Hello Dr. I am writing to you for my father who is 86 years old. He is diabetic and has a pacemaker implant. Last year, his hemoglobin fell to 8 which was due to bleeding ulcers in the stomach caused due to the blood thinning medicine. However that was brought under control. Over the last 3 months his creatinine has gone up from 2.1 to 4.3, The doctor has suggested that we should now think of a dialysis. I would be greatly thankful if you could advise if a dialysis is required at these creatinine levels with his condition? Thank you and best regards.

I am unable to recommend medical treatment without performing a complete history and physical examination.  Your father has very low kidney function and you should consult with his nephrologist as to the best course of action.  Dialysis in someone who is 86 years old and has other medical illness can be quite challenging.

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