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

### input:
Hi,My mother is suffering from kidneys disease from last 20 years (1991 to till date) and now her age is around 56 years. she is also having high blood pressure from last 20 years but her blood pressure is under control by taking medicines on daily wagesNow her both kidneys are smaller in size (left kidney is 64 * 30 mm with parenchymal thickness of 9 mm and right kidney is 52 * 27 mm with parenchymal thickness of 9 mm)From last month her tests are as follows.creatinine = between 7.0 and 9.6 (mg/dl).potassium serum = 3.7 mEq/L.BUN = 36mg/dl.urea serum = 77mg/dl.sodium serum = 131 mEq/L.Her 24 hours urine output is around 1.5 Litre to 2.0 Litrenow the doctors are suggesting for dialysis.Even her kidneys are smaller in size from the Ultrasound report that was taken in 1991. (left kidney was 7.8 * 4.0 cm and right kidney was 7.9 * 4.3)We want to avoid the dialysis.Please suggest some alternate way whether natural or by medicines.I am writing to you with a very positive sign for hope and want to avoid dialysis.Please reply me with a detailed answer Thanks a lot for your cooperation.

### output:

Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i understand your concern.There are only two options in kidney failure, dialysis or a kidney transplant. Medical treatment alone, will not help in reversing damage to the kidneys. The kidney function reports in your mothers case, will need urgent treatment. Delay will cause further deterioration of the kidneys. You may send all reports to me, as a direct question, for an expert opinion.  Chat Doctor.  Manga.