Conversation: The conversation between human and AI assistant.
[|Human|] My friend Iltemus. Age 39 weight-57 kg suffering from Kidney diseases since 2002. He done his renal biopsy on 04/12/2002 at dhaka for the first time the result was: focal segmental mesangial proliferative glomerulonehrities. then went to Vellore, India and did the test again this time The comment: IgA nepropathy. They gave some treatment and upto 2009 serum creatinine was found normal. Creatinine in 2010 was 2.8, in 2011 was 2.2 in june 2012 was 4.7 & decembe 2012 was 6.4. finally on 4/5/13 some test results: creatinine- 6.9, Albumin- +++, Potassium- 4.02 mmol/l, sodium- 136 mmol/l. cloride- 108.69 mmol/l, TCO2 20.68 mmol/l, Anion gap 10.65 mmol/l, Uric acid 244.4 umol/l, T. Calcium 2.24 mmol/l... Hemoglobin 12 gm/dl, ESR ( West method) 07mm/1st hr RCB count- 4.18 Esonophils 1.55, Platelet count 222.  Now He is taking the following drugs...Amlodipin 5mg 0+0+1, Febuxostat 40 mg 1+0+1, Iron Polymaltose+folic Acid+zinc 1+0+1, Prazosin 1 mg 1+1+1 CaCo3+Vit-D 1+1+1. M.P.E.G- Epoetin beta 50 MCG/.3 ml inj.. once a month.Now what he can do..? Which you suggest for Dialysis/transplant. Which is the appropriate level for transplantation. Is there any medicine to cure or give more life expectancy without transplant?Thanks.Monirul Hassan0000 YYYY@YYYY
[|AI|]  Hello! This is a very good description that you have provided. In my opinion, the disease that he is having is IG A nephropathy which is the commonest adult nephropathy, for which he has taken treatment in Nellore. He is basically having a chronic renal failure which is evident by the lab investigations. Transplant is the definite treatment, but it is costly and involve many legal formalities. Dialysis has to be performed by the time he will get ready for transplant. Unfortunately till date no medicine is the cure for renal failure, only dialysis or renal transplant can improve the life quality and expectancy. Thanks.