Hello doctor, My elder brother, aged 41 years had a kidney transplant 11 years back. The donor was his father whose present age is approximately 68 years, but now after 11 years, his creatinine is increasing (3.3). We are confused about what to do. The doctor has increased his dose of medicine. Currently, he is on Pangraph 1 mg twice daily. Suggest us the best way for his recovery. Is it possible to have another transplant?
Hello. Creatinine level mentioned 3.3 is suggestive of kidney infection. So, yes renal function deterioration is present. Renal transplantation can lead to rejection and risk to benefit ratio has to be watched before taking any decision regarding transplantation. Secondly, transplantation is not contraindicated after the first one. This means that if needed, it can be done. Consult a urologist for examination and discuss your case. For more information consult a general practitioner online -->