Doctor insights on:
Bump Arm Dialysis
Let someone see it.: Hard to say without the benefit of examining that bump. If it is related to infiltration of blood from a needle inserted into your fistula or graft, then it should resolve with time. If the bump is an access aneurysm, it may need to be managed by your vascular surgeon. Better check with your rounding nephrologist who can better evaluate the bump. Good luck. ...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
Fistula +/- aneurysm:
Dialysis patients need a mature vein that can withstand repeated puncture which is created by diverting arterial flow into a nearby vein.
Needling the same site causes a loss of pain nerve fibers, and thus patients prefer that site for repeated use. This can cause fibrosis and thinning of the wall at that site, resulting in aneurysmal dilatation. This is not in danger of rupturing. ...Read more
Trauma: Repeated trauma from the use of the needles to access for avf builds up over time. If happens to some degree in every patient but can happen more in patients who get the same areas "re-stuck" every time. These are called pseudoaneursyms. Best practice is to rotate "sticks" (needle access) as much as possible. Some patients need to have these operated on in extreme situations. ...Read more
Depends on cause: Bumps must be looked at to determine their nature. Cannot answer without seeing and palpating the sites. ...Read more
Scar Revision: Scars can sometimes be improved with the following methods: 1) passage of time; 2) protection from sun; 3) dermabrasion or laser resurfacing; 4) steroid injection; 5) silicone topical therapy; 6) cosmetics (for camouflage); 7) surgical revision. The methods taht will work best for you will depend on factors seen during an exam. Hope this helps! ...Read more
What cosmetic surgery options are available for scarring/bumps after having a dialysis fistula on your arm?
Plastic surgery: A plastic surgeon would have to exam the area and develop a plan of care. ...Read more
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
Lump on skin: Hemodialysis sites look like engorged veins. If they are "fistulas" (artery connected to a vein) the lump on the skin follows the natural pathway of the vein. Over time these can dilate and become aneurysmal. The arterio-venous grafts are basically synthetic / plastic tubes which are placed right under the skin. These you can see and feel. The actual needle puncture sites develop small scabs. ...Read more
Lidocaine topical: Usually patients who have a lot of pain before needle insertion we give them Lidocaine topical cream that they apply at the site of injection 30 to 60 min before dialysis. It is not over the counter and it should be prescribed by your physician. ...Read more
Itch on dialysis:
If this is only on the arm where he has his vascular access such as fistula or graft it may relate to irritation or allergy to the cleansing preparation solution being used.
Chloraprep is a common one that can cause it.
If it is on both arms and else where it relates to his kidney failure and most commonly a high phosphorous level. ...Read more
Need Catheter: If an av fistula fails in dialysis patients, then they require a dialysis catheter until another long term dialysis access can be established. If all arm veins are too small or scarred, then it is possible to place an av graft (synthetic tube to connect the arterial and venous systems). Av grafts are typically made of gore-tex (ptfe). ...Read more
Numbing of arm: You can do several things to make your arm numb so the cannulation (c) of your vascular access is less troublesome. One is ask the physician to order the nurses to inject some Lidocaine (l) over the sites they use for cannulation, or use some l ointment. Another option is to spray Ethyl Chloride over the access sites of c, this causes the skin to be numb for a brief period of time. Good luck. ...Read more
What do you suggest if my father is on dialysis. His arm is always itching, does anyone know why?
Uremia: One of the most common and bothersone complaints in uremia is pruritis. Discuss with his Dr. As there may be specific issues going on that can be found and helped. ...Read more
Multiple black and blues in one arm only. No injuries. No other symptoms. Hx. Of dialysis, still have the shunts in the arm. Two months ago, hip fract?
Aspirin culprit: But you need it to keep shunt open. Show to nurse. ...Read more
Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis. Is it better or permanent catheter? No other option
Avoid catheters.: It sounds like your vascular surgeon is planning on placing what is sometimes referred to as a "necklace graft." Regardless of their location, and if placed by an experienced surgeon, grafts carry a much lower risk of getting infected than catheters. With this lower risk for infection, people with grafts generally live longer than those with catheters, so catheters are a last resort. Good luck! ...Read more
I have an av fistula in the antecubital space of my arm and a peritoneal dialysis catheter, is there a safe way to play paintball?
Would avoid: High impact paintball may cause damage ask your surgeon what they think. ...Read more
Hey so I am a male and I had a bump/lump under my arm a month/ weeks ago I got worried and it disappeared. Fast forward a month it’s back what is it?
Left arm bumps: More information is needed to make even an educated guess. Are they red? Do they itch? Have they spread from a small area to the entire arm? Is only the left arm involved? Skin lesions are best evaluated by being seen by a doc. Your fp/pcp can examine the bumps after getting a good history & provide you with possibilities & treatment. ...Read more
Several things: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively. ...Read more
Bumps: Are they on the backside of the upper arm? Are they itchy, red? Can you send a photo? Any new creams, lotions, soaps, detergents? ...Read more
Expanding Sore: Please go see a physician in person. You have a problem that will not be solved on the internet. ...Read more
Keratosis pilaris is a common skin condition in which a protein in the skin called keratin forms hard plugs within hair follicles.
Causes, incidence, and risk factors
keratosis pilaris is harmless (benign). It seems to run in families. It is more common in people who have very dry skin, or who have atopic dermatitis (eczema).
The condition is generally worse in winter and often clears in the summ. ...Read more
Well: Well really need to see the doctor sounds like infection so go get examined ...Read more
RAISED FLAT BUMP:
DOES IT ITCH
IF YOU ARE WORRIED SEE A DERMATOLOGIST. ...Read more
I am 32 I have a round bump on my right under arm it's not hard it's soft and it's doesn't hurt much?
Could be a cyst.
See a surgeon. ...Read more
What's causing small areas of skin on my arm to be really bumpy? Bumps are close together and skin-coloured.
Send us a picture:
You can upload a picture of the rash at www. Imgur. Com
the picture will be tagged with its own URL website
You can resubmit the question to us again with the URL address listed and we will be able to view it. This is all done anonymously. ...Read more
I lifted a really heavy bag last week 50 pounds, now I feel a small bump in my upper arm what should I do?
Painful?: Is the bump painful? Probably not related and difficult to say what this bump is without seeing it. Where is it located? ...Read more