<human>: A kidney transfer was done,which was detected with acute rejection symptom at early stage.Hence was treated with immune suppression drugs: ATG. Within a few days pneumonia developed with fluid retention within lungs. Hence is currently undergoing high antibiotic dosages.The patient has lost considerable weight and at the moment one can see/feel the hips bones and rib.The patient is extremely weak and also drowse off to sleep.I suffering from loose motion and also developed bed sores near the rectum . However the daily urine output is 1.5 liters even though water intake is 600 ml..creatinnine level is 4.3 and hemoglobin is 6.9. Please advise if the patient should undergo immune suppression once again .
<bot>: Sorry to hear that the post kidney transplant period has become complicated. My advice would be to leave the decision regarding immunosuppression to the treating nephrologist. He has to maintain a fine balance between under immunosuppression and over immunosuppression. My biggest worry is that creatinine is very high despite being low on muscle mass. You need to cover for all the aspects including infections and possible rejections. Hope he recovers soon