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Measures to control creatinine and bun through medications - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
User :   hi doc,
my fathers create level is 8.4 and bun is around 184, his urine and motion are going throuh ingood quantity and he is having frusenex and other 3 bp medicines...kindly advice for his create and bun to be under control thru medications without dialysis..
pl advice doc
Doctor :   Hi
User :   may i know ur name doc
Doctor :   I am Dr. XXX
User :   may i know ur speaciality
Doctor :   I am reading your query
User :   ok
Doctor :   Please give me couple of minutes
Doctor :   There is no alternative at this time except dialysis
Doctor :   It is a life saving measure
Doctor :   at this time
User :   but he is passing urine and motion also
User :   properly
Doctor :   What is the quantity?
Doctor :   of urine per day?
User :   1000 ml
User :   it is as per his intake
Doctor :   Creatinine levels are high
User :   yeah
User :   we want to reduce it
Doctor :   Are you seeing a nephrologist
Doctor :   What is his input and output? Is any chart maintained?
User :   yeah
User :   input and output is the same
Doctor :   Ok
Doctor :   What is the nephrologist's opinion?
User :   he wants to do fistula
User :   and then dialysis
User :   first fistula they did it was unsucessful
Doctor :   Ok
User :   before this my father was walkin and talkign well
User :   he got demotivated
Doctor :   Urine out put is though normal, the creatinine high can cause more problems
User :   totally
Doctor :   to the heart and liver
User :   we need to control by medicines
User :   becos the doc is not giving confirmation that the create level will be less after dialysis
Doctor :   Ofcourse the dialaysis reduces the creatinine
User :   but only for a day
User :   or two
User :   and again it shots up
Doctor :   Repeat dialysis
Doctor :   with AV fistula
Doctor :   That is why your doctor is trying
User :   my father is not ready
User :   for all the prickings and all
User :   the unsuccessful attempt of fistula
User :   has made him very down
User :   how do i control creates with medicien
User :   pls give a sloution
Doctor :   Actually the creatinine is not controlled with medicines
User :   but some where something wud be there
Doctor :   The current level is high and should be
User :   naturally
Doctor :   controlled
Doctor :   After control yes we can give some medicnes
Doctor :   But not now
User :   yeah but i want to do thru medicines
Doctor :   Believe me it is not possible anywhere in the world
Doctor :   At this time he needs dialysis, nd it is you who have to convince him
User :   we started when the creat was 3
User :   with the current doc
User :   and he didnt control
User :   so how do i go about it
User :   pls advice me some medicines
User :   with which i can control his creat and bun
Doctor :   You can take a second opinion from a Nephrologist
User :   can u give some reference
Doctor :   WWW.WWWW.WW
Doctor :   I have sent you the link
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