Creatinine may be part of a routine blood test, widely used when someone has non-specific health complaints, or when your doctor suspects your kidneys are not working properly.Some signs and symptoms of kidney dysfunction include: Fatigue, lack of concentration, poor appetite or trouble sleeping Swelling or puffiness, particularly around the eyes or in the face, wrists, abdomen, thighs or ankles Urine that is foamy, bloody, or coffee-coloured A decrease in the amount of urine Problems urinating, such as a burning feeling or abnormal discharge during urination, or a change in the frequency of urination, especially at night Mid-back pain (flank), below the ribs, near where the kidneys are located High blood pressureThe test is also used to monitor treatment of kidney disease or to monitor kidney function while you are on certain drugs.