### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 52 years male with height of 165cm and weight of 72 kg.My lab test results are serum creatnine 1.28 mg/dl, Uric Acid 6.5 mg/dl,  Albumin 4.81g/dl, Chloride 102.6mmol/l, Bicarbonate 26.8mmol/l, Potassium 5.02mmol/l,  Sodium 142mmol/l, Calcium 10.78, Cholesterol 211.3mg/dl, HDL37.1mg/dl, LDL 149.3mg/dl, Triglycerides 107.3mg/dl, Total Protein 24 h Urine 90.2mg/24h.Following is my ultrasound report that was done after Lab test:Clinical Information: Increased creatinine serum plasmaFindings: Right and left kidneys are normal in size position and echogenicity without focal lesions or cysts and there is no gross stones or dilation in the pelvicalyceal system.The cortical thickness is normal and measures about 1cm but there is increased in the cortical echogenicity and the corticomedullary differentiation is accepted.Urinary bladder appears normal and contains 375 ml, without stones, filling defects or diverticula and the wall thickness unremarkable.Prostate measures about 24ml, normal in size, shape and echonenicity. The residual urine postvoiding is 38ml.Conclusion; Increased cortical echogenicity with accepted corticomedullary differentiation in both kidneys. Residual urine potvoiding 38 ml.otherwise unremarkable study.I do check BP & Random Glucose every month and always it is found in normal range. BP in the range of 70,80/110,120 and Glucose As I am suffering from malabsorption with B12, D3 and Calcium deficiency (Osteo Arthritis) for the last two years I have been taking metacobal inj monthly, 1 calcium carbonate tablet 600mg daily, 15ml drops in a month for vit D,  1 Omni ocas 0.4mg for prostate and a daily supplement  of Glucosamine+Cod Liver Oil+Omega3 for knee pain.  Need your professional advice for further management/rather to bring improvement in Kidney Function.  I would like to know the reason of changes in the kidney and its function while I am neither a Diabetic nor a patient of hyper tension which as per my limited knowledge could affect kidney. Could it be my eating habit or any of the medicine which I take for over two years.  I am a non-veg, non-smoker and never had alcohol in my life.Please accept my sincere thanks in advance for sparing time and your professional guidance.

### output:

Hi, It is possible that you could develop a kidney issue in the future, but as now the reports which you have uploaded suggest no major issue. On the other hand, one of the easy tests to identify features of early kidney damage would be to get an estimation of urine microalbumin, preferably early in the morning. If this is normal, you are unlikely to have a major kidney problem. The mild increase in cortical echogenicity that was noted on scan earlier would then be an artifact, which can be followed up on ultrasounds periodically. Irrespective of whether there is kidney problem or not, you can certainly restrict salt in your diet - usually the most helpful suggestion that we offer! Hope I have been able to help you.