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Renal Failure with Pleural Effusion and Cystitis - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
User :   HI
User :   How can i help you?
User :   Hi, My grandfather is 90 years old, he is suffering from urine infection he is using a pipe to pass urine from past 50 years, but suddenly he started passing blood doctors say he has blood clots in his bladder, after Ct scan they found out he has a boil kind of thing near his prostate and thats causing him blood clots..... but due to high intake of medicines has led him to stomach infection causing vomiting, dehydration , chest congestion,.... he's under treatment since 20 days ,.... he is very strong , his heart , pulse bp, everything was normal until now,..... we have changed 4 hospitals due to no proper guidance,... Now he has come to state where there is water in his lungs, his kidney is malfunctioned(has only one kidney) ans no urine has passed from 2 days..... he's been put on a ventilator and diagnosis is been done today but still no recovery..... tomorrow again their are going to do diagnosis so that urine passes,.... Kindly guide me on the right track how can i save him,... he has a strong heart , he is conscious he responds by knocking his head.... please tell me what can we do to make him pass urine. Thank you
User :   Since he has a single kidney & now you say that that too has failed & he is on dialysis

User :   yes, the kidney has not totally failed
User :  
This single kidney will start functioning only if it has stopped due to to acute renal failure
User :  
In case it has stopped functioning due to chronic renal failure, then there is almost no chance for it to restart
User :   doctor you there
Doctor :   Hi, welcome back
User :   i just know he been kept in a ventilator , water has been removed from his lungs
User :   and dialysis was been done yesterday and also will be done tomorrow so that he passes urine
Doctor :  
May I know the diagnosis- what his problem is? & what you have been mentioning as diagnosis- did you actually mean dialysis?
User :   i actually meant diagnosis, that's been done to repair the kidney
Doctor :   Diagnosis is the term given to the name of the disease. It is not a procedure
User :   oh ok sorry i guess it must be dialysis
Doctor :  
In his case I want to know why
User :   i must have got confused
Doctor :  
the remaining kidney has failed
User :   yes
User :   , i wanted to know how many times can a dialysis can be done to actually save the patient
Doctor :   OK
Doctor :  
Yes dialysis is done in people who's kidneys are not functioning
User :   the reason they are doing dialysis , so that he passes urine , which he has not passed since 2 days
Doctor :  
this non functioning/dysfunctioning of kidney is of 2 types
Doctor :   One is temporary or acute renal failure
Doctor :  
The other is permanent or chronic renal failure
User :   ok
Doctor :  
In case of acute renal failure
Doctor :  
dialysis is done until the kidney restarts
Doctor :  
so the number of dialysis required depends on how long one takes to recover
Doctor :  
It may take a few days to weeks
Doctor :  
In case of permanent or chronic renal failure
Doctor :  
the patient will need dialysis
Doctor :  
forever or until a renal transplant is done
Doctor :  
Dialysis as you say is not done so that he passes urine, but because his kidney has stopped
Doctor :  
& the blood is filling with impurities
User :   ok
User :   But the doctors after doing dialysis said he should pass urine to recover , what did they mean by that?
Doctor :  
Dialysis is not going to make ones kidney restart, but can afford temporary rest to a temporarily failed kidney
User :   then why are the doctors doing dialysis?
Doctor :   So it basically does a proxy work
Doctor :  
His kidney is not doing its job of purifying
Doctor :  
the blood, so we get the kidneys work done artificially
User :   and is it necessary to put him on ventilator to do dialysis
User :   so doctor what do you suggest ? what should be done for him to pass urine?
Doctor :  
I need to know
Doctor :  
whether this renal failure is Acute or Chronic
Doctor :  
then I can comment on whether his kidney will restart
Doctor :  
But I can only guess
User :   it is acute
Doctor :  
OK
Doctor :  
If you are sure that it is acute
Doctor :  
then as I have already told
User :   yes i just called to the hospital and asked
Doctor :  
One has to continue Dialysis untill
Doctor :  
that failed kidney restarts
User :   and how about the urine thing , what will make it come
Doctor :  
Your doctors will stop dialysis only when
Doctor :  
his failed kidney restarts- that is - he starts producing urine again
User :   ok
Doctor :  
As I told you. dialysis gives rest to the kidney so that it can recover
User :   is their any other way we could make him start him passing the urine?
Doctor :  
It takes time for this to happen
Doctor :  
No, Dialysis is the only thing
User :   ok
User :   i guess i need to wait and pray
Doctor :  
Yes
User :   cause the doctors are doing exactly what you said
User :   Thankyou, may i know your name
User :   ?
Doctor :   I am DrArun
Doctor :  
Is there any thing else I can help you with?
User :   no
User :   thank you
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   where will i find that
Doctor :   Bye
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