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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Small Kidneys Other Than Dialysis

Hi,
My mother is suffering from kidneys disease from last 20 years (1991 to till date) and now her age is around 56 years. she is also having high blood pressure from last 20 years but her blood pressure is under control by taking medicines on daily wages
Now her both kidneys are smaller in size (left kidney is 64 * 30 mm with parenchymal thickness of 9 mm and right kidney is 52 * 27 mm with parenchymal thickness of 9 mm)

From last month her tests are as follows.
creatinine = between 7.0 and 9.6 (mg/dl).
potassium serum = 3.7 mEq/L.
BUN = 36mg/dl.
urea serum = 77mg/dl.
sodium serum = 131 mEq/L.

Her 24 hours urine output is around 1.5 Litre to 2.0 Litre
now the doctors are suggesting for dialysis.
Even her kidneys are smaller in size from the Ultrasound report that was taken in 1991. (left kidney was 7.8 * 4.0 cm and right kidney was 7.9 * 4.3)

We want to avoid the dialysis.
Please suggest some alternate way whether natural or by medicines.
I am writing to you with a very positive sign for hope and want to avoid dialysis.
Please reply me with a detailed answer
Thanks a lot for your cooperation.
Fri, 5 Aug 2016
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Urologist 's  Response
Hello and welcome to HCM.
As an Urologist and transplant surgeon,i understand your concern.
There're only two options in kidney failure, dialysis or a kidney transplant.
Medical treatment alone,will not help in reversing damage to the kidneys.
The kidney function reports in your mother's case,will need urgent treatment.
Delay will cause further deterioration of the kidneys.
You may send all reports to me,as a direct question,for an expert opinion.
Dr.Matthew J. Mangat.
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Suggest Treatment For Small Kidneys Other Than Dialysis

Hello and welcome to HCM. As an Urologist and transplant surgeon,i understand your concern. There re only two options in kidney failure, dialysis or a kidney transplant. Medical treatment alone,will not help in reversing damage to the kidneys. The kidney function reports in your mother s case,will need urgent treatment. Delay will cause further deterioration of the kidneys. You may send all reports to me,as a direct question,for an expert opinion. Dr.Matthew J. Mangat.