A high blood urea nitrogen (BUN) level can indicate kidney dysfunction, dehydration, excessive protein intake, or certain medications like corticosteroids. Kidney disease, heart failure, and gastrointestinal bleeding can also lead to high BUN levels.
A physician will study lab work for a patient with high BUN to creatinine ratios. Appropriate diagnosis and treatment with medications can then be prescribed.
A high level of blood urea nitrogen (BUN) typically indicates kidney dysfunction and is associated with metabolic acidosis, leading to an acidic pH in the blood. Monitoring BUN levels can help assess kidney function and acid-base balance in the body.
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"High BUN-to-creatinine ratios occur with sudden (acute) kidney failure, which may be caused by conditions such as shock or severe dehydration. An obstruction in the urinary tract (such as from a kidney stone) can cause an elevated BUN-to-creatinine ratio. A very high BUN-to-creatinine ratio may be caused by bleeding in the digestive tract or respiratory tract."
Blood Urea Nitrogen (BUN) test normal is 10--20milligrams per deciliter (mg/dL) or 3.6--7.1 millimoles per liter (mmol/L) so 31 is high.
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It is possible for both BUN (blood urea nitrogen) and creatinine levels to be elevated independently due to different conditions affecting kidney function or other factors. The BUN-to-creatinine ratio can be normal if the increase in BUN is proportional to the increase in creatinine, which can happen in certain conditions like dehydration or high protein diet. This can result in a normal ratio despite elevated individual levels.