February 11, 1996|Dr. Paul Donohue
Dear Dr. Donohue: I accept aerial claret burden and accept for abounding years. I booty medication for it. My doctor did a 24-hour urine test. It showed my "creatinine clearance" was low. How austere is this? Can annihilation be done about it? - B.H.
Dear B.H.: Creatinine (kree-AT-uh-neen) is a decay artefact from beef breakdown. The branch filters creatinine into the urine. The approval analysis provides a accessible adviser to how able-bodied the kidneys are accomplishing that basal chore.
Older bodies ability appearance lower-than-normal clearance. The amount of dearth guides treatment. Your aerial claret burden ability be of interest, back any branch accident it ability be causing shows up aboriginal in the test. Such accident would advance to less-efficient clearance. In that event, the doctor would appetite to analysis your pressure-control program.
If charge be, the doctor can access a sample of branch tissue for diminutive examination.
Dear Dr. Donohue: I am 62 and accept been cancer-prone, so my doctor says I should accept my colon checked. I do not accept any history of blight in my family. Is painful? Expensive? Accurate? Painful? Does it accept ancillary effects? - Reader
Dear Reader: Blight authorities acclaim that anybody earlier than 50 accept a colon test. Back you are in a cancer-prone category, blockage the colon - a accepted blight armpit - makes alike added sense.
There are two basal forms of the test. In one, the doctor uses a sigmoidoscope to appearance the lower allotment of the colon, area best blight appears. The additional analysis is done with a colonoscope, which provides a broader appearance of the absolute colon. Colonoscopy is added big-ticket than sigmoidoscopy, and provides lots added information.
Either analysis is appealing patient-friendly. Ancillary furnishings are not commonly anticipated.
Write to Paul Donohue, M.D., P.O. Box 5539, Riverton, N.J. 08077-5539.
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