Doctor insights on:
What Percent Of Kidney Function Indicates Dialysis
Less than 10%: The question is about survival, which is usually measured as percentage of surviving (not failed) kidneys transplanted after a time period, usually one year. Kidney transplant survival after one year is routinely in the 90% range. It depends on the type of kidney transplant (living donor vs deceased donor) the quality of the donor kidney and the health of the transplant recipient. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
See below: The serum creatinine level which requires dialysis is based on calculation of the gfr, as persons with different weight, sex and race may have have different GFR even with same serum creatinine.Generally speaking when GFR is below 10-15 and patients are symptomatic they need dialysis. ...Read more
EGFR?: The "e" in egfr stands for "estimated". It is arrived from a formula that takes into account a patient's age, sex, race and serum creatinine value. As with all estimates, that's just what it is. If you want the actual gfr, a 24 hour urine is collected for creatinine clearance. See you doctor or a nephrologist for that. Remember, an actual GFR is much better than a egfr. ...Read more
Resubmit: The question does not make sense. You need to try to resubmit it in different terms. ...Read more
I have creatinine serum of 1.64, bun 15 and bun to creatinine ratio of 9. An ultrasound of the kidneys revealed no stones or blockage. Is kidney damage confirmed?
Need more info: A 24 hr urine collection to calculate creatinine clearance would be most accurate in this situation. A level of 1.6 implies a possible decrease in kidney function, but creatinine alone is insufficient to determine absolute renal function. Age, sex, race and muscle mass can have an effect on creatinine. A nephrologist can monitor this and give guidance as to how to preserve remaining function. ...Read moreSee 3 more doctor answers
Is Albumin of 28 g/l and bilirubin of 86 umol/L indicating liver damage or failure in metastic crc patient ?
Need more info.: It's impossible to analyze individual lab values without knowing more, such as the normal ranges at that lab and other medical history at the time of the blood draw. You should ask your doctor for his opinion of those labs. An alternative would be to upload the labs here on HealthTap Prime and have one of our doctors interpret them for you, in the context of your medical history. Good luck. ...Read moreSee 1 more doctor answer
Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?
Transplant: Focal segmental glomerulosclerosis or fsgs has recurrence rate of 10 % after transplant. You can get another transplant and decrease rate of recurrence by getting plasmapheresis and galactose therapy before next surgery. These therapies have been shown to reduce risk in selected group of patients. ...Read more
Prognosis for total kidney and liver failure dyalisis not an option, what type of life expectancy?
Very poor: Unfortunately very poor however depends on what is meant my "total" failure. If complete kidney failure means not making any urine, then prognosis is typically days, up to 1-2 weeks w/o dialysis. If complete liver failure (your doctor would use prognostic tools such as meld and childs-pugh) and would consider lab values and signs/symptoms of liver failure and typically could be weeks to months. ...Read moreSee 1 more doctor answer
100 ML/min: Younger, male, and more muscular patients will tend to have a higher GFR while females, and older patients will have a lower gfr. ...Read more
Protien malnutrition: Albumen is an acute phase reactant and it is difficult to interpret well in the critically ill. That being said, very low albumen can indicate protein malnutrition, making it more difficult to heal wounds, makes drug delivery less reliable (some drugs bind to albumen for transport), make pulmonary edema harder to treat... The list is long. For that reason, we generally feed patients earlier now. ...Read moreSee 2 more doctor answers
Hep C and Kidney: Review of literature revealed a strong causal association between chronic hepatitis C and several types of renal diseases. This raises the issue of treatment of chronic hepatitis C in patients with renal impairment, especially the new medications for Hep C treatment. This is a complicated issue and one should consult expert in the fields. ...Read more
Close: They are not the same, but close. Since a normal gfr-glomerular filtration rate-is about 100ml/minute, the % term is often used. So a GFR of 30 cc/min is about 30% of normal kidney function. As one ages, the GFR naturally decreases, so it becomes less accurate. But for common use they are about the same. ...Read more
It depends: Acute, reversible kidney failure in a child does not always result in dialysis. Chronic, non-reversible renal failure will likely result in dialysis. Peritoneal dialysis is preferred for a variety of reasons. Finally, renal transplant asap is the ultimate preferred treatment for children who are on dialysis. Children need to grow and getting a transplant is their best hope to see that happen. ...Read moreSee 2 more doctor answers
Depends upon health: Very variable. Current medical literature quotes 22% annual mortality rate which suggests 5 year survival rate. However, younger and otherwise healthy subjects can live 10 -20 years on dialysis. Kidney transplantation has a much better prognosis if and when there is choice. Some subjects only need tdialysis on temporary basis on temporary and recover kidney function. Others are 2 sick for transpl. ...Read moreSee 2 more doctor answers
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
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