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  5. My father has been dealing with kidney disease for the past five years, and we're currently receiving treatment. His kidney function is at 17-19%, and his creatinine level is 5.1. Can you advise on when dialysis might be necessary, and how much longer we can expect him to live with proper treatment?

My father has been dealing with kidney disease for the past five years, and we're currently receiving treatment. His kidney function is at 17-19%, and his creatinine level is 5.1. Can you advise on when dialysis might be necessary, and how much longer we can expect him to live with proper treatment?

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My father has been dealing with kidney disease for the past five years, and we're currently receiving treatment. His kidney function is at 17-19%, and his creatinine level is 5.1. Can you advise on when dialysis might be necessary, and how much longer we can expect him to live with proper treatment?

Dialysis will be needed at any point of time once the percentage of kidney function is below 15%. How well a person does on dialysis depends on how well he/she prepares for it. Your patient should get an AV fistula as soon as possible so that dialysis can be initiated in a stress free environment. People can survive on dialysis for years and even decades of proper care is taken.

Last updated on 18 Dec 2024

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Uncontrolled High Blood Pressure and Laboratory Results_Concerns and Recommendations_1. _Uncontrolled hypertension_: Despite taking Telmisartan 40mg, your blood pressure remains elevated (190/110). This requires immediate attention to prevent cardiovascular complications.2. _Kidney function_: Your creatinine level (1.8) is slightly elevated, indicating potential kidney impairment. The high potassium level in your urine and proteinuria (2484) also suggest kidney damage.3. _Albumin levels_: Your albumin level (3.3) is within the normal range, which is a positive sign.4. _Vitamin B12 deficiency_: Your vitamin B12 level (82) is below the normal range (200-900 pg/mL), which may contribute to fatigue, weakness, and neurological symptoms._Recommendations_1. _Consult a cardiologist or nephrologist_: Schedule an appointment with a specialist to reassess your hypertension management and kidney function.2. _Adjust medication regimen_: Your doctor may consider adding or adjusting medications to better control your blood pressure and protect your kidneys.3. _Lifestyle modifications_: Implement lifestyle changes, such as:- Reducing sodium intake- Increasing potassium-rich foods- Engaging in regular physical activity- Maintaining a healthy weight- Getting adequate sleep4. _Vitamin B12 supplementation_: Discuss vitamin B12 supplementation with your doctor to address the deficiency.

Last updated on 18 Dec 2024

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