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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Dialysis Be Kept On Hold For A While Despite Fistula?

Hello, My dad is 90 and his creatinine level reached 5.9 three weeks ago. He is scheduled for fistula surgery next week for dialysis. He has drastically changed his diet since the 5.9 reading and his level keeps dropping each week, down to 4.4 now. My question is if it continues to drop to say 3.5, is it possible to hold off on dialysis for awhile even with the fistula in him? His other health issues have all gotten better since he is eating foods that lower his creatinine level. He is also feeling better already. Thanks, Scott
Tue, 3 Mar 2015
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Urologist 's  Response
Hello
Thanks for query.
Your father who is patient of Chronic Renal failure has modified his diet resulting into lower down his creatinine levels and improvement in his general condition .

In a given situation you can certainly withheld Dialysis for couple of weeks as along as his serum creatinine levels are low.(below 4)

The A.V fistula that he has is to ease dialysis and does not necessarily mean that he should be subjected to dialysis.It can be used any time when need arises.
Dr.Patil.
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Can Dialysis Be Kept On Hold For A While Despite Fistula?

Hello Thanks for query. Your father who is patient of Chronic Renal failure has modified his diet resulting into lower down his creatinine levels and improvement in his general condition . In a given situation you can certainly withheld Dialysis for couple of weeks as along as his serum creatinine levels are low.(below 4) The A.V fistula that he has is to ease dialysis and does not necessarily mean that he should be subjected to dialysis.It can be used any time when need arises. Dr.Patil.