Stage 3 kidney failure with creatinine 4.0 , should Dialysis start ?

Stage 3 kidney disease is a excessive of one's kidney disease is become kidney failure . So we should pay more attention to this period .

Creatinine 4.0 is also much higher than the normal value 0.6-1.2 .

In Stage 3 CKD eGFR is approximately 30-60%: eGFR 45-59 (3A) or 30-44 (3B). Remember that eGFR is an estimate (more info on eGFR) and may require a correction for (black) race.
Creatinine and eGFR in an individual are usually quite stable. Deteriorating renal function needs rapid assessment. Note that CKD staging and management outlined below are only applicable to stable renal function.
Assessment and management of Stage 3 CKD.
Most Stage 3 CKD can be appropriately managed in primary care. The aim is to identify individuals at risk of progressive renal disease, and reduce associated risks.
Risk of cardiovascular events and death is substantially increased by the presence of CKD. The risk of cardiovascular death is (on average) much higher than the risk of needing dialysis or a renal transplant.
Some patients need further investigation where there are indications that progression to end stage renal failure (Stage 5) may be likely. Pointers to progression of renal disease are:
Proteinuria - the risk is graded, but a common cut-off for investigation is ACR>70 or PCR>100
Haematuria of renal origin
Declining GFR - more info

Young age

Stage 3 kidney failure with creatinine 4.0 , should Dialysis start ? You should according your protopathy , clinical symptoms and the report of examination .

It is hard to get rid of Dialysis ,once you start .So you should Carefully choose therapy .In my mind You can choose Micro-Chinese Medicine Osmotherapy , or other Chinese Medicine to treat your kidney disease .

Have any questions ? Contact me through kidneyfailure@hotmail.com  .