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[|Human|] i drink 20 oz cup after cup of water. here lately i pee very little twice a day. i have had a uti for a year now, and my creatinine level is 1.7 high, gfr is 33 low, and alkaline phosphatase is 139 high. i know they said i have kidney deasise but from what ive read this is and means im at the end of renal fuction
[|AI|]  Hi, welcome to ChatDoctorLooking to your history, it seems that you have Persistent UTI. It requires evaluation regarding the site if infection and name of organism. Do basic urine report with culture, s.creatinine, and Sonography with post void residue.GFR varies according to age, gender and other parameters. Evenif your GFR is 33 ml/min, it is not end stage(GFR Consult your nephrologist and try to find out the cause of low GFR or you can get back to me with above reports. Persistent UTI require prolong antibiotic course followed by sometime suppressive prophylaxis therapy. I think this would be helpful to you. Best wishes. TC. Chat Doctor.