Hi DoctorCan you pleasse help with below query for Kidney? My son is on CAPD and his creation is at 8. I dont see him as sick and he is perfect and no swelling. Not sure whteher he has kidney failure or not becuase his urine outpout is good but Kidney sizes are small in size  as per abdonamal scan report Right kidney 7.2 & Left kidney is 7.0 cmParenchymal Thickness is 1.2 and 1.3 ( a month ago, it was 0.8 & 0.9)Breadth 2.9 cm & 2.4 cMBoth kidneys are slightly reduced in size and showes increated echotexture.Cortico-medullary diffrentiations are well made out.No evidence of calculus or hydroneprosis.Can you please help to undesstand this case better?it is for my son 11 years old.Jampani
HiT hanks for your query. If your son has a serum creatinine of 8 then he has kidney failure. He needs to continue regular CARD. What is the cause of renal failure, and Can this condition be reversed? We need more information about the patient including his lab reports to comment on that. If it is irreversible then we should start planning for a kidney transplant. Hope this helps Good luck