Originally Posted by aviv80
my mum is 60yrs n the doc says her both kidneys have failed. But scan shows a normal study. Her serum creatinine is 2.4mg/dl, sodium is 142mg/dl and total protein is 6.7g/dl (6.4-8.3) urea is 11omg/dl and uric acid is 9.7 so pls wat does this mean. A total failure? She is hypertensive and anemic right at this moment. and the dr says she on 17 i dont know wat dat means n if she gets to a 15 she goes for a dialysis. So does this signal a total failure?
Sorry to hear about your mom. One question, is she a really thin woman? Her serum creatinine translates to SI units to about 212 which is high, but many people walk around with that creatinine and aren't necessarily bordering on dialysis. Anyway, with "medical renal disease" as it's called, one can do a scan of the kidneys and grossly they can look completely normal. In fact, in certain cases, they can even look BIGGER than normal (i.e. in the case of diabetic nephropathy). Generally though, kidneys that aren't functioning properly over the long term end up being shrivelled and small. The fact that she has a GFR of 17 suggets ~17% kidney function, but it's important to determine the timeline of that kidney function. Has her kidney function been declining over time and that 17% is stable, or was her kidney function at 60% last week and NOW it's 17%? If it's the latter case, it suggests there is reversibility. The former case means there is long-term damage to the kidney which is not reversible.
The rest of her bloodwork doesn't really help all that much. Do you have a measurement of her potassium? The fact she's anemic suggests the kidney failure has been going on for a long time. The kidney produces a hormone called erythropoetin which stimulates the bone marrow to produce blood cells--when the kidney is damaged in the long term, this hormone production drops off.
Are they preparing to put your mom on dialysis? Other than high blood pressure, what other health conditions does your mom have (treated and untreated)?