High Creatinine (4.77 mg/dL): Is Dialysis Needed? Doctors Explain Key Symptoms & Care

• Creatinine at 4.77 mg/dL indicates severe kidney impairment, but doesn't automatically mean immediate dialysis, says Dr. Vijay Kumar Sinha.
• Kidneys filter waste; high creatinine signals poor kidney function, caused by diabetes, high BP, dehydration, infections, or painkiller misuse.
• Dialysis decision depends on overall patient condition and severe symptoms like breathlessness, swelling, vomiting, confusion, high potassium, or no urine output.
• Watch for critical symptoms: swelling (feet, face, eyes), extreme weakness, appetite loss, nausea, breathing issues, itching, or changes in urine output.
• Prevent kidney deterioration by controlling BP/sugar, reducing salt, consuming doctor-advised protein, and avoiding unprescribed medications.

Why It Matters: High creatinine requires medical evaluation; dialysis depends on overall health, not just one reading.