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60 years old diagnosed with CKD-5. Advised life long dialysis. What is the cause of this disease?

My mother is 60 years old without any BP , Sugar..Recently she has been diagnosed with CKD-5 with Serum Creatinie 6.4 and Doctor advised life long dialysis twice weekly for her. She has no problem with her urine output or any other ailments, how can she suddenly got this disease? Can we do something else for her? or can we reduce dialysis frequency to once in a month?..Any advice/suggestion is highly appreciated. Thank you very much.
Asked On : Sat, 30 Jun 2012
Answers:  2 Views:  70
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Nephrologist 's  Response
Apart from sugar and high BP, other causes of kidney disease can be because of certain drugs like pain killers or kidney stones or certain diseases like glomerulonephritis or interstitial nephritis . Sometimes no obvious causes is observed. She would require twice a week dialysis if she has symptoms like decrease appetite, vomiting, swelling of body, difficult breathing etc. sometimes there is an underlying precipitating cause like some infection or certain drugs which once treated results in decrease in creatinine levels and off dialysis. Otherwise she would require either a kidney transplant or life long hemodialysis or peritoneal dialysis.
Answered: Wed, 11 Jul 2012
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Nephrologist Dr. Ravi Bansal's  Response

kidney failure is of two types acute and chronic. If the diagnosis is chronic in your case then dialsis is must if patient cannot be managed by medicines. in some types of kidney disease patient realizes that he/she has the disease only in the advanced stage when serum creatinine is very high also urine output may remain ok in some diseases. it is not uncommon. if your doctor has decided she needs dialysis then it should be done 2 to 3 times per week. if she improves she will not need dialysis but there is no role of once a week or once a month dialysis.

hope she gets well.
Answered: Mon, 2 Jul 2012
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