My friend Iltemus. Age 39 weight-57 kg suffering from Kidney diseases since 2002. He done his renal biopsy on 04/12/2002 at dhaka for the first time the result was: focal segmental mesangial proliferative glomerulonehrities. then went to Vellore, India and did the test again this time The comment: IgA nepropathy. They gave some treatment and upto 2009 serum creatinine was found normal. Creatinine in 2010 was 2.8, in 2011 was 2.2 in june 2012 was 4.7 & decembe 2012 was 6.4. finally on 4/5/13 some test results: creatinine- 6.9, Albumin- +++, Potassium- 4.02 mmol/l, sodium- 136 mmol/l. cloride- 108.69 mmol/l, TCO2 20.68 mmol/l, Anion gap 10.65 mmol/l, Uric acid 244.4 umol/l, T. Calcium 2.24 mmol/l... Hemoglobin 12 gm/dl, ESR ( West method) 07mm/1st hr RCB count- 4.18 Esonophils 1.55, Platelet count 222. Now He is taking the following drugs...Amlodipin 5mg 0+0+1, Febuxostat 40 mg 1+0+1, Iron Polymaltose+folic Acid+zinc 1+0+1, Prazosin 1 mg 1+1+1 CaCo3+Vit-D 1+1+1. M.P.E.G- Epoetin beta 50 MCG/.3 ml inj.. once a month.


Now what he can do..? Which you suggest for Dialysis/transplant. Which is the appropriate level for transplantation. Is there any medicine to cure or give more life expectancy without transplant?

Thanks.
Monirul Hassan
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