Question
Hi Doctor,
My Father is a diabetic patient and had by pass surgery in 2004 in Delhi, Now He got kidney problem and Doctor says that it work only 20%. Doctor has suggested Dialysis.
Following is the latest Test report.
USG Normal Size
Moderate NPDR
Hba1c 7.8
SPE No Mband
UPCR 1.06
PTH 402
PRA 1.1
Cal 8.8
BUN 72
Cretinin 5.7
Haemoglobin 11.7
Albu +3
Gender Male
Age 63
Past history : By pass surgery in 2004 in DELHI
My questions are
1. Which is the best hospital in India for kidney diseases.
2. Can we control disease through healthy diet and exercise
3. Which is the best treatment to avoid dialysis.
4. We dont want to do Dialysis so is there any other treatment so that we can avoid Dialysis.
5.What is the range of Cretinin
Answer
Hi Sachin,
Thanks for asking my opinion on "Allexperts".
A careful history, physical examination, lab tests and imaging of the urinary tract are required to diagnose your father's condition. On the surface, it seems that your father is suffering from Diabetic Nephropathy, Chronic Kidney Disease.
The answers to your questions in chronological order:
1. There is no single "Best" hospital for kidney diseases in India. If you let me know your father's geographical location, I can suggest some good centers.
2. Unfortunately not. It is too late at this stage.
3. I do not know of any allopathic treatment other than dialysis to replace kidney function.
4. May I know why are you so averse to dialysis? For a patient with End-stage kidney disease, there are three options: Hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD) and Kidney Transplantation. Amongst these, kidney transplantation provides the best quality of life
5. Each lab has its own reference range depending on the type of kit used to run the test. Please look at your father's lab report. The normal reference range is usually written on the right column. Usually, for men, creatinine ranges between 0.7 to 1.2
Sincerely,
Dr. Shah
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