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Is Transplantation The Only Method To Bring Down The Creatinine And BUN Levels?
I am a (53yrs) patient of CRF. My creat is 7.4 and BUN around 77.0. I am not on dialysis right now but doctors have suggested preemptive renal transplant. At present I have a very busy schedule and work 12 hrs a day from morning 8.00 to eve 8.00. Of late, I experience some degree of tiredness in the evening. I would like to know whether my creat levels can be brought down by some other means or Transplant is the only means. By the way, I am a long standing diabetic (26 yrs), but I have small shrunken kidneys (6.0 x 4.0), and am hypertensive.
Wed, 20 Jan 2016
Hello and welcome to HCM.
As an Urologist,i fully understand and share your concern.
You've a Diabetic Nephropathy with Hypertension with CRF.
The treatment options for kidney failure(CRF),are mainly two:
1. Dialysis (artificial kidney).
2. Kidney transplant. (normal functioning,matching,blood group, kidney).
You must change your lifestyle to a relaxing one.It's too stressful at present.
Ensure blood sugars are strictly within normal levels,of FBS and HbA1C. Periodically check your Hb,creatinine,uric acid,electrolytes.
For any doubts,send me a direct question.
Dr.Matthew J. Mangat.
As an Urologist,i fully understand and share your concern.
You've a Diabetic Nephropathy with Hypertension with CRF.
The treatment options for kidney failure(CRF),are mainly two:
1. Dialysis (artificial kidney).
2. Kidney transplant. (normal functioning,matching,blood group, kidney).
You must change your lifestyle to a relaxing one.It's too stressful at present.
Ensure blood sugars are strictly within normal levels,of FBS and HbA1C. Periodically check your Hb,creatinine,uric acid,electrolytes.
For any doubts,send me a direct question.
Dr.Matthew J. Mangat.
I find this answer helpful
Hello and welcome to HCM
I have read and understood your query
I hope this will help
Both hypertension and diabetes are leading causes of CRF...however once developed you are left with only two options ..
Regular hemodialysis (or)
Renal transplantation..
Renal transplantation is more better of the two options...I think you should sit with your NEPHROLOGIST and discuss in detail about procedure and future prognosis... Mean while control of diabetes and hypertension are necessary... You should start taking calcium SUPPLEMENTS and follow strict dietry restrictions including low salt intake and decreased consumption of foods like bananas,read meat,bakery products and dry fruits.
Meanwhile you should regularly check you urea,creatinine and serum electrolyte levels..
Dose of insulin should be decreased as its requirements lessen with CRF..
In case you develop syptoms like intractable vomitting,shortness of breath or hiccups,cheast pain ets plz immediately consult your nephrologist
br>I hope this was helpful
Thanks
Dr faeza
I have read and understood your query
I hope this will help
Both hypertension and diabetes are leading causes of CRF...however once developed you are left with only two options ..
Regular hemodialysis (or)
Renal transplantation..
Renal transplantation is more better of the two options...I think you should sit with your NEPHROLOGIST and discuss in detail about procedure and future prognosis... Mean while control of diabetes and hypertension are necessary... You should start taking calcium SUPPLEMENTS and follow strict dietry restrictions including low salt intake and decreased consumption of foods like bananas,read meat,bakery products and dry fruits.
Meanwhile you should regularly check you urea,creatinine and serum electrolyte levels..
Dose of insulin should be decreased as its requirements lessen with CRF..
In case you develop syptoms like intractable vomitting,shortness of breath or hiccups,cheast pain ets plz immediately consult your nephrologist
br>I hope this was helpful
Thanks
Dr faeza
I find this answer helpful
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