Creatinine is usually considered as endogenic creatinine, which is metabolin
of muscle. In muscles, creatine is mainly metabolized gradually into creatinine
by irreversible non-enzyme dehydration and then creatinine will be released into
blood, which is expelled from body with urine. Thus creatinine is closely
related with total muscles and it is not easily affected by diet. Creatinine is
micro-molecule substance, which is filtered by glomerulus and rarely absorbed by
kidney tubules. Creatinine generated in body is almost completely discharged
from body with urine, which is usually unrelated with urine volume. Creatinine
test is a common measure in clinic used to know renal function.
High level creatinine often means kidney damage. High level of creatinie can
comparatively exactly display the damage condition of renal parenchyma but
creatinine is not a sensitive index. Generally speaking, because the total
muscles in body is comparative stable, creatinine generation is also constant.
Whether the levels of Creatinine in blood is high or low, it mainly depends on
how much the kidneys expel it. As the kidneys have a great compensation
function, so long as one of them maintains a normal function, creatinine will
maintain a normal level.Only when GFR declines to one third of normal, will
creatinine increase obviously. That is to say human kidney has a great capacity
of compensation and when more than half of the renal function has been damaged,
creatinine will increase. Therefore creatinine can not reflect renal decline at
its early or moderate stage. When the damage of kidney is slight, people usually
have no obvious uncomfortable feelings. Consequently, when many people really
represent the symptoms such as nausea, vomit and dizzy, in fact their renal
damage is serious and the creatinine is obviously increasing.
All patients with high level of creatinine should pay more attention to this
condition and take positive treatment timely. In addition, the treatment should
repair the damaged kidney effectively, so long as the damaged kidney is well
repaired, the renal filtration function will recover and the high level of
creatinine will disappear automatically.
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