Conversation: The conversation between human and AI assistant.
[|Human|] hi my brother had an accident and is paryalised under abdomen he has urine bag since 2010 now he is having kidney problem with cretaine 2.7 and urea 90 in his recent report pl advice me what step we should consider to control as he suffer with severe pains
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Renal failure is occurring as elevation of serum urea and creatinine values show 2. Due to using renal bag, he has suffering from recurrent urinary tract infections, which has led to bilateral renal insufficiency due to possible pyelonephritis.3. He will need dialysis to control urea and creatinine levels. Discuss with your doctor. Hope it helps. Any further queries, happy to help again.