My question is that my brother is suffering wth bilateral chronic renal disease. His serum creatinine is 5.2 and his kidney size is about 8.0×3.4 cm and 8.0. He is diabetic but his blood sugar is in very good control but his blood pressure varies 120/80 to 170/110 because of tension. Is there any treatment with oral medications without dialysis?

I suggest that your brother consult with his nephrologist.  I cannot recommend treatment without performing a complete history and physical examination on your brother.  If he has chronic kidney disease (CKD) from his diabetes and high blood pressure, then treatment should be aimed at his diabetes and high blood pressure.  There is no specific treatment of the CKD without addressing these issues.  His blood pressure should be less than 130/80 and his hemoglobin A1C should be between 6.0 and 7.0%.  CKD is treated by treating the underlying medical problems.  His kidneys are quite small consistent with CKD.

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