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Polycystic Kidney Disease& Kidney Cysts

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PKD & Kidney Cysts

Polycystic kidney disease (PKD) is a group of disorders that result from the formation and progressive enlargement of cysts in the kidneys without dysplasia, usually leading to renal failure.

Should I Started Dialysis with Creatinine 4.9 and PKD

2013-04-03 09:03

Creatinine level can help to decide whether a PKD patient need to start dialysis or not, but it is not the only factor that can help to make this decision. Well, for a PKD patient with creatinine 4.9, should he start dialysis or not? Aside from creatinine level, is there anything else that can help to make this decision?

Normal creatinine level is 0.5-1.3mg/dL and creatinine 4.9 is very high. In theory, PKD patients should consider dialysis when their creatinine level increases to such a level. Creatinine is one of the toxins produced by our body and normally discharged by our kidneys. For a PKD patient, if his kidneys are damaged seriously and fail to discharge creatinine, then they must be not able to discharge other toxins. Therefore, a high creatinine level may means high level of toxins in blood. This is the reason why creatinine level can help to decide whether a kidney failure patient need to start dialysis or not.

Most of the time, PKD patients should prepare for dialysis when their creatinine level increase to 4.9, so that protect other internal organs are damaged by these toxins. However, creatinine level is not the factor that can decide whether dialysis is required. Generally speaking, for PKD patients with creatinine 4.9, they can live without dialysis in the following two conditions:

1. If a PKD patient whose creatinine level is as high as 4.9 has no severe symptoms like nausea, vomiting, itching skin and nervous problems, they can delay the time to start dialysis.

2. PKD is a genetic kidney problem and runs to kidney failure directly. When kidney failure is caused, life-threatening complications like heart failure and pulmonary edema appear easily. However, not everyone will surely suffer from these complications. For PKD patients with creatinine 4.9, if they have no these terrible complications, the can live without dialysis.

Dialysis is a life-sustaining method for PKD patients whose disease has developed to kidney failure. It is helpful, but meanwhile risky, as long-term dialysis will cause many other health problems like low blood pressure, headache, infection and dialysis-related amyloidosis which can bring patients serious join pain. Therefore, finding the proper time to start dialysis is very necessary for PKD patients with creatinine 4.9.

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