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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Kidney Failure

Dear Sir,
I am writing for your advice from Dhaka, Bangladesh. I am suffering from Kidney disease. My details are given below:
Name: Imtiaz Us Samad Choudhury
Age: 42
Weight: 80 kgs.
Height: 5’-10”
Description:
Known hypertension from 2000 and taken regular medicine from 2004. BP was not stable properly until very recently.
In September 2009, Prof. M.A. Samad gave me treatment for Kidney disease as well as BP and also gave me a Diet Plan.
In 17 January 2010, suddenly I realized that I could not move my hands, legs and back and I could get out from bed as well. Then I have consulted with Apollo Hospital and got admitted there on 21 January 2010. As per medical test my S. Creatinine levels was 7.55 and for this two session of Hamo-Dialysis were done. Finally I got released from hospital on 26 January 2010 with a medication and Diet Plan. It was good for me for one year and I was feeling almost okay during this period.

In 11 January 2011, I was again admitted to the Apollo Hospital with Creatinine level 9.00 and started Dialysis. I am also suffering fever, cough, urine infection and Catheter infection etc.

Dialyses were done:
1.     During January 2011: 8imes (4 times in Apollo and 4 times outside the Apollo)
2.     During February 2011: 12 times (all in Apollo)

My present (March 1, 2011) S. Creatinine level is 11.00

Under the above circumstances, I would like to request you to provide me your advice and help me to reply the below questions:

Questions:
1.     What is the best treatment: Dialysis or Kidney transplant?
2.     Is there any other treatment available?
Mon, 10 Jul 2017
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  Anonymous's Response
's  Response
Let me enumerate first my criteria for choosing which is the better therapy...first is the therapeutic efficacy, 2nd is the therapeutic outcome, 3rd is the patient's compliance or adherence to therapy, 4th is the cost of therapy, 5th is the prognostication of the therapy, 6th is the adverse effect of the therapy. with these, i will still choose dialysis for patients with chronic kidney disease...

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Suggest Treatment For Kidney Failure

Let me enumerate first my criteria for choosing which is the better therapy...first is the therapeutic efficacy, 2nd is the therapeutic outcome, 3rd is the patient s compliance or adherence to therapy, 4th is the cost of therapy, 5th is the prognostication of the therapy, 6th is the adverse effect of the therapy. with these, i will still choose dialysis for patients with chronic kidney disease...