Conversation: The conversation between human and AI assistant.
[|Human|] hi..my aunts both kidneys hv reduced from their original size, docs hv suggested her to go for dialysis, but she is scared for it after affects..can anyone plz suggest any solution. My uncle wants to take her to vellore, but he has no clear idea to move forward
[|AI|]  Hi. Thanks for asking on Chat Doctor. In my opinion your patient is suffering from small contracted kidney which is associated with chronic renal failure. Since kidneys are involved in removing metabolic waste products from the body like urea and maintaining electrolyte balance, it is imperative to maintain such detoxification by dialysis where the function of the kidney is taken over by dialysis machine. If dialysis is not undertaken the wastes in the blood can rise to alarming levels and affect various organs of the body and can cause coma by affecting the brain. The side effects are not of dialysis but actually of kidney failure. So please go ahead. Creatinine above 6 is an indication for immediate dialysis. Hope it helped.