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[|Human|] i m 40 year old my both kidney get srink(small in size) since 1999. at present my s.creatinine is 4.0,blood urea is 114 and HB% is 6.9. i fill very tired and wikness. presently itake allopathy medicine like calcium tab,B.P tab amlodipine 10 mg.folic acid and iron tab. but cant relife. Doctors advise that you should go for dylisis. So please advise me what to do ? Anuradha deviBaridih JamshedpurPH : 0000
[|AI|]  Hi, Thanks for writing in. It is important to know the type of kidney disease you are suffering from. If hemoglobin is 6.9 then you have severe anemia, and it needs to be corrected. Blood urea 114 and serum creatinine 4.0 also needs attention. It is important to consult a nephrologist and then proceed with management. The kidney shrinking since 1999 needs to be followed up with an ultrasound scan. Dialysis is a procedure by which the blood creatinine level can be brought down in an emergency. The nephrologist might also request a kidney biopsy to know the exact cause of kidney disease in your case. If you have high blood pressure or diabetes then that must also be controlled with medications. Fluid input and out put along with proteinuria also should be measured. Depending on serum creatinine levels, dialysis is usually repeated till the levels are maintained.