If Your Creatinine Is High: 5 Steps That May Help
A high creatinine level is not a disease itself. It is a blood test result that may indicate your kidneys are not filtering waste as well as expected. However, creatinine can also be temporarily elevated due to dehydration, certain medications, intense exercise, or a high intake of cooked meat before the test.
The right approach depends on why your creatinine is elevated.
1. Stay Hydrated (Unless You’ve Been Told to Restrict Fluids)
Dehydration can temporarily increase creatinine levels.
Aim to drink enough fluids to stay hydrated, unless your healthcare professional has advised you to limit fluids because of kidney failure, heart failure, or another condition.
2. Review Your Medications
Some medicines can affect kidney function or raise creatinine, including:
- Ibuprofen and other NSAIDs
- Certain antibiotics
- Some acid-reducing medicines
- Certain imaging contrast dyes
Do not stop prescribed medications on your own. If your creatinine is high, ask your healthcare professional or pharmacist to review all your prescription medicines, over-the-counter medicines, and supplements.
3. Manage Underlying Conditions
The most common causes of chronic kidney disease are:
- High blood pressure
- Diabetes
Keeping blood pressure and blood sugar within your target range can help protect kidney function.
4. Eat a Kidney-Friendly Diet if Recommended
Depending on the cause and severity of kidney disease, your healthcare professional may recommend:
- Reducing excess salt
- Choosing a balanced diet rich in fruits and vegetables (unless you need to limit potassium)
- Eating moderate amounts of protein rather than excessive amounts
- Avoiding highly processed foods
Dietary advice should be tailored to your stage of kidney disease, if present.
5. Follow Up With Repeat Testing
A single high creatinine result doesn’t always mean permanent kidney damage.
Your healthcare professional may recommend:
- Repeating the blood test
- A urine test to check for protein or blood
- Estimating kidney function (eGFR)
- Imaging or other tests if needed
When to Seek Urgent Medical Care
Get medical attention promptly if high creatinine is accompanied by:
- Very little or no urine output
- Severe swelling of the legs or face
- Shortness of breath
- Confusion
- Persistent vomiting
- Severe flank or back pain
- Chest pain
These may indicate a serious kidney problem or another medical emergency.
