Dear Doctors,
Good Day. I would like to ask if there is a possibility to stop the dialysis? My brother in law, 34 years old, has started his dialysis last August 2010. His dialysis is done twice a weak. His Kidney ultrasound report are Both Kidney are small in size with relatively smooth outlines. Renal parenchymas appear isoechoic to slightly hyperechoic relative to the liver and spleen with fairly defined cortico - medullary demarcation. Both pelvocalyceal systems are not dilated. No focal lesions, calcifications nor calculi seen. The ureters are not visualized 9not significantly dilated). The urinary bladder is adequately distended with smooth mucosal lining. No intraluminal echoes noted. Impression: bilateral Chronic Renal Parenchymal disease and Sonographically normal urinary bladder. How serious is his condition? Is still there's a possiblity that he can recover and stop the dialysis. but as we are observed his condition become worse. He is suffering for difficulty in breathing as well as a cough that last more than months already. His hemoglobin is sometimes dropping down and we need to transfused him blood. His transfusion is as often as 2 bags per month. Please help us understand his condition. Thank you very much