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

### input:
Dear Sir,I am 33 yrs old male, was diagnosed renal parenchymal disease two yrs back and since then I was under treatment. At that time my creatinine was 4 and I was taking medicine, Alphadopa 500, MinipressXL5, Amloguard 5, Dytor 10 and the vitamins. But the creatinine level increased each month and it reached up to 10 and my Nephrologist advised me to go for Dialysis. I am on dialysis now since six months but the condition never improved. Now my thighs are jammed and I am unable to walk freely. My BP is always high like 140/95.Pls advise me whether it is curable or not? And also advise me what should I do next to survive healthily?

### output:

Hello, You are suffering from chronic kidney disease(CKD). it's a non-reversible disease in which both kidneys are affected leads to reduction in kidney size along with decrease in function. When kidney function decrease less than 30% then dialysis is the mainstay of treatment to wash out the toxic products. But dialysis is not the cure of this disease. In fact, dialysis only helps to improve your quality of life and decrease the morbidity. According to your description, you are too young to develop this disease. Generally this disease occurs in some high risks like Diabetes, Hypertension, connective tissue disorders. As your blood pressure is high but CKD itself leads to high blood pressure, so your medication is good according to your disease. If BP is more than 140/90 then increase your Tab Armin 0.1 mg thrice a day. So there will be two approaches. First to manage regular dialysis to keep your serum creatinine lower side along with improved quality of life. Second is to find out the exact cause for CKD in this young age and treatment according to that. And for future, if possible then think of kidney transplant also for permanent treatment or in your word for cure of this disease. Thank you