### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
sir, my mother,s serum creatinine is 3.4 mg%. protein present(+), Hb 7.3gm%,RBC 2.66,polymorphs 84% pcv 23.1%.,kidneys-Right: a calculus of 3.6 mm size is seen in lower calyx.length is 7.0 cm,LEFT: a calculus of 5 mm size is seen in lower calyx. length is 8.3 cm.  Please tell me what condition of my mom and give me suggestion..?

### output:

Dear patient. Greetings from Chat Doctor !!!  I am Chat Doctor and shall be answering your question. I can understand your concerns for your mothers' health. Furthermore, I will try my best to answer your question and guide you through. Your mother has got bilateral renal calculi, most likely staghorn calculi. They have damaged the kidney causing a chronic kidney disease and hence the creatinine is 3.4. This is much higher than the normal creatinine of 1. She is anemic due to CKD and maybe iron deficiency and blood loss. I also would like to know if she has any pus cells in the urine currently. Treatment options for her:For calculi: She needs to undergo a nephron lithotomy maybe by renal angle approach. You need to take an opinion of a urologist. For CKD: She needs monitoring of her urine output. She needs iron supplementation and erythropoietin for anemia correction. She also needs loafs, soda mint, calcium supplementation. Make sure the calcium to phosphorus product does not cross 60. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, ChatDoctor.