Dear Dr.My son age 10 is an ESRF  patient and currently undergoing CAPD 4 times a a day with fill volume of 700mls. His latest urea is at 31 which is alarming. Was told to increase his fill volume to 800mls. I am worried sick of his urea level. Is there anyway, I could control his urea?
Hello and welcome to Chat Doctor. As a Urologist, let me advise you that, urea level of 31, isn't alarming. As you know, CAPD isn't as good as HD(hemodialysis), for treatment of ESD/ESRF/CKD. The important parameters to check, while on dialysis are urea, creatinine, sodium,potassium, uric acid, Hb, and I/o(input/output chart). It should be checked every third to fifth day, depending on the cause of CKD. In CARD, the fluid volume is dependent on these parameters. If you send me the last reports, with scan, as a direct question, in my name, I can give you an expert opinion.  Diet is very important in this stage. Chat Doctor.  Manga.