<s>[INST] hi my brother is kidney patient n now he is on dialysis heart enlarged hepatomegaly vommiting n urea creatinine raised n very less urine n his bp is 160/100 after taking medicine twice a day i want to know can he cure frm any treatment can his kidneys improved frm frm medicine his age is 27 plz reply me as soon as possible thank you [/INST] Hello and welcome to Chat Doctor. As a Urologist and transplant surgeon, i can understand your anxiety. Your brother has kidney failure, enlargement of heart and liver, with H.T. For kidney failure, hes on dialysis. A kidney biopsy is needed to know, cause of kidney failure. B.P.will be controlled with medication. The cause for omitting, may be due to any of his medical problems.He'll needs to do blood routine, creatinine,LFT, electrolytes,RBS, and U/SUB. Once his medical condition improves, he should have kidney transplant. If you've any doubts, send the reports to me, as a direct question. Chat Doctor.  Manga. </s>