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MY SERUM CREATININE 8.74 AND SERUM UREA 215 I AM NOT INTERESTED IN DAILESIS

PAST HISTORY : against hedeach use painkiller

1 Answers

Dr. Puneet Madan answered : 11 years ago

Hi,

The indications of dialysis usually are divided in 3 points system
1)Fluid overload which can not be managed by drugs
2) Hyperkalemia or electrolyte abnormalities which can't be treated by drugs
3) Severe acidosis which can't be treated by drugs

Last year during a conference I attended they updated with levels of urea(>200),and creatinine (>7) should be considered as an indication for dialysis,this is proposed but not confirmed as of now.

All the above are for chronic kidney disease,there are another 2 for acute failure
1) Sudden poisoning and raised metabolic acidosis
2) Sudden raised urea which leads to uremic encephalopathy

However main aspect of ckd (renal failure) is to treat the cause of renal failure and giving supportive treatment for function performed by kidney.
Now you will have to give me or send me all the reports or details about your blood test,ultrasound only then something can be commented .
However you come under the fourth indication of chronic failure so one aspect says that you should go,but yet that indication has not been proved scientifically.

Feel free to ask further questions

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