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

### input:
Hi ... My mom has been diagnosed with high cretinine levels. Since last 3 months she is on medicines. She has no problem in passing urine and feels hungry too but even with medicines the creatinine level is shooting up. She started with 4.5 level and now it is around 7. The doc says with med it increases but should come down then. In between it came down too a couple of times. But since last 2-3 days it has shoopted up to 6-7 levels. Earlier it was between 5 and 5.5 10 days back. Now doc has suggested renolog med for 3 weeks and see if it comes down else suggested dialysis . Please help as if the med is ok or not. Before renolog he even gave Cudo Forte for 10 days which helped in geeting the levels down from 5.8 to 5.1

### output:

Hello Saurabh, greetings from Chat Doctor.come am Chat Doctor.  Your mother has been diagnosed with high creatinine levels recently less than a year, you have not mentioned her blood urea and uric acid levels which is very important in your mothers case. Also, I would like to inquire about her co morbid conditions like diabetes, because we have to rule out any medicinal cause of increase in creatinine. You have not mentioned the age of your mother but if she is less than 50 years then please get ultrasonography of whole abdomen with renal Doppler study, which will rule out any structural abnormality. We have to be sure it is primarily a kidney disease and not secondary to other cause, as if your other have kidney disease then she has to lead very disciplined life also need a lot of support from family members. If she is an established case of chronic kidney disease I ask you to restrict protein in her as it may lead to increase in creatinine. The medicines you mentioned are new supportive medicine which is used to renal health. Although no substantial trials have been publishes, small trials with some patients have revealed it to be beneficial in preserving kidney function and prevent further damage. There is lot to discuss kidney disease and I have tried to give some idea relevant to your mom. For more information discuss with her doctor. Hope Io have been lucid in her approach. Take care