Does High Creatinine Equal to Renal Failure?

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Patients of Renal Failure must have the symptoms of high creatinine. The normal value is 40~120 umol/l, it can be over 1000umol/L when Renal Failure occurs. Therefore, some people may doubt that they may have Renal Failure when they are checked with high creatinine. However, does high creatinine equal to Renal Failure? Experts of Shijiazhuang Kidney Disease Hospital will give you an explanation according to a case.
Patients: I was diagnosed with high creatinine which is at the level of 200umol/l. Why is it and what lead to the high creatinine? Does high creatinine equal to Renal Failure? How to treat it?
Expert: the normal level of Scr ( Serum Creatinine) is at the range of 40 to 120umol/l. Scr can be used as one of the indicators for checking the damage degree of kidneys. If the Scr exceeds the normal range, it refers to that there are renal fibrosis occurs to kidneys and patients' renal functions begin to lose.
Now , your Scr is 200 which belongs to decompensation stage of renal insufficiency. At this stage, the GFR ( glomerular filtration rate ) does not reduce seriously, so the damaged renal function takes up only a small part of the total renal function. Therefore, parts of the renal function can still sustain the internal balance of patients. In this way, though the Scr has exceeded the normal range, patients seldom suffers from typical symptoms of Renal Failure.
Due to there is no obvious discomfort occurs, patients usually can not find the disease, thus leading to aggravation of the disease. If patients do not treat the disease timely, the range of renal fibrosis will expand larger and larger as well as the renal function will become weaker and weaker. Finally, renal lesions may lead to the continuous decreasing of GFR and the increasing of Scr. With the delay of the disease, patients will gradually enter the stages: discompensation stage of renal insufficiency, stage of Chronic Renal Failure and even Renal Failure.
Many patients think that high creatinine equals to Renal Failure, which is obviously wrong. When Scr is more than 707 umol/l, it is Renal Failure. However, patients should pay attention to their Scr, especially when it has exceeded the normal value. Only timely treatment can make the disease do not develop into Renal Failure. The application of some medicine can only reduce the creatinine on surface and it can not repair the basilar membrane as well as the damaged kidneys. So, medicine of reducing creatinine can not treat the symptom effectively.

However, which treatment should we choose? It is the comprehensive treatment which aims at eliminating immune complex and tissue. Meanwhile, this treatment can also repair glomerulus basilar membrane. After the damaged basilar membrane has been repaired, renal structure will change, thus expanding the filtrating area of glomerulus and the creatinine will decrease. However, it needs a period of time. Patients should prevent cold, control diet as well as blood pressure and so on. At the same time, protecting renal function is also important for patients. To sum up, it is unnecessary for patients to worry that whether the high creatinine equals to Renal Failure. They should pay more attention to treatment when they are checked with high creatinine.