<s>[INST] Mrs. SUMITA DEY 45 Yrs Kolkata India 15 days ago, Blood Report Shows Serum : (a) Creatinine 6.8 (b) Hemoglobin 8.8 mg/dl Uric Acid 85 mg/dl Digonised as Chronic Urinary Retention Catheter was set up and after 15 days, Blood Report Shows Serum : (a) Creatinine 5.2 (b) Hemoglobin 7.3 mg/dl Uric Acid 143 mg/dl After a month of continual catheterisation , Doctor advised for Blood Transfusion . As I declined to take it, he administered Intravenous Ferum Injection and reset the catheterisation for 15 days more. Meanwhile, 1o days after this 2nd phase of catheterisation set up Blood Report Shows Serum Creatinine 9 , increased at abnormal rate. He now suggest fir Dialysis. Is it necessary as only treatment ? What are alternative Treatment? Please advice me what to do. email : YYYY@YYYY [/INST] Hello and welcome to Chat Doctor!can you please highlight your past medical, surgical and Chat Doctor.  It is very unusual for a 45 years old female to have such high renal function tests. Do you have any underlying chronic disease like diabetes, hypertension, etc? Did you have repeated episodes of urinary tract infections? Or any chronic backache issues? Any history of renal calculi(stones). I would also like to see your urine R/E report, whether there is any proteinuria(proteins in urine) or hematuria(blood in urine) also an Ultrasound of kidneys is of great importance here(kidney size, echogenicity and cortico-medullary differentiation is of importance here). Serum calcium, albumin and phosphate levels should be known. Serum creatinine of 9 is really high and merits dialysis (unless it is due to deny </s>