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What is best option for my grandma who is 59 years and suffering from kidney failure ?

hii my gradma is suffering from kidney failure she has been asked to now either start dialysis or go for kidney transplantation her age :59 yrs her creatin is 6.2 and urea about 70 can u please advice me how to now proceed further with treatment and wht should be the next step. eagerly waiting your rply .
Asked On : Tue, 22 Mar 2011
Answers:  2 Views:  117
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Ayurveda Specialist 's  Response
1. You haven't told whether your grandmother is in stage of reversible renal failure or in End Stage Renal disease, (ESRD) because if it's reversible than dialysis is necessary till the renal function improves, while in ESRD patient can have choice of 'maintenance dialysis' or kidney transplant.
2. despite of Urea and Creat. report you have not mentioned about any other blood profile for which dialysis has to be started like:
i. Electrolytes:Potassium,Sodium,Hydrogen,calcium,Phosphorus.
ii. low Hemoglobin level,BUN, urine examination, Blood sugar,Albumin level,Edema?
3. Renal Failure told by doctors is Chronic or Acute, please specify?
4. Renal Failure is a salt losing condition,so salt can be given but if BP is high take salt in moderate amount, i.e. less use of (papad,paneer,ghee,oil,pickles,pop-corn,namkeen,namkeen biscuits.
5. because creatinine level is high, avoid Proreins in diet, however biological protein (essential amino acids) through intravenous line can be given if required
6. fats and carbohydrates can be given in normal quantity.
7. Restrict or avoid Potassium like banana,tomato,fruit juices,coconut water, papaya, grapes, potato.
8. Calcium is to be given (guava,milk,Sitaphal)
9. Monitor blood urea and S.Creatinine regularly.
10. If there is no increase in hemoglobin level with medicine, probably it is resistant to Iron therapy, consult for Erythropoetin Injection.
11. with transplantation, firstly one has to deal with Tissue Rejection, and if succeed then one has to give Immunosuppressants which have serious side effects.
12. Ayurvedic Medicines/Herbs should be started as Adjuvant and should not replace regular treatment, and also your Physiciaan should be informed about the same.
-have a watchful eye and don't go for further dos and donts.
Answered: Fri, 5 Apr 2013
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General & Family Physician Dr. Mohammed Tauseef's  Response
Hi, Welcome to Healthcare Magic Forum.
Your Grandmother is suffering from Chronic Kidney Disease (CKD). The prognosis is not so good. Speak to her Nephrologist, she will need to go for Dialysis atleast thrice a week until you plan for a Transplantation. The surgery will cost in Lakhs. Discuss it with your Doctors, family and friends and chalk out a plan. Don't forget that, a person on dialysis will be able to lead a good life if the patient is regular in taking her medications.
Good Luck and Take Care.
Answered: Tue, 22 Mar 2011
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