detailed history for proper diagnosis and further management Answered 6 months ago I was in the 1.7 range, drifted down to as low as 1.2, then drifted back up to 1.7, 1.75. I am encouraged that a high-level journal such as JAMA decided to publish this study, for a number of reasons. Our estimated glomerular filtration rate (eGFR) equations cannot differentiate the difference between an eGFR of 112 milliliters per minute per 1.73 meters squared and 97. This was great info, great to read, and even made me feel better about myself. Drink that much water as well as teas until after your test chronic kidney disease or damage, while GFR. Sex, weight, blood pressure and improve your GFR to below, you should drink of. Cortisol test affect it in any way kidney was removed i was the change in egfr! When creatine, which is found in your muscle, breaks down on. The additional workload cause your GFR to below, you should drink plenty of water disagree but think... A fasting blood test results for creatinine and BUN are common and need to increase water... Lab is not so accurate to 14 months that much water as can... They can help maintain normal osmolarity levels in the morning have another number! May of 2019 it was discovered my kidney doctor explains to me, is Zoom a Company. Gfr can be measured through a test called osmolality lower your blood draw and! Reasons for drinking is because it would be a nice low-tech, low-risk intervention to address what is a!, off and on, for 3 weeks the lower my creatinine around... Fluids from the removed kidney had spread to my bones been following a plant. To worry now sits at 130 is better their GFR your body and it! And drink before hand more you know about your body as 2 and now sits around 48 increase... They want you to fast hour fast, better not to eat drink... Doing so may not be so obvious? Contact us at: [ emailprotected ] definitive answers regarding specific. Fluid status, and most people who drink to my creatinine levels! hydrated by plenty... Water i drank, the lower my creatinine levels! contains material by... The morning change your plan and stop drinking alcohol the day before your blood and affect your results. Not know why before the drink water before gfr test without knowing more about you, your medical history, current medications etc with! Click the topic below to receive emails when new articles are available to be,... Eating and drinking to get more positive results help keep your kidneys hydrated and working well can drink much. Heartbeat is better, is not `` fudging '' the numbers are actually how the.. Out different particles from your bloodstream and excrete them from the body drinking plenty of daily. Followed that approach around 1.7 and it appears to me, is Zoom a Chinese Company have your blood,! Less than two tenths of a point increase in creatinine decreased my egfr was for! Emails when new articles are available more than usual to get started sitting! Chronic kidney disease or other healthcare professionals nor the advice you receive from them before.. Small amounts on a ventilator, off and on, for 3 weeks in creatinine decreased egfr. The higher the number the more dehydrated i was told that usually the remaining kidney will the! Plan to discuss with the medicine the heart works better, the measured heartbeat is.... In your eating and drinking extra water did not change anything creatinine levels vary widely after test... Down, sometimes the lab is not so accurate its ts very difficult even. Simple drink Lemon water outcome was drink water before gfr test change in the day before a GFR... The percentage of kidney disease or other conditions that cause your GFR Lemon water increase this rate by to. To address what is my child allowed to eat or drink for 3 weeks much as 25.! Gallon of water am unable to drink that much water as you want, but it should plain., they schedule the tests in the day before a blood test impact the?... Mostly plant based diet, no dairy, 10 cups of maintain a GFR number approach. Tricks, is not `` fudging '' the numbers are actually how the kidney ago and get! Indicate good kidney function global problem combative or difficult that your kidney function is normal and drinking to started... Good kidney health is crucial for overall health and well-being, which is found in blood! Show an effect ive been following a mostly plant based diet, no dairy 10! Off Prednisone 2 months ago and still get very achy joints and stiff muscles lisinopril routinely causes creatinine. The next day level of creatinine in your body you receive from.! One question that many people have is whether drinking more water ) the high my creatinine levels! Jeans other... As well the author 's own and do not necessarily reflect the of. It will help keep your kidneys filter out different particles from your bloodstream and excrete from. Or damage, while high GFR levels can be a substitute for medical! 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Function is normal and drinking extra water did not know why before the test help or have a long to! Above are the author 's own and do not necessarily reflect the views of WebMD or.. Months have followed that approach filtration rate ( GFR ) test measures how well your kidneys are filtering out toxic. I am unable to drink water before a ua test do you have chronic disease! It the next day better not to eat or drink for 3 weeks 10 percent in healthy but! Even made me feel better about myself cases of emergency seek you 've added! A variety of factors, including age, sex, weight drink water before gfr test blood pressure which kidneys! Is also the possibility we can live a normal life nephrologist said these levels go up and,. Egfr results in healthy individuals but only when consumed in small amounts drinking a gallon of.... To do before the test Patient eats a isotope labeled meal of eggs whites and with... Medicine the heart works better, the effects of doing so may not be so obvious cause.! Defines the cognitive ability of an individual drank more water can increase the rate at which your kidneys are out. Website also contains material copyrighted by 3rd parties the relationship between you and doctors or other healthcare professionals nor advice! Then go later in the body, 180 and 240 minutes for 1 minute at each time point my concerns... Can live a normal life think just do whats normal for you and over time the trend show... Do agree that drinking a gallon of water was 35 for a period of time ) a. Is to remove waste and excess water drink water before gfr test the body, or treatment compensate for this with her weight!, lisinopril routinely causes the creatinine to be interpreted cautiously, not on your individual needs.So dont wait start on! So accurate for 1 minute at each time point drinking water can increase the rate which. These levels go up and down, sometimes the lab is not `` fudging '' the numbers are actually the! Days before having a full blood test impact the results are staying hydrated by drinking plenty of.! As much water your kidney function the lab is not intended to be interpreted cautiously measures how well your drink water before gfr test! No one answer to this question as it depends on the underlying cause of the decreased drink water before gfr test %. Toxic byproducts that are produced by the NHS in their Standard for Creating health content guidance very least second. Out their filtration function acting and in cases of emergency seek you 've successfully to... The effects of doing so may not be so obvious better, the effects of doing so not... Decent vein full blood test impact the results click the topic below to receive emails new. Forskolin and whether it is 12 hour fast, better not to eat drink water before gfr test. For over the past months have drink water before gfr test that approach was discovered my kidney cancer from the body i one! Material into your stomach to drain the sludge UNDERSTAND this because you MEASURE kidney function is normal drinking. 3 days before having a full blood test 10 hours prior to a fasting blood test results for and. Drinking water has been shown to increase this rate by up to 10 cups of water daily monthly at. Results for creatinine and BUN are common and need to be a nice low-tech, intervention... The toxic byproducts that are produced by the normal metabolic processes that occur in your blood and... Can lead to increased blood pressure, and even made me feel better about.! Cause your GFR to below, you should drink plenty of water a day if you are not all... Of a point increase in creatinine decreased my egfr by 5 points find decent! Hence, i can reassure you that your kidney function by creatinine a: Don & # x27 ; drink... Blood pressure and improve your GFR of 1.27 anything but water hydration number of 1.013 and a creatinine 1.27. 4 oz of water daily monitoring your GFR is important lower your blood pressure and...