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Stem cell therapy to treat renal failure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hello. My dad suffers from kidney disease (acute renal failure) His latest creatnine level was 4.2. How advanced is stem cell research to solve the disease?
User :   hello
Doctor :   Hi
User :   please read above
Doctor :   I am Dr.XXXXXX
User :   Hello there!
Doctor :   Yes I am reading
Doctor :   Stem cell research does not fruitfully help in acute renal failure
User :   I got to know about this site while searching for Dr. H.L. Trivedi
Doctor :   Ok that is fine
User :   Right now he is consulting with Dr. XXXXX
Doctor :   Ok
User :   he is on a very strict diet and checks his creatinine every once a week
User :   sorry every month
User :   what can be done about this?
User :   any advancements in the medical field to reverse this?
Doctor :   I want to know the complete diagnosis
Doctor :   Like Acute on chronic kidney failure
Doctor :   Or Chronic kidney
Doctor :   What is the cause of the renal failure?
User :   Acute kidney disease
Doctor :   Is the gross structure of the kidney damaged
Doctor :   Do you have the report of the Doctor with you?
Doctor :   Is he being dialysed?
User :   he is not being dialysed
User :   getting report
User :   partial damage is there in the kidney
User :   I have the report
Doctor :   Ok, so the kidney is shrunken
Doctor :   Since how many years is the problem?
User :   no kidney is normal size
User :   since 2 years he is facing the problem
User :   I got the 4.2 level report today itself
User :   I have the earlier report taken on 17th march
User :   2010
Doctor :   Did the doctor say the cause of the renal failure
User :   its taken at XXXX labs
Doctor :   High BP, Diabetes
Doctor :   etc
User :   the doctor said it (disease) has been gradually escalating
User :   over a period of years
User :   he does not have diabetes
Doctor :   What is his age?
User :   1953 born
User :   56
Doctor :   Ok
Doctor :   Do you want to know the stem cell therapy in Acute renal failure
User :   he had been taking Lisinopril medicine for blood pressure until the time he was diagnosed with chronic renal failure
Doctor :   Ok there is some research that is being done
Doctor :   on stem cell research
User :   I apologize
User :   he has been suffering from chronic renal failure not acute renal failure
Doctor :   Yes
Doctor :   So the cause could be high Blood pressure
User :   ok
User :   he also had TB when he was younger
Doctor :   The stem cell therapy in CRF has no much data
User :   the exact cause has not been clear
Doctor :   They try to activate the Mesenchymal cells ( stem cells in adult kidney)
User :   ok
Doctor :   with few medicines
Doctor :   and it shows that activation can prevent the progression of the disease
Doctor :   and not the cure of it
User :   when crf was diagnosed we were just happy we didnt have to do dialysis
User :   the rejection rate and survival rate is too high and low respectivey
User :   respectively
Doctor :   Do you mean the stem cell therapy?
User :   no no Dialysis
User :   who is the authority for stem cell research India and abroad?
Doctor :   I am not aware of that
Doctor :   I am sorry
Doctor :   They are doing research and it is at nascent stages
Doctor :   yet
User :   ok any other advancement for cure or prevention of progression?
Doctor :   I think you are thinking of the cure to CKD
Doctor :   There is no cure yet
Doctor :   CKD can only be followed up closely with Nephrologist
Doctor :   for High Blood pressure and other kidney toxic medications
Doctor :   HE should get himself checked for Anemia, Bone problems
Doctor :   These are very important to delay the progression of the disease
User :   ok
Doctor :   A kidney biopsy is very important to knwo the exact cause of disease
User :   ok
Doctor :   The cause does help to prognosticate the chances of going to dialysis any time soon
Doctor :   and the chances of recurrence
User :   ok
User :   we have done kidney biopsy
User :   however the exact cause was not known
Doctor :   DIet should cater to the 55 gm of protein along with low salt, carbo and saturated fat
Doctor :   Stem cell therapy is long way to go in India and it has not acheived a legal status
Doctor :   I believe
User :   ok
Doctor :   I think you would better take a specialist opinion from our Nephrologist who has done good work in AIIMS and currently a professor Nephrology in NIMS, Hyderabad
User :   can I know name of the doctor please?
Doctor :   WWW.WWWW.WW
Doctor :   You can click on the link and proceed
User :   ok
User :   the main issue he is facing is with diet still
User :   any advice on that front?
Doctor :   As I have told you the above protein, carbohydrate, salt and fat are to be properly taken care of
Doctor :   You need a Dietitian consultation and there is a special Renal diet
Doctor :   that is called
Doctor :   Doctor would be able to quantify the calories but the design of the diet chart is done by the DIetitian which is easily usable
Doctor :   Did you follow?
User :   yes
Doctor :   Is there anything else I can help you with?
Doctor :   Please fill the feedback form say done.
User :   in terms
User :   of diet
User :   is there any special help any dietician can give me?
Doctor :   Do you have specific questions in terms of diet?
User :   can he have wheat?
User :   if yes how much?
Doctor :   He can have wheat
User :   ok
User :   thanks for the advice
Doctor :   How much wheat is better determined by Dietitian in the plan
User :   ok
User :   I should be contacting your doctor soon after consulting with family
User :   thank you
Doctor :   Very Good
Doctor :   Thanks for consulting me. Bye for now.
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