Hi, doctor, my GFR is less than 10%, local doctor told me that i am in kidney fibrosis stage, so dialysis is also recommended. Urine volume is less than normal, i also have anemia, so can i avoid dialysis? Following this article to know what is kidney fibrosis, so that you can make sure whether you can avoid dialysis? Or you can consult online doctor in free.
1. Actually the process of kidney disease is just the process of kidney fibrosis. The development of kidney disease is divided into 3 stage: inflammatory reaction stage, fibrosis formation stage, and scarring formation stage. The three stages is often exist at the same time. His kidney shrunk already with GFR 10ml/min right? What is more, you have numerous complications of kidney failure such as renal anemia (low Hb) , high toxins (high serum BUN, serum creatinine) , electrolyte disorder (high serum phosphrous), potential secondary hyperparathyroidism(high PTH) etc. Your fluctuant blood pressure is another big risk of kidney progress. So now you are in advanced fibrosis formation, namely the transitional period from fibrosis to scarring.
2. Although the degree of your fibrosis are heavier now, but part of your kidneys are no fibrosis(you still have normal urine volume right, it means some blood still flows innner kidney and you still have remaining kidney function), and our main treatment method should focus on blocking the progress of renal fibrosis, even if your fibrosis nephron happen now, but their function is not complete loss, as long as we seize the treatment opportunity, block the development of fibrosis, and repair the damaged kidney nephrons, your kidney function can still be improved a lot , your condition can still be reversed.
If you want to know more details of the treatments that you can consult online doctor, or please contact: