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Doctor insights on: Bruising With Dialysis

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Dr. Quresh Khairullah
518 Doctors shared insights

Dialysis (Definition)

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


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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?

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

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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?

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

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How is dialysis performed?

How is dialysis performed?

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 more

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How many forms of dialysis are there?

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 more

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My creati ine is 480 do I need dialysis?

My creati ine is 480 do I need dialysis?

Not clear: I'm not sure on the units in your value or if there is a decimal missing.
A creatinine of 4.80 mg/dl is abnormal and requires investigation.
A creatinine of 480 micromol/l is also elevated and requires evaluation. ...Read more

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What is fatty deposit in dialysis tubing?

Not sure: Couild you be more explicit, I never heard about that akthough I take care of dialysis patients. ...Read more

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When is it necessary to commence dialysis?

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 more

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Where is the perma cath placed for dialysis?

Where is the perma cath placed for dialysis?

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 more

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What creatnine level are you placed on dialysis?

It's all relative.: A rising creatinine is a sign that your kidneys are failing. Dialysis is a type of kidney replacement therapy which needs to be started when you and your doctor decide that the time is right. This may be due to your just feeling lousy or due to specific medical threats to your health--high potassium, heart failure, etc. Once your creatinine is over 2, you need to see a nephrologist. ...Read more

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What are the physical effects of stopping dialysis?

Multiple things: You can become uremic leading to pericarditis, nauseas/vomiting, altered mental status, and comatose. Also you can and likely will become hyperkalemia (increase in your potassium) and if this persist you will die from a cardiac arrthymia. Also you will have itching from increased phosphate. It's best not to missed dialysis. ...Read more

Dr. James Lin Dr. Lin
1 doctor agreed:
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Salting in, salting out dialysis, what is this for?

Dr. James Lin Dr. Lin
1 doctor agreed:
Salting in, salting out dialysis, what is this for?

Here is some...: Dialysis is to help patients with end-stage kidney disease to temporarily handle body fluid, electrolytes, & others by adjusting the electrolyte concentration of circulating fluid so to equilibrate and temporarily restore the electrolyte balance. As to "salting-in & salting-out", it simplifies the idea to balance electrolytes as briefed above. Besides, ask your nephrologist timely. ...Read more

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What all are the conditions when dialysis is suggested?

What all are the conditions when dialysis is suggested?

Kidney...: When dialysis is needed is because the kidneys are not able to work on their own so an artificial "filter" is needed to get rid of the waste that your body produces. What conditions cause kidney failure? Too many to list here but the most common ones are: hypertension, diabetes, kidney tissue damage, medications, autoimmune disease, kidney stones or masses, severe infections. ...Read more

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In what ways are dialysis and isotonic, hypertonic, and hyptotonic solutions related?

Different Solutions: Tonicity refers to concentrations of molecules that cause water to move from one side of a semipermeable membrane to another. Moving water out of a dialysis patient's blood along with waste products that also need to be removed requires a hypertonic solution. Isotonic means that there is no will be no movement of water, etc. Hypotonic means that water will move back into the patient. ...Read more

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If you skip dialysis are there risks?

Yes: From something as simple as being a bit tired to more serious complications of excessive fluids and difficulty breathing as well as accumulation of waste products that can lead to some really serious medical complications. Skipping dialysis is simply put, not a real wise choice. Please, please, please discuss this with your doctor and get all of the facts. ...Read more

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Can you be fertile while on dialysis?

Yes: Pregnancy is possible but carrying the baby to term is difficult. ...Read more

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Should I have a baby and go on dialysis?

Should I have a baby and go on dialysis?

Ask your doctor: I have cared for women who have had children while having severe renal disease. The key is working very closely with your doctor and paying careful attention to your medical treatment. ...Read more

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Laminine can be used for dialysis patients?

Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, I would strongly recommend you talk with your kidney doctor. ...Read more

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What happens if you skip dialysis appointments?

