<s>[INST] res sir age of my daughter is 4.1/2 yrs she has polycist kidney deases and she is weak and also problme in walking she is taking madicine. but there is no satisfactory iprovment.so i kindly request to that pls send the suitable treatment.sir i am poor. [/INST] HI... Once polycystic kidney disease is diagnosed, the frequency of outpatient follow-up with the nephrologist depends on the degree of renal dysfunction and on complicating features, such as a failure to thrive, nutritional and feeding difficulties, hypertension, electrolyte disturbances, urinary infections, and hepatic fibrosis (i.e., portal hypertension). I am sorry for the problem you are facing. But ultimately the kid might require a kidney transplant or a dialysis. Regards -  </s>