Does early uremia with creatinine of 423 require dialysis?

Patient's question:

I have a colleague who has always been in good health, but recently, she suddenly took a year off. I and my other colleagues went to visit her and learned that she has uremia. Does early-stage uremia with a creatinine level of 423 require dialysis?

Doctor's answer:

For patients with creatinine levels of 423, hemodialysis can be performed 1-2 times a week, or treatment can be administered through drugs that reduce creatinine. However, in the later stages of the disease, creatinine levels in patients will gradually decline. Ultimately, hemodialysis treatment is still required. Additionally, kidney transplantation can also be an option, but the cost is relatively high, and post-transplantation, anti-rejection medications are also necessary.

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