Hello, You are suffering from chronic kidney disease(CKD). it s a non reversible disease in which both kidneys are affected leads to reduction in kidney size along with decrease in function. When kidney function decrease less than 30% then dialysis is the mainstay of treatment to washout the toxic products. But dialysis is not the cure of this disease. In fact, dialysis only helps to improve your quality of life and decrease the morbidity. According to your description, you are too young to develop this disease. Generally this disease occurs in some high risks like Diabetes, Hypertension, connective tissue disorders. As your blood pressure is high but CKD itself leads to high blood pressure so your medication is good according to your disease. If BP is more than 140/90 then increase your Tab Arkamin 0.1 mg thrice a day. So there will be two approaches. First to manage regular dialysis to keep your serum creatinine lower side along with improved quality of life. Second is to find out the exact cause for CKD in this young age and treatment according to that. And for future, if possible then think of kidney transplant also for permanent treatment or in your word for cure of this disease. Thank you