Doctor insights on:
Bruising With Dialysis
I have an av fistulla made 3 yrs. Ago. I'm on dialysis, i lift 5-10 pds. After lifting, i noticed a bruise near the access, can I continue to lift?
No: Please have the av shunt checked for leakage and patency. ...Read more
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
Can Ccr be 9.7 ml/min if S.Creatinine is just 2.37 mg/dl? S. Cr is consistent for 3 yrs. Does that mean I need dialysis, or it may be lab error?
Subscientific: This pathologist doesn't believe in the "estimated GFR's" from spot creatinines. The idea of dialyzing somebody with a creatinine 2.3 is bolt stupid. I'll bet your nephrologist -- if you've even been referred -- will tell you the same thing. Just watch your diabetes and your hypertension and hopefully we can keep this under control. ...Read more
Can my uncle who's in his 30's succeed the operation of a transplant kidney? He has CFR and his creatine is 8. Should he be on dialysis, or operation?
Must be evaluated: Most patients in their 30's will qualify for a kidney transplant. However, they must be good surgical candidates, must accept the risks of transplant (the anti-rejection medications have important side effects), and must be good caretakers of the new organ (keep medical appointments, take their medications on time, etc). If these criteria are satisfied, transplant is a better option than dialysis. ...Read moreSee 1 more doctor answer
Two yrs ago, an IV in left arm, hurt so bad, to remove it, i was given morphine. Now i may need dialysis, but my right arm is my dominate. Will they s?
Access placement: If you decide to go on hemodialysis, your vascular access should be a arterio-venous fistula (avf). That is normally placed in the non-dominant arm. Another option is peritoneal dialysis (pd), where a catheter in placed in the peritoneal cavity so no arterial access is needed. See the image on the right. The catheter is not placed in any abdominal organs. Discuss pd with your nephrologist. ...Read more
Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read moreSee 1 more doctor answer
2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...Read moreSee 1 more doctor answer
Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read moreSee 1 more doctor answer
The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read moreSee 1 more doctor answer