Q: Is it necessary to loose some weight after getting dialysis process & if a patient is not lossing the weight after getting dialyize then is it ok for him. actually my mom is gettin dialysis ones in a week & doctors are forcing for twice in a week . & after the dialysis process my moms weight is same as before dialysis.is this right thing? while asking they say its not ur job ? i just want to confirm that whether they r right or they are playing any MISCHIEF with us we are in surat at mahavir hospital.plz clear my doubt .......im very much tensed....... 2, which is the best institute for transplat in comparing of BANGLORE & NADIAD? & sir where the percentage of operation sucess & caring is done more effectively. what amount is require for the operation ? sir your enquiry will be more effective then we make. we totally depends on your suggestion so plz make it as clear as u can . thankyou.

A:Since you have provided rather incomplete information regarding your mother, I shall be making some assumptions while giving you suggestions. I am not sure for how long is your mother on dialysis and how much urine she makes in a day but ordinarily patients who make minimal urine(<300-400 cc) are expected to gain few kilos between dialysis sessions if their intake is proper. If your mothers weight remains unchanged after dialysis, there are two possibilities. Either she is making good amount of urine or she is eating very poorly. If latter is the case, then it is a bad sign since she may need more dialysis. Scientific studies have indicated that patients who have no kidney function at all and who are not dialyzed adequately have higher mortality. On the other hand, if she is eating properly and makes good amount of urine, her kidney function needs to be reassessed(remeasured) to determine that if she in fact needs dialysis or not. As far as recommending a transplant center is concerned, I shall refrain from advising you for or against any particular center on a scientific basis as I am not aware of any studies showing superior outcome from certain center over the other. However, you may consult with your local nephrologist who may advise you on this subject.