Hi, doctor. My brother is a patient with kidney disease. Now his creatinine level is 4.6mg/dL, and his 24 hours protein in urine is 6gram. We are from Pakistan. I do not want to see he undergoes dialysis treatment one day. Please help him.
His 24 hours protein in urine is 6gram. It is large amount of protein leakage. It means there is strong immune reaction in his kidneys. In this inflammatory state, the kidney disease will sure be aggravated. We want to control his protein leakage in urine by medications, but there is really not a kind of ready medicine to post to you. He needs a systematic treatment schedule and it has to be regulated according to his condition and improvement. Besides, we have to make a suitable treatment schedule for him after Chinese medicine dialectical diagnosis.
In Pakistan, there is no solution, so the disease continued to progress and the patient had to start dialysis finally. Your brother's serum creatinine is already 4.6mg/dl. He is also near to dialysis. What I'm worried about most is that there is no medicine for kidney repair there and no medicine to control the protein in urine effectively.
For his present condition, I suggest he continue to take Ketosteril which is a kind of essential amino-acid and can help supplement protein. He can do a liver function test and see whether the serum albumin is low. If so, he can eat high quality protein such as fish, egg white and milk to improve it. You can check whether he has other complications like anemia and electrolytes disorder. If so, it means his condition is not stable and needs symptomatic treatment in local hospital.
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