Patient with hypertension has a creatinine of 1.4, is this any dangerous with occasionally high bp? -

age is 80 years, one sister with high bp but controlled, hypertension for teh last nine years or so, not more than that usually controlled with medicine, but sometimes it shoots to 200/110, very rare, but usually controlled in 135/90 range hast creatinine checked was 1.4 i am concerned about the renal issues, can it cause renal faiure please advice how to avoid it and to normalize creatinine back to normal God bless you

Many foods can increase creatine levels, since its a natural substance . Do a search, then limit those foods. From Wikipedia - In humans, approximately half of stored creatine originates from food (mainly from fresh meat and fish). Since vegetables do not contain creatine, vegetarians clearly show lower levels of muscle creatine which, upon creatine supplementation, rise to a level higher than in meat-eaters

How does high blood pressure hurt my kidneys? High blood pressure makes your heart work harder and, over time, can damage blood vessels throughout your body. If the blood vessels in your kidneys are damaged, they may stop removing wastes and extra fluid from your body. The extra fluid in your blood vessels may then raise blood pressure even more. It s a dangerous cycle. High blood pressure is one of the leading causes of kidney failure , also commonly called end-stage renal disease (ESRD). People with kidney failure must either receive a kidney transplant or go on dialysis. Every year, high blood pressure causes more than 25,000 new cases of kidney failure in the United States Creatinine is a breakdown product of creatine, which is an important part of muscle. A serum creatinine test measures the amount of creatinine in the blood. Creatinine can also be measured with a urine test. Normal Results A normal value is 0.8 to 1.4 mg/dL. Females usually have a lower creatinine than males, because they usually have less muscle mass. Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results Why the Test is Performed The test is done to evaluate kidney function. If kidney function is abnormal, creatinine levels will increase in the blood, due to decreased excretion of creatinine in the urine. Creatinine levels also vary according to a person s size and muscle mass Hypertension if not treated with medications ; diet and exercise can lead to renal failure. Her creatinine level of 1.4 is within the normal range. Her blood pressure averaging at 135/90 is good with medications; even though the diastole at 90 is still slightly high. How can I prevent high blood pressure from damaging my kidneys? If you have kidney damage, you should keep your blood pressure below 130/80. The National Heart, Lung, and Blood Institute (NHLBI), one of the National Institutes of Health (NIH), recommends that people with kidney disease use whatever therapy is necessary, including lifestyle changes and medicines, to keep their blood pressure below 130/80. How can I control my blood pressure? NHLBI has found that five lifestyle changes can help control blood pressure: =Maintain your weight at a level close to normal. Choose fruits, vegetables, grains, and low-fat dairy foods. =Limit your daily sodium (salt) intake to 2,000 milligrams or lower if you already have high blood pressure. Read nutrition labels on packaged foods to learn how much sodium is in one serving. Keep a sodium diary. =Get plenty of exercise, which means at least 30 minutes of moderate activity, such as walking, most days of the week. =Avoid consuming too much alcohol. Men should limit consumption to two drinks (two 12-ounce servings of beer or two 5-ounce servings of wine or two 1.5-ounce servings of quot;hardquot; liquor) a day. Women should have no more than a single serving on a given day because metabolic differences make women more susceptible to the effects of alcohol. =Limit caffeine intake. Are there medicines that can help? Many people need medicine to control high blood pressure. Two groups of medications called ACE (angiotensin-converting enzyme) inhibitors and ARBs (angiotensin receptor blockers) lower blood pressure and have an added protective effect on the kidney in people with diabetes. Additional studies have shown that ACE inhibitors and ARBs also reduce proteinuria and slow the progression of kidney damage in people who do not have diabetes. You may need to take a combination of two or more blood pressure medicines to stay below 130/80. Your doctor may also prescribe a diuretic in addition to your ACE inhibitor or ARB. Diuretics are also called quot;water pillsquot; because they help you urinate and get rid of excess fluid in your body.

Sometimes, in the elderly, an elevated creatinine is due to dehydration. But keep a close watch on the kidneys.