Conversation: The conversation between human and AI assistant.
[|Human|] Iam 72 years old male. My creatinine level is 3.4 and BUN is 57. How bad is my kidney? Do I need dialysis soon. I have no other symptoms.
[|AI|]  Dear S Krishnan, Welcome to healtcaremagic forum... High creatinine and BUN indicates renal failure. The severity of the condition is predicted by GFR... Dialysis is needed, if one has symptoms of fluid overload, electrolyte abnormalities, or when the GFR is very low - less than 10-15ml/min (normal 120ml/min). Asymptomatic CKD with GFR above 20 can be managed conservatively with fluid and dietary restriction, risk factor control and other supportive medications... Wish you good health.