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Advised dialysis, kidney transplantation. Reports show kidney size reduction, low hb levels, high creatinine levels. Opinion?

Dear sir. i am bipin, a male, age 23, height 5 ft, weight 38 kg, i am a student. my doctor says i have kidney problem, and i need dialysis or kidney transplantation . please guide me, what should i do. my reports are below. ULTRASOUND KIDNEY- RK is appx 65x25mm and LK is appx 64x27mm. Increased in Cortical Eechogenicity on either side with loss of C-M differentiation. no evidence of calculus or hydronephrosis is noted. no evidence of solid or cystic mass id noted. HAEMOGRAM REPORT Hemoglobile :- 8.6 gms/100ml URINE ANALYSIS Transparency :- clear color :- P.yellow reaction :- acidic Albumin :- ++++ WBC :- 2-3/hpf Deposit ,Acetone,RBC,Epithelial cells,Casts,Crystals,Amorphous,Microorganism,and Spermatozoa :- absent RENAL FUNCTION TEST Serum Creatinine :- 11.90 mg/dl Bicarbonate(HCO3-) :- 26.80 mmol/l serum Potassium(K) :- 3.30 mEq/l i have no diabetese, and controled Blood pressure. dear sir please guid me whot to do.
Asked On : Thu, 10 Jan 2013
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General & Family Physician 's  Response
All labs refer to the direction of Renal Failure with low Hb, Increased Serum creatinine with albumin in the urine. You should have dialysis to prevent complications related to chronic renal failure such as altered level of conciousness. Also perform the renal scan for GFR estimation to check for remaining function of Kidneys. As your both kidneys are decreased in size that is labelled as Renal Atrophy.
Answered: Fri, 11 Jan 2013
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Nephrologist Dr. Aditya Bhabhe's  Response
Thanks for the query.
Your blood tests and ultrasound results show that you have End stage renal disease. This means that there is very little chance of recovery.
You need to see a nephrologist ASAP who can then decide if you need to be started on dialysis right away or wait for a few days.
As you are quite young, a renal transplant would be the best option for you in the long run.
Hope this helps.
Good luck.
Answered: Sun, 13 Jan 2013
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