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Hi doctor, I am 41 y/m/ teetotaller. No diabetes, no hypertension and not on any medication. Medical history: have a sensitive digestive system with recurrent acidity/gastritis/ulcer kind of symptoms due to my sales/it job. Mostly manage thru diet and during flare ups, use ppis/antacids. Endoscopy and abdomen ct done few years back, which came out normal. So doctor suggested it could be ibs. Current issue: for the past couple of weeks, had a mild heaviness and a mild intermittent pain in the pelvic area. Consulted an urologist who suspected chronic prostate/cpps due to my sedentary lifestyle & has suggested rft, usg (kub and scrotum), uroflow, urine and semen culture to rule out. The ultrasounds were normal, urine and semen culture normal cbc ? normal & most of the blood work values are also within range, except serum chloride which is 110 meq/l whereas the reference range is 98-107 meq/l. Creatinine is 1.02 mg/dl, serum sodium 148 meq/l, potassium 4.4 meq/l, bicarbonate 27 meq/l, uric acid 5.3 mg/dl and urea 19 mg/dl. 1.Is the elevated serum chloride a cause of concern & does it warrant any additional investigations? 2.Does these chloride levels suggest any kidney disease? 3.Since my pelvic discomfort is very mild & all investigations are almost normal, should I take any medications for this issue or just manage it thru exercise/diet? 4.How to protect and safeguard kidney from any future renal diseases? Sincerely appreciate your advice on the above.
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Mild elevation in chloride should not be a cause of concern and further investigations are not warranted. No, your chloride level doesn't suggest renal disease. You should try to manage your pelvic discomfort with lifestyle modification initially, if possible. Maintain a healthy lifestyle including balanced diet and regular exercise for optional functioning of kidney and other organs.
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