18 Years Old with Creatinine 12.3 and Urea 330

My friend 18 years old is suffering from creatinine 12.3 and urea 330 on dialysis. Could you please provide suggestions on his disease?

Expert answer:
This is Dr. Jane from China and wish you a nice day.We talked about your friend's kidney condition. Frankly, creatinine being 12 indicates end stage kidney failure.
Given that he is still young, only 18 years old, and there might not be an very long kidney disease history. In general, cases that experienced short illness history have a greater chance to recover well. This is because the inflammatory damage progressing to sclerotic damage will requires time. I write you this email in order to learn more about his kidney disease history. Here are several specific questions.
1. when disease was detected? 2. has he done biopsy test? 3. has him other physical disease like diabetes? 4. whether serum creatinine showed sharp increase in recently. 5. if you know kidney size, also let me know. 6. whether he started dialysis now?

All in all, as long as there is still chance to reverse his kidney condition Btw, our hospital is located here in Hebei province, nearby Beijing city. I am waiting for more details from you. Have you any questions, also feel free to ask me by email to khkpcn@hotmail.com

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