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

### input:
Dear Doctors,Good Day. I would like to ask if there is a possibility to stop the dialysis? My brother in law, 34 years old, has started his dialysis last August 2010. His dialysis is done twice a weak. His Kidney ultrasound report are Both Kidney are small in size with relatively smooth outlines. Renal parenchymas appear isoechoic to slightly hyperechoic relative to the liver and spleen with fairly defined cortico - medullary demarcation. Both pelvocalyceal systems are not dilated. No focal lesions, calcifications nor calculi seen. The ureters are not visualized 9not significantly dilated). The urinary bladder is adequately distended with smooth mucosal lining. No intraluminal echoes noted. Impression: bilateral Chronic Renal Parenchymal disease and Sonographically normal urinary bladder. How serious is his condition? Is still theres a possiblity that he can recover and stop the dialysis. but as we are observed his condition become worse. He is suffering for difficulty in breathing as well as a cough that last more than months already. His hemoglobin is sometimes dropping down and we need to transfused him blood. His transfusion is as often as 2 bags per month. Please help us understand his condition. Thank you very much

### output:

HelloThanks for query. The ultrasound report and clinical symptoms that your brother-in-law has suggests that he has Chronic Renal Parenchymal disease in a broad common term called as kidney failure. The function of the kidney is to excrete out waste products of protein metabolism (Creatinine and Aria) out of our body through urine. Once the kidney function is deranged this waste product are retained in blood causing all the symptoms and reason for general poor health. The dialysis works as a substitute to kidney and temporarily Chat Doctor. Since kidney damage is irreversible it can not be cured by medicine. The only other permanent option to avoid dialysis is Renal transplant surgery.whereby a normal functioning kidney from a healthy donor is transplanted in patients body which carries out the function of kidney to have normal healthy life. .