Creatinine Alert

Detrusitol SR 4mg

There was a change in his demeanour from the usual. I thought he was perhaps thinking about his other patients’ problems.

“Have you been taking your Detrusitol?”

I mumbled a soft “Yes.”

“How often do you catheterise?”

“Every four hours.”

“Do you have any problems?”

I told him about the fever prior to the bloggers meet in KL.

“When you have a fever next time, come in for a culture. One day of infection is enough to wipe out your kidneys.”

I could only nod. I had a feeling that what he was to say next would not be good. He went on to say that my creatinine had shot up to 262 umol/l from the 180s. The normal threshold is around 100 umol/l. I was on the way to acute renal failure and he was really not happy with the figures. My kidneys, however, were not swollen, which meant that the intermittent catheterisation and Detrusitol are effective. I have to see the dietician again for my diet to be evaluated and revised. My protein intake of two servings per meal has to be reduced to one and one half. That is like cutting down to 75% from the two matchbox-sized portion of meat that I am allowed now.

“If that doesn’t work, you’ll have to go back to see what Dr. Liong can do for you further,” the dietician said.

This calls for another drastic change in lifestyle and dietary intake patterns. The dietician has also advised me to keep a diet log to track accurately what I have eaten. My medication was also changed. I am now to take one dose of 4mg Detrusitol SR just before bed. A one-month supply costs RM249 and it is supposed to be for the long-term. Detrusitol is prescribed for overactive bladder which may result in a reflux of urine back into the kidneys. I am still digesting this sudden assail of bad news. Hopefully the next review, which has been changed to quarterly from half yearly, will show better results.

Author: Peter Tan

Peter Gabriel Tan. Penangite residing in the Klang Valley. Blissfully married to Wuan. A LaSallian through and through. Slave to three cats. Wheelchair user since 1984. End-stage renal disease since 2017. Principal Facilitator at Peter Tan Training specialising in Disability Equality Training. Former columnist of Breaking Barriers with The Borneo Post. This blog chronicles my life, thoughts and opinions. Connect with me on Twitter and Facebook.

13 thoughts on “Creatinine Alert”

  1. Hi Peter
    Sorry to hear about that. Will keep you in my thoughts and prayers and may things turn out alright. Take care.

  2. Marita,
    Sad to say, creatinine level, once it goes up, very seldom comes down again. But thanks for keeping me in your prayers.

  3. 🙁 sorry to hear that pete. it sucks, doesn’t it? but keep hanging in there ya…you’d be alright…

  4. Hey Peter – I’m sorry to hear of this news, hopefully the new diet will help control and stabilize it better.

    Will keep you in my prayers.. hope things get better soon 😉

  5. Peter, I’m sorry to hear that. I hope you will look after yourself well. Will cutting the serving size reduce your weight? Sorry for this silly question. Just that you are so thin already.

  6. Dear Peter…I will be praying for you…You have far too much life to live, too many things to accomplish for this to slow you down…Keep your good attitude and faith…God will help you. I’m praying and thinking of you…Luv Koda

  7. KS,

    I hope so too. Thank you for keeping me in your prayers.

    Reducing the serving size was a concern the dietician and I had too. I have to space out my intake to reduce to load on my kidneys – small frequent meals rather than 2 heavy meals. I am that obviously scrawny huh?

    Thanks. God knows what is best for me. He has sent people like you and all the commenters here to keep my spirits up. That is simply great.

    Will do. 🙂

    Thank you.

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