What are the risks of kidney transplant in a diabetic and hypertensive patient with multiple medical conditions?

Question

Hello doctor,

My father underwent heart bypass surgery two years ago. Both his kidneys failed after the bypass surgery, and he has been on dialysis for the last nine months. Last month, while performing dialysis, his blood pressure got high, and he started vomiting. After that, he has not been well. He had a brain hemorrhage, and his EVD surgery was done. He was in a coma for 3 to 4 days. He got discharged from the hospital after a month, but he is not able to walk or sit. He has back pain after the dialysis. His kidney transplant is possible, but it is risky as he has diabetes and high blood pressure. I do not know what to do. Please help us.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

Your father has serious health issues. He has hypertension, undergoes regular dialysis, and has a history of a brain hemorrhage. Along with that, age is another factor that is considered important for a kidney transplant.

The risk factors vary from patient to patient, and it depends on the patient's overall health at the time of surgery. If the treating doctor has suggested a transplant option, he knows your father's overall health. Before the surgery, he will explain all the details to you. Your father's blood pressure must be controlled well before the surgery to avoid complications during the surgery. Apart from that, any infection needs to be treated prior, and then further steps can be taken.

Hope it helps.

Feel free to contact me in case of further queries in the future.