Dr. Abid Bashir, M.D.

Several factors determine the need to start dialysis like your mother exercise capacity,protein or Albumin level,other chemical like potassium and bicarbonate are not significantly out of range.kidney Failure also can cause pericarditis(inflammation in the membrane around the heart) and how your mother appetite is or she is loosing weight.

Only her treating physician after taking,examining and after review of her most recent lab work can determine when dialysis need to be imitated.

Delaying dialysis can cause muscle weakness and cognitive function (thinking,confusion)to get slow done.

Rising creatinine mean further loss of kidney function.there is several other lab test like potassium,bicarbonate,Albumin is important to make decision weather your mom need to initiate dialysis. When creatinine rise to this level patient has several other chemical abnormalities and associated symptoms that majority of patient need to start dialysis orders keep going.certainly people can die with complications of kidney failure. In short it is relative emergency to discuss results and opinion of treating kidney specialist that urgent dialysis is needed or not..

There are several causes of blood in the urine some are benign like bladder or urinary tract infection, kidney stone, but polyps or tumor in the kidney and bladder can also cause blood in urine. Kidney injury, chronic inflammation in the kidney called glomerulonephritis can be associated with blood in urine. There are other systemic causes of blood in urine.
First, you should see your family doctor who can run urine test and blood test to see if there is concern of bladder infection or kidney injury is the cause. Imaging like kidney US or CT scan of kidney can exclude kidney stone or kidney tumor or cyst. For bladder issue, a urologist may recommend cystoscopy, looking inside the bladder by scope.
I hope it helps to clarify your questions.

Typically, a urinary tract infection means a bladder infection and does not cause kidney failure. But if a urinary tract infection flares up and gets into the blood stream, then it can make a patient very sick. Infection can cause low BP, and low BP in itself can cause kidney tubular damage and kidney failure. Sometimes, UTI signifies a kidney infection rather than a bladder infection and can be more serious than just a bladder infection.
Your healthcare provider can differentiate a bladder infection from a kidney infection and can treat you optimally so that it does not flare up and result in complications.
I hope the above answered your questions,if you need additional clarification, then do elaborate on additional concerns or questions.

Ciprofloxin can itself can cause kidney disease. Ciprofloxin and medicines like Ciprofloxin need to be used cautiously in the elderly and in patients with kidney disease. Dose of Ciprofloxin also needs to be adjusted in patients with known kidney disease.

Hypertension can lead to kidney failure if it remains uncontrolled as well. Hypertension can be a manifestation of already low grade or full blown kidney disease. Some familial kidney diseases also present with hypertension and protein in the urine. Certain BP meds and level of BP control varies with each person with other patients' medical conditions. Your family doctor or nephrologist can identify the cause and effect relationship of hypertension, appropriate BP medication, and goal BP for individual patients.

Minimal protein in urine can be benign (meaning it can be related to acute illness, fever, exercise), but it is also an indicator of kidney disease and over time can get worse and may lead to kidney failure. Your primary care doctor can answer if it is significant enough to require evaluation by a nephrologist.

Nephrologists do metabolic profile by doing 24 hour urine collection to see what kind of kidney stone your kidney is making and can advise to modify your diet and can prescribe medication to reduce the risk of recurrent stone formation.