Hi Zach. Is she closely following a renal diet? I know it's not fun, but will definitely help her feel well and keep the fluid off. Especially cutting back on salt and processed foods.
As for when she will go on dialysis, they don't really know. They never do and just give you a guess. My center doesn't even begin teaching about options until your creatinine hits about 3.5 or so. Granted, I am considerably tougher (and maybe a bit stupider) than most, but I didn't go on until I hit about 10.
Backing off on the diuretic can help the cr. levels. It puts less pressure on the kidneys. As long as her bp remains ok, that is a good thing.
I know she is tired. I've been there. But remind her of all the good things in her life (like you!). Dialysis can be ok. I especially preferred peritoneal dialysis which can be done overnight at home. It's not as pushed in the US as it is in Canada (we invented it). It is seen a bit as "third world" option and doesn't earn as much money too.
Doctor's don't often say that it's "acute" kidney failure, as most often it's chronic. This implies (although there are no guarantees) that her kidney function may improve significantly.
Yes, it is possible for kidney function to take a nose dive but when they say "acute", sometimes it returns to where it was before. There is no real way to tell though. It may or may not improve. You just have to wait and see.
As for how long she might have, in part that depends on her. If things don't improve, is she willing to look at the options of dialysis and/or transplant? You don't mention what her creatinine is right now. Is she in hospital? How old is she? I had a lovely lady beside me in dialysis who was in her 80s and did quite well.
Sorry I can't answer your questions clearly. Give a few more details. I hope your Mom does ok.
What does his nephrologist say? He really should be starting dialysis. This will help to make him feel better. Was it a sudden decline in kidney function? It is easier to make these dialysis decisions when you've had some time to ponder what options you want to take. All in all, dialysis isn't a lot of fun, but it's do-able.
Serum creatinine isn't really related to weight, it's related to muscle mass. So unless you've also put on a lot of muscle, or if the lexapro affected your kidney (not sure if it does or not) you should be ok.
I have a kidney transplant with a stone in the new kidney. It hasn't affected the function at all. The only thing your Mom might need to worry about is pain. If it does begin to hurt, there are treatments.
I"m sorry to tell you that there is no way to know. A doctor who has all your medical records might be able to hazard a guess. But the truth is that even for a doc it will still be a guessing game.
Why won't you go on dialysis? I felt that way about 15 years ago. I eventually did go on dialysis (I have a strong will to live) and it wasn't anywhere near as bad or horrifying as I though. I was on for a year, got a kidney from a cousin I barely knew, and it has been successfur ever since.
There is hope - you should think about it. There are several different ways to do dialysis and it can be quite easy to do without requiring you to spend 4 hours in a chair at a center.
To be honest, they hadn't adopted the "stages" yet when I was at that point. I think my creatinine was probably around 300 (about 3.5) when I needed the calcium from the tums.
I am never 100% convinced of how much these things will actually affect a kidney. I suspect that part of the issue is that it hasn't been extensively studied yet. I always trusted my neph that a drug wouldn't hurt me (at least not too much). Sometimes it's a necessary trade off. I used to take a bit of Advil when I had my periods due to monster pain. It wasn't good for my kidney, but I couldn't function otherwise.
Just like with diabetes there is no one size fits all diet when you have kidney issues. What he can and cannot eat will be based on what his blood levels of various things are. Seeing a renal dietitian will help. If it is a choice between the diabetic diet and the renal one, you are best to choose the renal one because you can get into more trouble if you don't follow it. Is he on insulin? Getting the books "Using Insulin" and "Think Like a Pancreas" will help.
As for not matching - they have ways around that now. Have you ever heard of something called a paired donation? It's pretty cool. You want to give to your husband. But you don't match. Someone else wants to give to their spouse. But they don't match. What they will do is find you a good couple to pair up with. You donate to the other couple, and their donor gives to your husband. Isn't that amazing? It can be extended to chains too. Donor A gives to Receipient B, Donor B gives to Recipient C, and donor C gives to Recipient A. I think the larges chain had 20 or so couples.
It is better to get a transplant before dialysis. Dialysis only does a small percentage of kidney function. Enough to stay alive, but not always enough to keep you feeling good. You feel much better with transplant and live longer and are healthier.
The good news is that your husband can live a long time. I had protein in my urine when I was about 14. Went on dialysis when I was 38, had a transplant at 39, and am now almost 50. So things can work out.