<s>[INST] Hello SirI am Shiv Vinay Sharma From Faizabad.I am suffring form Kidney problem,since Nr.abt back 2-Months.,My Creatinine. Has been.9.1 m/dl,Urea after treatment 105 Now, (Before-136M/dl),   Now Albumine-100 ( Before-Very More Than), & Hb.8.3 M/m/dl,-presently My Treatment running form Lko A Nephrology Doctor, So want to Your Important Consult. [/INST] Hello Shiv and welcome to HCM.As an Urologist,i understand your anxiety.You're having kidney failure,which may need dialysis,depending on electrolytes and kidney function tests. Anemia is a result of that.Now a kidney biopsy is needed,to find out the cause of the failure.Further treatment will depends on reports.You also need to do these tests :1. 24 hours urine protein and culture.2. RBS,LFT,platelets,electrolytes and uric acid,with IgA anti-body tests.3. ultrasound scan-KUB,with residual urine.If you've any doubts,send all reports to me,as a direct question.Dr.Matthew J. Mangat. </s>