<s>[INST] My son is 32 yrs old and has just found out through blood work that his kidneys are functioning at 45 per cent and he has elevated protein in his blood work. He also says that every time he drinks water he has to go to the bathroom right away. He was checked for diabetes and does not have it. What does this mean [/INST] Thank you for choosing Chat Doctor I have looked through the question and can understand the stress that you must be facing. Based on the question, nephritic or nephrotic kidney disease. There is a chance that there is a chronic renal failure in which the body is not able to excrete the waste substances in the body. This will be most evident with a high level of creatinine in the blood. There are a few modalities of treatment for this. You can start on conservative treatment initially and if your son is stable, then he can control his diet and lifestyle habits so that he can avoid dialysis. Dialysis eventually will start as the kidney function worsens. After some time, itching of the skin and rashes will become prevalent. At this point, I would recommend him to get treated with dialysis. You can also start dialysis early to help him not develop any symptoms. Do talk to a kidney specialist, and you can confirm the Doctors opinions with me. All the best for your son.  Chat Doctor.  </s>