This blood test is often ordered within a patient's yearly physical exam to confirm how well their kidneys are functioning. This test can also be ordered every time a patient is acutely ill or when a doctor suspects kidney problems. The following symptoms often result in a doctor using a creatinine blood test: fatigue, loss in appetite, difficulty sleeping, concentration problems, decreased production of urine, trouble urinating, urinating more regularly, hypertension, pain in the mid-back, brown or foamy urine, blood inside urine, and swelling from the eyes, ankles, face, thighs, abdomen or wrists. These symptoms often indicate kidney dysfunction therefore this blood test will probably be performed to diagnose the challenge as well as to rule out kidney dysfunction because the cause. In 1994 Rawanda was devastated by mass killings. 800,000 people died in the Rawandan genocide mainly through the Tutsi tribe murdered by extremist Tutus. At the time this was hard to imagine since they were living together back then. The murderers fled with more than one million refugees heading for eastern Congo. They brought brutality and violence to the region that continues to today. Gout - A type of arthritis caused by excessive uric acid in the body. This can stay in the joints (usually affecting the big toe), but can develop in any joint. It can cause severe pain, redness and swelling.