Continue On Dialysis or Kidney Transplant for My Friend
Visitor: My friend’s creatinine levels are 2.5 just undergone a dialysis. What stage of chronic kidney disease is he?
Doctor: The classification of the chronic kidney disease is based on the kidney function (or also GFR), but not the creatinine level. What is more, the creatinine level after dialysis can not be the evidence to assess how well is the kidney operating. And then what is his serum creatinine level before his first dialysis?
Visitor: It was about 7. What do you suggest to do next? Continue on dialysis or kidney transplant ?
Doctor: I need to know more information and thus give more suggest. Provided he still can produce urine, we will try to help him improve renal function gradually with natural treatments, and thus prevent dialysis and kidney transplant. How long has he been on dialysis?
Visitor: Yes, he is urine well. It is about 5 month.
Doctor: That means he still have a great chances to reduce the frequencies of dialysis to none. Have any illness history such as hypertension, diabetes or infection? All these diseases could cause that condition.
Visitor: Hypertension and diabetes. BP was 200 / 110, but after dialysis, it become 150 / 100. Can it get reversed from this stage?
Doctor: I can tell you that he is likely to get rid of dialysis at this time. But with dialysis, the renal function will be less and less, finally, Kidney transplant will be the only option. Would you send his medical reports to me? I will analyze it later and send the details of nursing as well as treatments to you.
Visitor: Ok. Thank you in advance for any information you will give me.
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