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A 32-year-old member asked:

copd + renal failure not a candidate for dialysis?

2 doctor answers6 doctors weighed in
Dr. Sue Ferranti
Internal Medicine 29 years experience
Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment.
Dr. Dennis Clifford
A Verified Doctoranswered
A US doctor answeredLearn more
Not necessarily: Depending on the severity of the copd, dialysis may be a very reasonable treatment for end stage renal disease.

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A 40-year-old member asked:

What special issues face older adults who have dialysis?

2 doctor answers4 doctors weighed in
Dr. Marsha Davis
Internal Medicine 28 years experience
Same as others: Only older adults usually have less reserve, tire easily and are more prone to infections.
A 31-year-old member asked:

What is chronic bronchitis? What is the difference between chronic bronchitis and copd?

3 doctor answers6 doctors weighed in
Dr. Carlo Hatem
Pulmonary Critical Care 25 years experience
Chronic cough: COPD is chronic obstructive pulmonary disease, is an umbrella diagnosis that includes emphysema, and chronic bronchitis, some people also include asthma. In chronic bronchitis, there is chronic inflammation of the bronchial tubes resulting in cough and phlegm production. The most common cause is smoking.
A 35-year-old member asked:

My grandmother has emphysema, is her heart more likely to fail?

3 doctor answers6 doctors weighed in
Dr. Aaron Milstone
Pulmonology 27 years experience
Yes and No: Emphysema mainly causes dysfunction of the right heart (called cor pulmonale). This usually happens only when the disease is severe/advanced. It can also cause pulmonary hypertension (high pressure in the lungs). Emphysema is usually not a cause of left heart dysfunction although heart disease is very prevalent in patients with copd/emphysema.
A 21-year-old member asked:

Is emphysema contagious?

4 doctor answers10 doctors weighed in
Dr. Kevin Considine
Family Medicine 30 years experience
No: Emphysema is acquired by a combination of environmental and genetic factors and is especially worsened by any exposure to airborne pollutants and contaminants - ie exposure to tobacco smoking primary and/or secondary and things like asbestos etc. Not by being exposed to those with emphysema.
Altoona, AL
A 40-year-old male asked:

What. Is lowest kidney function can get before dialysis is required?

2 doctor answers3 doctors weighed in
Dr. James Cain
Nephrology and Dialysis 36 years experience
GFR 10: This differs for everyone but in a relatively narrow range. Some patients with cardiac disease benefit from dialysis at higher GFR (low creatinine), african americans seem to tolerate higher creatinine without symptoms. In general convert the creatinine to egfr (online calculator) and expect dialysis at egfr less than 15 ml/min.

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Last updated Jun 10, 2014

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