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Talk to Nephrologist on Kidney Disease

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Asking for Other, Male, 78 years old, Model Town Lahore

GFR is less than 20. Should we go for dialysis immediately

Member of Marham-Forum

It depends on multiple factors
Presence of high potassium, high acid levels, high urea/uremia, uncontrolled fluid status are indications of dialysis. This happens usually when GFR is less than 15. Thorough physician examination and review of blood test by nephrologist is v important.

Member of Marham-Forum

Less than 20 could be 19 or just 5. Need to know exact GFR. GFR is not only criteria nephrologist used. Usually dialysis in started once GFR approaches 10 or less.

Member of Marham-Forum

If GFR less than 20 is persistent then preparation should be made for dialysis in future, that is formation of arteriovenous fistula. So that when ever needed dialysis may be started.
If you are having symtoms of advanded renal dysfunction ( uremia) at GFR of less than 20 , then you might need dialysis. It varies from patient to patient.

Nephrologist in Faisalabad - Dr. Muhammad Usman

Dr. Muhammad Usman - Nephrologist

MBBS, FCPS (Nephrology) | Faisalabad

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90 Positive Reviews

No need for dialsis immediately. Patient needs evaluation with detailed history and examination.

Nephrologist in Lahore - Dr. Aurangzeb Afzal

Dr. Aurangzeb Afzal - Nephrologist

MBBS, FCPS (Nephrology), RCP-SCE (Nephrology) - UK, Certification Of Kidney Transplant (University Of Liverpool, UK), MISN, MPSN | Lahore

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611 Positive Reviews

GFR value is just a reading
At this level dialysis is not required

But the reason of creatinine derangement must be known and treated to prevent future need of dialysis

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