Conversation: The conversation between human and AI assistant.
[|Human|] Hi, my mothers serum creatinine levels are at 3.4 and blood/urine reports shows loss proteines and sodium. She has been taking medicines, under strict diet control also. Some of the doctors at hyderabad say it is in stage 4, pls adv is it really at stage 4, and at what stage do we really require dialysis. I can send the full reports by mail. Thank you n await your kind response.
[|AI|]  Stage 4 means calculated GFR is between 15 and 30 ml/ min. to calculate GFR you can use M Chat Doctor.  T needs value of serum creatinine, age, sex and race of the person. Regarding dialysis, stage4 usually do not require dialysis. It is stage 5 when dialysis is required when indicated(like fluid overload, high potassium, totemic symptoms like nausea and vomiting, acidosis, encephalopathy or pericarditis)