Conversation: The conversation between human and AI assistant.
[|Human|] hello doctor,  my sister is suffering from kidney shrinkage, and her keratinine level is nearly to 7 on average. she is undergoing dialyses twice a week from last 3 months. But her stomach swelling is not decreasing. Her age is 25.  plz guide me that shall we continue with the same. If yes for how much time. we r very upset.Arun Sharma India
[|AI|]  Hi, I had gone through your question and understand your concerns. First thing you need to know is dialysis is the best treatment at this stage as her creatinine levels are 7. Coming to her stomach swelling the ultrafiltration which she is taking during dialysis need to be more in my opinion to take excess fluid out. If I am her treating doctor I will definitely increase the ultrafiltration if her BP is normal and if she is not tolerating she needs to be kept on weekly thrice dialysis. Please talk to your treating doctor about this and of course the final treatment other than dialysis will be the transplantation. Please get back if you have any queries. Chat Doctor.