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Have high creatinine level. Taking Ketasteril. Done bypass surgery. Treatment by medicine instead of dialysis?

Hello, My father, age 66 yrs, is having high Creatinine level - 5.42. First time high Creatinine diagnosed 1 year back, it was 3.9. He was under medication - Ketasteril, and after 6 months Creatinine dropped to 3. But now it rose up high. His other findings - Urea - 130, Uric Acid - 9, Sodium - 133, Potassium - 4.48 He is diabetic, but mostly sugar levels are within normal range. He had bypass heart surgery about 5 yrs back. The doctor we consulted straightway said he needs dialysis. He said the diabetes medicine, Glyciphage made the Creatinine level go up. Do you think it is possible to do treatment with medicines and diet, before going into Dialysis? Looking forward to your help. Thanks a lot.
Asked On : Thu, 21 Feb 2013
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General & Family Physician 's  Response
Your report suggests that your father is suffering from diabetic nephropathy which has resulted in chronic kidney disease(CKD).This CKD then progresses towards kidney failure called as ESRD ( end stage renal disease ).
The fact is there is no treatment of CKD.
There are treatments employed like slowing the progression of disease and treating the cause,contributing factors and complications of CKD.
Treatment involves restriction on your protein,potassium,fluid ,analgesics,anti biotics like gentamicin etc.
Treatment involves controlling  high blood pressure,diabetes,loosing weight,taking care of anemia and low VIT D,etc.
The treatment involves stopping all oral anti diabetics and using only injectable insulin.
The fact remains that you may prolong the progression of your CKD status to end stage kidney disease but you can't prevent it happening.
Your father may pull along for some more time but eventually he has to go for dialysis and then it would be a regular feature with him till you get his kidney transplant done.
You must discuss with your doctor and start planning for the kidney transplant ,so that your father may be able to enjoy his life normally.
Answered: Thu, 21 Feb 2013
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