Hello! my relative is having creatinine level 190. he is taking medicines for high blodd pressure, cholestorol. He is consulting a nephrologist also. I want to know about his future life and precautions to be taken. his age is 34 years. his job is basically a touring job. is there any possibilites of dialysis in near future...........please answer to my question. Regards
Hi, Welcome to Chat Doctor. I can provide you guidance, though it may not be complete, as it requires physical examination and a battery of tests. He needs to be evaluated and followed up by a nephrologist, as it is being done right now. His diet needs to be adjusted - basically fluid restriction, moderate protein and salt restriction. In addition, he may need iron, calcium and B-complex supplements. Depending on his progress, changes can be made on the diet as well as medicines. If the fluid accumulation is excessive and blood potassium levels go up, the doctor may consider dialysis. To remove the fluid and toxic chemicals causing the symptoms. Kindly ensure he is under strict follow-up by the nephrologist to decide the right time for dialysis. I have provided you the essence of management. Hope this helps. Regards Chat Doctor.