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Do All People in Stage 5 CKD Need to Undergo Dialysis

Posted: by zhaoshaoning      Time: 2014-03-22 07:45

Topics: CKD Dialysis

Details: My problem started with protein in urine. Then, my blood tests show my creatinine level reaches 500, and my doctor tells I am in Stage 5 CKD and recommend dialysis. Does all patients in stage 5 kidney disease need dialysis?

Expert Answer

According to glomerular filtration rate (GFR), kidney disease is divided into five stages, while Stage 5 CKD means patients’ illness condition has developed into end stage. In this stage, kidneys are functioning less than 15%. Because of low kidney function, more and more waste products build up in the blood, blood pressure increases, electrolyte balance is disturbed, and many other complications appear easily.

However, this doesn’t mean all people in Stage 5 CKD must undergo dialysis. If you have one of the following conditions, you should begin dialysis. If not, some alternative treatments can help you avoid or at least delay dialysis.

- Serum creatinine and BUN level is very higher

- Patients have no urine and serious swelling

- Potassium level in the blood is higher than 6.5 umol/L

- Patients have complications such as acute heart failure, pulmonary edema and cerebral edema

- High blood pressure is unable to be controlled by medications

- Metabolic acidosis can’t be managed by medications

If you don’t have the above emergent problems, you can still live safely with some alternative treatments.

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