<s>[INST] Hello... My Grand Mother is have having a Kidney Problem, Doctor strongly recommended to do dialysis to  get her out of risk level, she was seriously suffering from breathing Problem & burning sensation in throat.. Is there any other treatment with out dialysis, which make her kidney works...Looking for your reply... Thank youRegards,Hani Shakir.YYYY@YYYY [/INST] Breathing problem is probably due to fluid overload state which is one of the indications of starting dialysis. If you want to delay dialysis further, strict fluid restriction (less than 400 to 500 ml per day or just less than the urine output) should be ensured. But eventually dialysis will be required in the future. But definitely, you can delay it. Regarding burning throat pain- it may also be due to gastroesophageal reflux secondary to uremic gastritis. You can try pantoprazole and prokinetic group (risperidone like) of Chat Doctor.  But if it fails, then again dialysis will be required. Only one option which can avoid dialysis is transplantation of kidney, but again it also depends on many things like age of the person, suitable donor availability, comorbid conditions and expected life expectancy etc. </s>