What is the treatment for high creatinine level 4.9 in FSGS? Creatinine of 
4.9 means the condition is already in stage 4 chronic kidney disease, the second 
advanced stage of kidney disease.
1. Blood purification
Blood purification is a nonspecific treatment method.Based on the types of 
waste products in blood and kidney damage degree, corresponding blood 
purification method will be applied to eliminate waste products from body.It can 
lower creatinine 4.9 effectively, but has no significance in improving renal 
function in FSGS.
2. Micro-Chinese Medicines Osmotherapy
Micro-Chinese Medicines Osmotherapy can be a natural therapy for CKD. This 
therapy continues to be requested decades of several has showed enormous 
therapeutic effects. With effective treatment, the patients with kidney failure 
is able to steer clear of the onset of dialysis or get rid of it.
3. Diet
Patients with FSGS should have a low protein diet. Because creatinine is 
found to mostly exist in rich protein food, for example meat. However, they can 
have more intake of high quality protein food such as fish, milk. High quality 
protein can produce few wastes and supply essential amino acid. And they should 
have a low salt diet. Because high blood pressure is a common complication of 
FSGS. High blood pressure does harm to kidney function, leading to more severe 
edema and high creatinine level. Finally, due to edema, they should limit water 
or fluids.
4. Exercise
Taking regular exercise can be beneficial to patients with FSGS. Jogging, 
walking and swimming are good choices.Try to avoid strenuous exercises, as these 
physical activities could also increase your creatinine.