Bad things: If you miss your dialysis appointment, a whole slew of bad things can happen. As dialysis helps in maintaining the proper equilibrium of acids/bases, salts etc in your blood, missing your appointment can lead to an imbalance in your blood. This may lead to fainting, weakness, heart complications, and death! Essentially, wherever blood may flow, problems can emerge from those organs. ...Read more

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How high the keratin has to be to need dialysis?

How high the keratin has to be to need dialysis?

Kidney function: Creatinine, not keratin, is a substance excreted by the kidney. High levels in blood may indicate decreased kidney function. Usually creatinine level is plugged in a formula, to calculate the kidney function. If the kidney function is less than 10-25%, usually dialysis is planned. If the creatinine rises from 0. 8 to 1.6, it means 50% decline in kidney function. ...Read more

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How many diabetics need dialysis?

Big problem: Diabetes is the most common cause of new patients requiring dialysis, accounting for about 45 percent of cases in the United States. I am not sure what percentage of diabetics develop end-stage kidney disease, but it is declining due to a number of factors. ...Read more

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What is the treatment for dialysis poleneuropathy?

What is the treatment for dialysis poleneuropathy?

Dialysis near: 53 M Greece asks: What is the treatment for dialysis polyneuropathy? ANS: Depends on what is causing it. Can be B12 def, Diabetes, hypertension. Most likely do to inadequate dialysis and is really uremic neuropathy. If none of the above the a trial of more frequent and/or longer dialysis may be in order. ...Read more

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Can a dialysis patient take epsom salt?

No: Epsom salt is Magnesium Sulfate and ingesting excess magnesium while on dialysis is not a real good idea. I strongly urge you to talk with your doctor about this question. He/she can give you more detailed information and advice. ...Read more

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How does a renal dialysis machine work?

Good question: Dialyzers are made of a polyurethane capsule within which hollow fibers or parallel membrane plates are suspended in dialysate (dialysis solution). The fibers or plates act as a semipermeable membrane across which blood and dialysate flow. By crossing this membrane, solutes and water move between a patient's intravascular compartment and the dialysis fluid contained within the dialyzer. ...Read more

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What does an av fistula for dialysis mean?

What does an av fistula for dialysis mean?

Arteriovenous fistul: It is an arteriovenous fistula. It is a surgical connection of an artery and a vein. Once "mature", it is where they insert the needles for the blood to flow to the dialysis machine. It can take 3 months or so from "creation" until it is ready to use. ...Read more

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Can kidney dialysis effect male fertility?

Can kidney dialysis effect male fertility?

Chronic illness: Any chronic illness can have an impact on male fertility. One must consider the cause of the kidney failure, what medications or treatment the person has taken and is currently on, and how well they are responding to the treatment (intraperitoneal or hemodialysis). The better controlled the illness the less impact on fertility. ...Read more

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Is dialysis necessary to cure kidney disease?

Is dialysis necessary to cure kidney disease?

No: Dialysis does not cure kidney disease. It replaces enough kidney function to allow support and survival while the kidneys get better or, if kidney failure is permanent, until transplant can be considered. Some permanent kidney failure patients remain on dialysis for the rest of their lives. ...Read more

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Is there an alternative treatment to dialysis?

Is there an alternative treatment to dialysis?

Yes and No: Depends on your degree of kidney failure. Transplantation is the best solution to kidney failure. There is also home dialysis therapies which patients tend to like much better than in center dialysis. Ask about your options. ...Read more

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Has long does a peritoneal dialysis tube last?

Years unless: Infection or mechanical complications like unexpected damage to a catheter may end up causing catheter to be changed. ...Read more

Dr. Melissa Gowans
1,438 Doctors shared insights

Ecchymoses (Definition)

Ecchymosis = subcutaneous bleeding covering a diameter ...Read more


Dr. Melissa Gowans
2,095 Doctors shared insights

Bruising (Definition)

Bruising = a contusion with ...Read more