hi
thanks for posting in HCM
I have understood your concern
probable reasons are
1.inadequate
dialysis leading to fluid over load
2.
high BP induced
cardiac dysfunction and pulmonary edema
3. anemia
4.calcium and phosphate abnormality
I can suggest you to get done
1.hemogram to check for anemia
2. serum calcium and phosphate
treatment
1.depending upon swelling of lumbs, breathing difficulty she needs increase in the dialysis
2.better control of BP tab. moxovas 0.3 mg twice daily and tab.arkamin 0.1 mg thrice daily, she needs adjustment depending upon BP levels
regarding transplant
1.she needs her BP control
2.cardiac fitness , if LV function is normal , she can go for transplant.
hope this helps you
any further questions please let me know
thanks