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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Stage 4 Kidney Conditions Require Dialysis?

Hi, my mother's serum creatinine levels are at 3.4 and blood/urine reports shows loss proteines and sodium. She has been taking medicines, under strict diet control also. Some of the doctors at hyderabad say it is in stage 4, pls adv is it really at stage 4, and at what stage do we really require dialysis. I can send the full reports by mail. Thank you n await your kind response.
Wed, 14 Sep 2016
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Nephrologist 's  Response
stage 4 means calculated GFR is between 15 to 30 ml/ min. to calcualte GFR you can use MDRD formula which is available in Internet or mobile app. t needs value of serum creatinine, age, sex and race of the person. regarding dialysis, stage4 usually do not require dialysis. it is stage 5 when dialysis is required when indicated( like fluid overload, high potassium, azotemic symptoms like nausea and vomiting, acidosis, encephalopathy or pericarditis)
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Do Stage 4 Kidney Conditions Require Dialysis?

stage 4 means calculated GFR is between 15 to 30 ml/ min. to calcualte GFR you can use MDRD formula which is available in Internet or mobile app. t needs value of serum creatinine, age, sex and race of the person. regarding dialysis, stage4 usually do not require dialysis. it is stage 5 when dialysis is required when indicated( like fluid overload, high potassium, azotemic symptoms like nausea and vomiting, acidosis, encephalopathy or pericarditis)