Conversation: The conversation between human and AI assistant.
[|Human|] I have been taking my 28 year old daughter to the dr for over a year for severe headaches, high blood pressure and now she is having vision problems. They are saying possible kidney & or heart problems. Her cretonne levels are at 1.9 and her red blood cells are high. any other suggestions?
[|AI|]  Hi, Thanks for writing in. Serum creatinine of 1.9 mg/ DL is slightly higher than normal. Your daughter requires to be investigated for kidney disease immediately as all the mentioned symptoms might be related to each other. When there is narrowing of the arteries supplying blood to the kidneys, there renin angiotensin system gets stimulated. As a result this causes the kidneys to release chemicals which cause high blood pressure. At the same time there is a chemical called erythropoietin which is also released and this causes stimulation of bone marrow to generate more red blood cells. The high blood pressure causes stress on the kidneys and then the kidney function is affected which is seen as increased creatinine. Please consult a nephrologist and discuss her health condition. Please do not worry.