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Q. Does my father with reduced kidney function need permanent dialysis?

Answered by
Dr. Manzoor Ahmad Parry
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 07, 2022

Hi doctor,

My father has been diagnosed with osteochondrosis of the spine, which has been bothering him for the past eight years. When the disease started, he underwent a complete examination; creatinine was normal. However, he also had a tingling sensation in his fingers.

After the blood tests, there are some abnormal values, ​​precisely- urea- 250 mg/dL, creatinine- 7.12 mg/dL, uric acid- 10.82 mg/dL, amylase- 111 U/L, sodium- 134 mEq/L, potassium- 5.5 mmol/L, bicarbonate- 19 mEq/L, calcium- 7.1 mg/dL, phosphates- 6.4 mg/dL. He also has a very high vitamin D level (he took multivitamins and lived in a very sunny country where he spent almost a whole day in the sun for a long time).

There is unconfirmed polycystic kidney disease. After this test, the local doctor assures that the efficiency of the kidneys is very low and dialysis will be needed. My father’s breathing problem goes away after the massage (osteochondrosis of the thoracic and cervical region); on the contrary, the respiratory problem goes away with exercise. Also, my father has had colitis since his childhood. Also, before there was blood in the urine, they turned to the therapist and performed a urine test showing elevated red blood cells; then, they reported this to the local nephrologist; he said that the indicators of this analysis were not important. I have attached the results of his urine and blood tests. My nephrologist also prescribed the following medications:

Powder Resinsodio one spoon in one glass of water.

Tablet Adenuric 80 mg once every day.

Tablet Sodium Bicarbonate 50 mg twice a day.

Tablet One-Alpha two per day.

Tablet Calcium Carbonate on Monday, Wednesday, and Friday.

Tablet Renvela 800 mg three times a day.

Tablet Norvasc (if the blood pressure is above 130/80 mm Hg).

Please help as soon as possible; I would be very grateful.

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Hello,

Welcome to icliniq.com.

I have reviewed your father's blood and urine analysis, and based on these tests; I suggest that your father needs dialysis. However, a better assessment can be done if you attach your father's ultrasound report. Thank you.

Hi doctor,

Our doctor did not ask us for an ultrasound of the kidneys. What other analysis do you suggest we do? Is dialysis a permanent solution? Does he need a kidney transplant? Kindly help us.

#

Hello,

Welcome back to icliniq.com.

As per your father's blood reports, he needs dialysis. Whether dialysis is needed as permanent or temporary treatment would depend on the rate of deterioration of kidney function. Dialysis is a temporary solution if the cause is treatable. If the cause cannot be treated or kidney function has deteriorated gradually, dialysis will be permanent, and a kidney transplant will be needed.

Please share his previous kidney functions and an ultrasound of his kidneys to see if polycystic kidneys cause chronic kidney disease.

Hi doctor,

I have attached the urine and blood analysis we did a few years back. Everything was normal; only creatine and uric acid were higher at 139 micro mol/L and 461 mg/dL, respectively. Unfortunately, I do not have CT scans at the moment.

#

Hello,

Welcome back to icliniq.com.

I saw the reports you have attached (attachments removed to protect the patient's identity). Your father had chronic kidney disease in 2014 only. Unfortunately, it seems he had not followed up properly, and the disease has progressed to end-stage renal disease with renal failure. Also, as your father is not having symptoms, it will be more consistent with the gradual decline of kidney function, and I suggest that he needs permanent dialysis or a transplant.


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