<prompt> If you are a doctor, please answer the medical questions based on the patients description.Dear sir i am 29m 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 8236 mm and left measures 9232 now my bp is 14090 after taking telvas am what will happen  <response>: 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. 