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Aged Person's Creatinine Level Is Very High. Have Diabetes. Is Dialysis A Must? Can It Be Reduced With Nephrologyst?

My father-in-Laws creatinine level is very high i.e.7.00 he is about 70 years old, he does not have Diabetis. Please inform me whether dialysis is must ? Or he can try to reduce his creatinine level with the help of a nephrologyst ? Whether 1 or 2 times dialysis iwill improve his kidney function and will reduce creatinine level.Apparently he seems ok. Please provide your kind suggestion ??
posted on Thu, 4 Jul 2013
Twitter Thu, 4 Jul 2013 Answered on
Twitter Fri, 5 Jul 2013 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Before planning for any treatment it is necessary to find out the cause of raised creatinine levels.
Along with creatinine, there are some other investigations which need to be done.
Other renal function tests- urea, uric acid, anion gap, electrolytes, GFR also need to be estimated.
A renal biopsy also needs to be done to look for the disease process going on in the kidneys.
There are many causes of end stage kidney disease like glomerulonephritis, end stage renal disease, chronic pyelonephritis, hypertension, amyloidosis, etc.
Further management will depend on the findings of the renal biopsy and kidney function tests.
Whether dialysis is required or not will be guided by the biopsy results.
Consult your nephrologist for further work up.

Thanks and take care
Dr Shailja P Wahal
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Aged Person's Creatinine Level Is Very High. Have Diabetes. Is Dialysis A Must? Can It Be Reduced With Nephrologyst?

Hello and welcome to HCM, Before planning for any treatment it is necessary to find out the cause of raised creatinine levels. Along with creatinine, there are some other investigations which need to be done. Other renal function tests- urea, uric acid, anion gap, electrolytes, GFR also need to be estimated. A renal biopsy also needs to be done to look for the disease process going on in the kidneys. There are many causes of end stage kidney disease like glomerulonephritis, end stage renal disease, chronic pyelonephritis, hypertension, amyloidosis, etc. Further management will depend on the findings of the renal biopsy and kidney function tests. Whether dialysis is required or not will be guided by the biopsy results. Consult your nephrologist for further work up. Thanks and take care Dr Shailja P Wahal