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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should The Creatinine Level Be While Undergoing Dialysis?

sir My father admit in hospital and he is seffring from dialiysis. He has done 2 time dialiysis. But creatinine level till now 6.5 and BU 72 sir i like to inform you that my father admit in hospital last sunday for only vometting and loss motion and treatment start but after 2 days not make urine. Doctor says some sweling in kidney we have done ultrasound and find both kidney isnormal in size with increased enchogenicity. No calculus or back pressur changes seen.C-M differentiation is present. And prostrate is enlarged weight 25 gms. Doctor suggest us to should be some more dialysis done. No any mediacals history of my father.Sir kindly guide us for this and do the better option in thia case. Sandeep pandey 0000
Mon, 27 Apr 2015
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Diabetologist,  's  Response
Hi Mr. Sandeep Pandey,
After going through your father's case there is Acute Renal Failure (ARF)/ Acute Kidney Injury (AKI) (Decreased OR absent urine production and normal size kidneys with increasd echogenicity are indicator of AKI).
For AKI to develop there is underlying cause in most of the cases like
1) Severe dehydration as in case of loose motions, vomting. (May be cause in your fatther)
2) Infection.
3) Persistant low BP which decreases blood supply to kidney.

In your father's case I want to know-
1) Number of episodes of loose mations and vomiting at the time of presentation.
2) Any recent use of pain killer medicines or other nephrotoxic meddicines.
3) Habits like smoking and alcohol.

Need for Haemodialysis depends on-
1) Amount of Urine production daily.
2) Serum electrolyte mainly Potassium.
3) Serum Creatinine level.
4) Arterial Blood Gas (ABG) analysis which denote degree of acid accumaulation in blood.
5) Signs of water retention like breathing difficulty, swelling over body, puffiness of face.

Anuria (no urine production) requires Haemodialysis as in your father's case.
So try to relie on uour doctor.

In most of cases of AKI kidney function returns to normal over time till that time there may need for haemodialysis depending upon above mentioned facts.
Rarely AKI may progressto CKD (Chronic Kidney Disease)
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What Should The Creatinine Level Be While Undergoing Dialysis?

Hi Mr. Sandeep Pandey, After going through your father s case there is Acute Renal Failure (ARF)/ Acute Kidney Injury (AKI) (Decreased OR absent urine production and normal size kidneys with increasd echogenicity are indicator of AKI). For AKI to develop there is underlying cause in most of the cases like 1) Severe dehydration as in case of loose motions, vomting. (May be cause in your fatther) 2) Infection. 3) Persistant low BP which decreases blood supply to kidney. In your father s case I want to know- 1) Number of episodes of loose mations and vomiting at the time of presentation. 2) Any recent use of pain killer medicines or other nephrotoxic meddicines. 3) Habits like smoking and alcohol. Need for Haemodialysis depends on- 1) Amount of Urine production daily. 2) Serum electrolyte mainly Potassium. 3) Serum Creatinine level. 4) Arterial Blood Gas (ABG) analysis which denote degree of acid accumaulation in blood. 5) Signs of water retention like breathing difficulty, swelling over body, puffiness of face. Anuria (no urine production) requires Haemodialysis as in your father s case. So try to relie on uour doctor. In most of cases of AKI kidney function returns to normal over time till that time there may need for haemodialysis depending upon above mentioned facts. Rarely AKI may progressto CKD (Chronic Kidney Disease)