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Is Dialysis Necessary?
Hello Dr, my father-in-law is 57 years old, 50 kg, and has undergone by-pass heart surgery 8 years back. He is a diabetic since 5 years. Now he has developed renal problem and was advised dialysis. His creatinine level is 5 and GFR is 13. He is refusing for dialysis and is on homeo medicine. Kindly suggest.
Tue, 1 Aug 2017
Dear user,
although the clinical history is very suggestive for an evolution renal disease due to diabetes and cardio-renal syndrome, make sure your father do a fundoscopy by a good oftalmologist. If this is negative for diabetic nephropathy, I would suggest a renal biopsy if there is still a good amount of parenchyma. If it is positive, I would recommend to continue the ongoing process.
Take care,
although the clinical history is very suggestive for an evolution renal disease due to diabetes and cardio-renal syndrome, make sure your father do a fundoscopy by a good oftalmologist. If this is negative for diabetic nephropathy, I would suggest a renal biopsy if there is still a good amount of parenchyma. If it is positive, I would recommend to continue the ongoing process.
Take care,
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