Hello, Thanks for posting in HCM. If any person is already have been diagnosed with stage 5 chronic kidney disease then usually patients are quite sick as your doctors rightly told you. But are you able to pass urine normally and in usualy quantities? We have seen some cases that even if they are passing urine normally and they have fine blood pressures and cholestrol their blood picture is altogether different. You didnt mention your s. Creatinine levels or urea levels. Also what about the ABG readings? All these factors and plus clinical features are markers whether you need dialysis and renal transplant or not. So get back with me with the reports of s. Creatinine, urine routine values and S. Urea. I will guide you further on that. But generally speaking grade 5 CKD patient need dialysis. Renal transplant can be done on later date. Awaiting your response. Thank you