Hi and thanks for the query, Diarrhea and vomiting are frequent conditions seen in chronic kidney disease. they actually constitute part of what is called the uremic syndrome, due t accumulation of uric acid and other urea related metabolites. Management of this condition is dependent on an appropriate management of the chronic kidney disease. first, a kidney function test ascertaining whether you deserve dialysis, and the particular frequency is mandatory. An appropriate control of kidney function and follow up will lead to regaining of normal gastrointestinal function on its own. A complete reevaluation to examine kidney function, and tailor appropriate management for kidney disease is the mainstay of the treatment now. I suggest you consult your nephrologist, or while waiting, get to the emergency room for reevaluation and renal function tests. Poorly controlled diabetes with raised blood glucose levels could also present as abdominal pain and nausea. Poorly managed diarrhea also lead to neuropthies that could affect the gastrointestinal tract and predispose to diarrhea. Your hemoglonim level is low and it might necessary to great appropriate treatments like erythropoeitin. I suggest you consult your internist or nephrologist for an appropriate review and mmanagement. Thanks once again and best regards, Bain LE, MD.