Conversation: The conversation between human and AI assistant.
[|Human|] My father has been diagnosed with stage 4 kidney failure. He has been very sick the last two weeks with abdominal pain. He has chosen not to do anything...including dialysis. How can we keep him comfortable if this is what he is going through at this time? He won t go to the hospital and he won t go see the doctor but is in a lot of pain. Not eating, not sleeping, just there. Is there anyway to let us know that he is indeed going through kidney failure and what to expect. He is 84 and is a diabetic.
[|AI|]  Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your fathers are having diabetic nephropathy with CRF. The only treatment to consider at his age is, a maintained dialysis.He'll need to do some tests, to advise treatment and remain in good health.1. 24 hours urine protein, and culture.2. Blood routine, creatinine,FBS,HbA1C,electrolytes, LFT,and platelets.3. Ultrasound scan of abdomen, with a chest X-ray and an ECG. He should have low salt, protein diet, with fluids intake, as per urine output. If you want my expert opinion, send all reports, as a direct question to me. Chat Doctor. Manga.