Conversation: The conversation between human and AI assistant.
[|Human|] My 55 year old sister in law has stage 5 kidney disease and had surgery to make a fistula on the 12th of October. The Fistula is not developed enough for dialysis. She is drinking and peeing but she is having stomach pains and doesn t really have an appetite. I told her if she doesn t eat we are going to ER for a Catheter to be installed in her neck and get dialysis done immediately. She came down to eat, but not a lot. Her face looks a little swollen. She doesn t want to go to ER, how long before the kidneys will shut down and should I make her go? She has 6% kidney function after her last blood work was done.
[|AI|]  Hello, If she is suffering from end stage of renal disease means dialysis is compulsory at least once in 3 days. If not lead to fluid accumulation and hyper uremia lead to complications. These patients won't have appetite due to uric acid accumulation. Possibility to develop pulmonary edema and dyspnea. Please consult with your nephrologist he will examine and treat her accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.