Conversation: The conversation between human and AI assistant.
[|Human|] will constant stress and anciety cause increase in serum creatinne level which is 1.5 mg i have a sligtly smaller kidney in ultra sound rt 8.2x3.4x4.1 lt 9.4 x4.2 x4.8 with well maintained cmd ratio simultanous creatine value is 1mg but after knowing this ultrasound result after 1yr my creatineresults stand between 1.2 to 1.5 mg done ion 6months interval iam on almost renal diet  i take plenty of fruits and vegetable daily  urine analysiis is within normal limits take 2 lit of water noew i develop back pain lumbosacral area aggrvate on movement isotope gfr was suggested 10yrs back which showed gfr of 60ml split 29 rt and 31 lt with sligtly elevated background activity now i am doing well except for stress of getting  into esrd my bp is 115/80 what investigation i shoud do to confirm i have kidney disease or not please help me iam 40 yrs old
[|AI|]  Hello and welcome to Chat Doctor. As a Urologist, I assure you, that stress can't increase creatinine levels. Your creatinine values reported are normal. Then why such anxiety. Repeat the creatinine with ultrasound scan at 6 months from last test. Your blood pressure is perfectly normal. Check your urine for micro-albuminuria test also, especially if you're diabetic. Has anybody in your family got kidney disease of any kind. If you've any doubt, you may contact me with a direct question. Chat Doctor. Manga.