Question: I have kidney problem. Creatinine is 8. Other labs are normal. Do I need dialysis?
Answer: From what you said, you do not need dialysis yet. High creatinine can not be the only indicator to decide whether you need dialysis or not.
When to start dialysis?
This is generally based on the symptoms associated with uremia, renal function (glomerular filtration rate), and the rate at which renal function declines.
The details are as follows:
(1) In clinical practice, for kidney patients with glomerular filtration rate (GFR) greater than 15mL/min/1.73m2, even if the early symptoms of uremia occur, dialysis cannot be started immediately, and conservative treatment can be adopted at this time.
(2) If the GFR of the patient is between 5 and 15, and there are no obvious uremia symptoms, it is also best not to start dialysis, but it is better for you to do a consultation for at least once a month, and be alert to the symptoms of uremia.
(3) For patients who already have symptoms of uremia and whose GFR is between 5 and 15, conservative treatment should be given first. If symptoms cannot be relieved, dialysis can be started.
(4) if the patient has developed complications such as uremic encephalopathy, pleurisy and pericarditis, and the glomerular filtration rate is lower than 5mL/min/1.73 m2, it is recommended to start dialysis treatment immediately.
The symptoms of uremia mentioned in the article mainly include the following:
A. Persistent unrelieved fluid retention (edema, ascites, pulmonary edema, etc.)
B. Excessive body fluids cannot be improved, such as prolonged edema, ascites, pulmonary edema, etc
C. Physical fatigue, weakness, nausea and vomiting, no appetite, etc.
D. Symptoms of malnutrition
E. Mild cognitive impairment
F. Laboratory indicators can not be corrected, such as high blood potassium, acidosis, high blood phosphorus.
Treatment to lower creatinine 8 without dialysis
In our hospital, we mainly use Toxin-Removing Treatment. This treatment targets at solving blood problems. It can increase urination, improve bowel movement and make you sweating so as to eliminate waste products and extra fluid from the blood. It can also improve blood circulation and increase blood flow into kidneys so that enough essential elements such as oxygen, nutrients and active ingredients of medicine can be transported into nidus to speed up kidney recovery. Moreover, it can reduce renal inflammation and control the disease from getting worse. After about half month’s treatment, creatinine level will be reduced by at least 10%. After about one month’s treatment, renal function will get improved, and then creatinine can be passed out of body naturally.
If you only have high creatinine 8, and other labs are normal, it is unnecessary for you to start dialysis, but you should seize your time for treatment so as to keep dialysis away. For more information on high creatinine treatment, please leave a message below or contact online doctor.
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- Tag: Dialysis High Creatinine High Creatinine Treatment
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