Conversation: The conversation between human and AI assistant.
[|Human|] Dear sir i am 29/m weight 100 kg height 178 cmi was been suffering from  hypertension for  a year and i was prescribed temax-am and serum creatinine was 12 after six months i rechecked and my result was serum creatinine of 12 , urea of 98 and uric acid of 8.81, hb of 9.8 and mu usg report impression was CMD lost and chronic bilateral renal disese ,my right kidney measures 82*36 mm and left measures 92*32 now my bp is 140/90 after taking telvas am what will happen
[|AI|]  HiT hanks for the query. Serum creatinine of 12 with USG findings of medical renal disease usually indicates advanced chronic kidney disease (CKD). You need to see a nephrologist as soon as possible. He will evaluate you clinically and may prescribe additional tests to modify your prescription.Also, at this level of creatinine he will advise you whether dialysis is needed at this stage. Hope this helps good luck.