HI, My wife is undergoing dialysis from last 3 months, as her keratin was 5.6. She is undergoing dialysis every 2 days in a week. Her current keratin is 5.4, blood urea is 60. Kindly guide what is best treatment for her.

Dr. Sajeev KumarGeneral Physician34yrs exp

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There is not a creatinine level that dictates the need for dialysis. The decision to start dialysis is a decision made between a nephrologist and a patient. It is based on the level of kidney function and the symptoms that the patient is experiencing. If the symptoms are bad enough for the patient to tolerate the ordeal of dialysis, then dialysis is started. The creatinine level is used to calculate the estimated glomerular filtration rate (egfr) but is less helpful in predicting symptoms that a gcreatinine is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine. The chemical waste is a by-product of normal muscle function. The more muscle a person has, the more creatinine they produce. Levels of creatinine in the blood reflect both the amount of muscle a person has and their amount of kidney function. Most men with normal kidney function have approximately 0.6 to 1.2 milligrams/deciliters (mg/dl) of creatinine. Most women with normal kidney function have between 0.5 to 1.1 mg/dl of creatinine. Women usually have lower creatinine levels than men because women, on average, have less muscle than men. Other factors that may affect the level of creatinine in the blood include body size, activity level and medications. Iven person will experience. 

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