<s>[INST] Hi iam Rehaan. My wife is a lupus patient for past 12 years. Her kidneys are mild increase in cortical echoes. Her protein level is negative. Her creatinine level was well under control below 1.0. Only this month her bp was very high for some reasons 170/100 for a weeks time. Now after medication bp is under control. Now her creatinine level is 1.3. When the bp was high.the increase in the crtinine level was due to hypertension. Also her HB is 8.0 now. Pls suggest. Thank u [/INST] Hi, dairy have gone through your question. I can understand your concern. She has lupus.  Hypertension is common with lupus.  She should take medicine for hypertension.  Don't worry about creatinine. Her hemoglobin is also low.  Go for anemia profile and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>