I have variations in my creatinine level. How should I proceed with the treatment?

Q. Can I undergo dialysis without AV fistula for my chronic kidney disease?

Answered by
Dr. Manzoor Ahmad Parry
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 06, 2022 and last reviewed on: Jun 21, 2023

Hi doctor,

I underwent dialysis before six years. My creatinine level is increased from 3 mg/dL to 5 mg/dL, now it ranges between 8 mg/dL to 10 mg/dL. I am taking medications. I do not have swelling, indigestion, or insomnia.

Please help.



Welcome back to icliniq.com.

From the reports attached (attachment removed to protect the patient's identity), you have chronic kidney disease. You should start dialysis with AV (arteriovenous fistula). Continue your medications.

Thank you doctor for the reply,

Can I undergo dialysis without AV fistula because I have to go to work? To how many years can I postpone the dialysis?



Welcome back to icliniq.com.

You have two options - hemodialysis or peritoneal dialysis. Hemodialysis requires AV fistula, whereas peritoneal dialysis does not require it. Since you are working, you can undergo peritoneal dialysis. A trained medical professional can do it at home using automated peritoneal dialysis. It takes about 15 to 30 minutes and is done four times daily. A catheter will be inside your abdomen by a simple surgical procedure. It removes the accumulated toxins due to kidney failure. If dialysis is not performed, the accumulated toxins can result in death. Proper treatment can increase your lifetime.

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