Patient is 29 year old male suffering from ckd (chronic kidney disease) for the past four plus years. He has been undergoing dialysis for the past six months, thrice-a-week. Creatinine: 7.6, blood urea: 123, potassium: 23, hgb: 6.2. Since put on dialysis he has been having swelling in feet, puffiness in the face, breathlessness, loss of appetite, severe head ache, bp: 150-180 normally and shoots to 240 at times leading to fits and urgently requiring treatment in icu. Feels fatigued and restless. Kindly advise any therapy or treatment which can avoid dialysis and transplantation and assure us of recovery. Thanks