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  1. Nalini
  2. General Nephrology Questions
  3. Wednesday, 30 September 2020
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I’m a kidney patient, I was diagnosed in 1999 with CKD I am now in stage 4/5 with egfr 15 since my last appointment, I think due to my diets I am still alive and trying keeping active I am an HCA/ Nursing Assistant I still try to do a few odd shifts now and then but now getting a bit weaker, I am 70 years, my urine output is 1,800 - 2000 in 24 hours, do I still have to accept dialysis, any advice will be very appreciated,
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Accepted Answer Pending Moderation
Hello,

Kidney replacement (dialysis or transplant) is indicated with any or all of the following:

  • intractable symptoms of end-stage renal failure (usually loss of appetite, severe fatigue, confusion or nausea/vomiting)
  • intractable high potassium, acidosis and to a lesser extend phosphate
  • inability to control your fluid balance (resulting in fluid accumulation in the lungs) and/or severe hypertension
  • pericarditis

Until such time, patients can continue with their daily activities (with modification as required) without kidney replacement.

Dr. Jordan Weinstein
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