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Chronic kidney disease
Is creatinine 5 level and urea 75 need dialysis?...rest if the electrolytes are good,usg abdomen is good,2d echo is good,colour doppler of renal arteries is good,doppler of heart is good...she had brain stroke in jan and recently mild body itches and shortness of breath once...she is ok as of now...what care she has to take? Does she require dialysis and is that painfull?what values of creatinine and urea require dialysis
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There is no particular creatinine value..... It needs to be interpreted in the light of the clinical condition of the patient
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Hello,
Creatinine and urea level are not the only thing which decide need of dialysis, with a creat of 5 mg/dl patient will be in stage 5 CKD , if asymptomatic - can be dialysis independent but need to be aware of symptoms and signs which suggest need of dialysis like generalised swelling of body, very less urine output, vomitings,sleep disturbance, change in sensorium and sometimes seizures,severe breathlessness.
Advice-CKD diet, vaccination, AV fistula creation, medication adherence, follow up with nephrologist at least once monthly with RFT, Serum electrolytes, ABG.
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Dr. Abhishek Savalia
Urologist
12 yrs exp
Ahmedabad
If creatinine is this much for more than 3 months that means it is a CHRONIC kidney disease for sure.
She doesn't seem to require dialysis immediately but unfortunately her renal function is slowly but surely going to deteriorate and eventually she shall require regular dialysis n kidney transplant.
Don't worry it is not painful. Also if ur nephrologist agrees get an AV fistula done in next few months. This will make her veins swell and be sufficiently large enough for dialysis.
What u need to do RIGHT NOW is ,-- renal protection strategy. That means take care of following things so that renal function doesn't decline rapidly n she also remains healthy.
1. Correct anemia
2. Treat hypertension
3. Treat diabetes
4 treat proteinuria
5 adequate proteins in diet-0.8 g per kg per day
6 treat psychological issues if any
7 keep ca , phosphate, bicarbonate and PTH levels in target range ( ur nephrologist will help in all this)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.