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Down to a trickle

Writer's picture: Nikhil DayalNikhil Dayal

I suffered extreme fatigue and breathlessness in November 2019. When I visited the physician, I was recommended hospitalization- as my blood pressure had shot up to reach 230/150.


The reason for the same was a mystery until I was tested for kidney issues. The results came out. I had kidney issues.

In a couple days the breathlessness got out of hand and I was gasping for air at one point; after which I was shifted to the ICU. Here they measured my urine output multiple times in a day. The doctors asked me if I had noticed a drop in the (volume of) urine I passed. The question seemed peculiar as I hadn’t noted any. Tracking the (quantum of) the same became a regular activity. It was decreasing by the day….. not a good sign. Everyone seemed tense.

The routine of registering my piss-volume had begun.


Soon it was decided I needed to get dialysis. Everyone spoke of it with so much dread… I was worried (about) what it was……

First they said I may need just one dialysis session and it may get better…… but it was not to happen. I didn’t have much idea about what was going on; the information was not very clearly relayed to me.

In some time, the diagnosis stated my case to be of a CKD and not the other (AKD). Dialysis became a norm. I changed hospitals, but the urine count remained low.

My biopsy reports signaled my kidney was recoverable, albeit only within 3-4 months of regular dialysis care (from the start of the procedure). That didn’t happen. I used to calculate my output with so much hope (in this period).


Those 3 months were highly stressful. After waiting long enough, the Doctor informed us I needed a new kidney. I had been preparing myself for the eventuality…. So even though it felt bad, it didn’t seem unprecedented.

I was somewhat relieved I wouldn’t have to keep count of the output anymore.

Currently, I urinate very little, more in drops/day than in liters/milliliters.


As my father once (quite callously) said, it’s down to a trickle.

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