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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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