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Diabetic, kidneys failed, low hemoglobin, increase in urea in blood. Dialysis recommended. Suggestions?

Hello sir my aunt is 67yr old... she had diabetes which she did not care to treat and now both her kidneys have failed...her hemoglobin count is 5..and there is a rapid increase in the urea in her blood.. she was recommended dialysis ..but she is refusing as she thinks that she cannot? bear the pain during dialysis... can u please give a solution to this problem
Asked On : Sun, 17 Mar 2013
Answers:  2 Views:  38
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General & Family Physician 's  Response
Healthy kidneys clean the blood by filtering out extra water and wastes. They also make hormones that keep your bones strong and blood healthy. When both of your kidneys fail, your body holds fluid. Your blood pressure rises.
 This condition is called uremia
 Your body doesn't make enough red blood cells. You develop fatigue, nausea, and loss of appetite.
Untreated uremia may lead to seizures or coma and will ultimately result in death. If your kidneys stop working completely, you will need to undergo dialysis or kidney transplantation.
Your aunt has to go for dialysis at the moment and ultimately she has to opt for kidney transplantation,as dialysis can't go permanently.
Answered: Sun, 17 Mar 2013
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
Your aunt is suffering from Diabetes and if you do not take care for long term now most likely she has developed Nephropathy and Renal failure.
In early stages of kidney failure medicine work and condition can be controlled but as you say her blood urea is rising rapidly and Haemoglobin is also low ,I am sure her urine out put is also reduced hence waste products are not filtered.
She will require emergency Hemodialysis to rescue her from renal failure, she has no other choice now otherwise her condition may worsen.
She also need to take care of her blood sugar level as well as correction of anaemia, Please consult a Nephrologist as soon as possible.
Take care
Good Luck.
Answered: Sun, 17 Mar 2013
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