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Doctor insights on: Calciphylaxis And Dialysis

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What are hemodialysis and peritoneal dialysis?

What are hemodialysis and peritoneal dialysis?

Dialysis methods: Hemodialysis as the name suggests is directly cleansing the blood of waste, there are incenter ie going to a dialysis unit 3 times a week, and home hemodialysis ie doing it yourself at home peritoneal dialysis is home dialysis with a special fluid instilled nto the abdomen cavity which can also clean the blood through the lining of the cavity. ...Read more

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Dr. Quresh Khairullah
524 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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Protein needs, renal disease and ulcer, not on dialysis?

Protein needs, renal disease and ulcer, not on dialysis?

Complex: Skin ulcerations require adequate circulation and nutrition to heal. Protein restriction is not appropriate in this circumstance. ...Read more

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Dialysis shunt and dialysis fistula the same?

Dialysis shunt and dialysis fistula the same?

No: A shunt, or graft, is a piece of synthetic tubular material inserted under the skin that dialysis needles insert directly into. A fistula is a connection of your own artery to a vein. Needles are then placed into the vein when the wall thickness matures. ...Read more

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What is hemodialysis and peritoneal dialysis difference in benefits?

What is hemodialysis and peritoneal dialysis difference in benefits?

Blood vs peritoneum: Both are equally effective in "washing"/"clearing" the blood - the differences are more of cost and convenience (av fistula vs peritoneal access catheter/3 x'sper week vs nightly/faster vs slower/....). ...Read more

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Protein needs, renal disease and bed sore, not on dialysis?

Protein needs, renal disease and bed sore, not on dialysis?

Any open: Wounds require a lot of additional protein to heal. Need to keep a close eye on renal function. ...Read more

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What is the life expectancy for stage 5 kidney failure with starting dialysis?

What is the life expectancy for stage 5 kidney failure with starting dialysis?

Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more

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What are the protein needs for a person with chronic renal failure and not on dialysis?

What are the protein needs for a person with chronic renal failure and not on dialysis?

See below: It is very important to know if you have normal Albumin level before you restrict any protein in your diet generally recommended is 0.8 grams per kg body weight.Consult a dietician. ...Read more

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What indication of hemodialysis peritoneal dialysis?

What indication of hemodialysis peritoneal dialysis?

Kidney failure: Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care. ...Read more

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Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?

Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?

Variable: Calciphylaxis is due to very high phosphorus in end stage kidney disease patients who are receiving dialysis. Mortality depending on overall health. There are some specific treatments. ...Read more

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What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?

What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?

Difficult to manage: The description given puts this person in a very critical situation. What is described appears to have overwhelming infection that is overwhelming the body's ability to sustain itself. There is hope if the patient did not damage the brain when the heart stopped and the infection can be eradicated. Even if this person should recover, the long term prognosis would be poor for good quality of life. ...Read more

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What occurs with renal failure and heart bypass surgery?

What occurs with renal failure and heart bypass surgery?

?worse?: Assuming that you are asking what will happen to chronic kidney disease when having cabg. High risk of worsening, possibly needing dialysis. You need to discuss your risks vs benefits with your doctor. ...Read more

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Is jaundice in renal failure patients and indication of liver failure as well?

Is jaundice in renal failure patients and indication of liver failure as well?

Many causes: Many potential causes of jaundice but not renal failure alone and haudice does not equate to liver failure causes and be meds, viral, infection, gallstones , etc extensive lab and ultrasound or cat scan would be needed to determine cause. ...Read more

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What causes kidney disease and the subsequently need for dialysis?

What causes kidney disease and the subsequently need for dialysis?

Lots of causes: There are many causes for chronic kidney disease (ckd). Most common that i see for patients that need dialysis access are diabetes and poorly controlled high blood pressure. Another fairly common one is an inherited condition called polycystic kidney disease. Other causes include immunologic diseases which attack the kidneys, and anatomic problems that cause blockage of the kidneys. ...Read more

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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Why atracurium is used in both hepatic and renal failure patients?

Why atracurium is used in both hepatic and renal failure patients?

Atracurium use: The reason atracurium can be used in hepatic and renal failure patients is because the breakdown process is not dependent on kidney are liver function. The drug is broken down through a process called the hoffman eleimination that is independent of organ activity. However, the main metabolite is laudanosine and it can acumulate in elderly renal and liver failure patients. ...Read more

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What is the critical blood pressure for patients with chronic kidney disease?

Best blood pressure: It depends on what is causing your ckd. Patients without diabetes should have their systolic BP < 140 mm hg. Those with diabetes should try to have a systolic of 130 mm hg. The lower your blood pressure, without symptoms of dizziness or weakness, the fewer complications one can expect to have. Discuss your particular case with your physician or have have him refer you to a nephrologist. ...Read more

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How is chronic renal failure managed well in diabetics?

How is chronic renal failure managed well in diabetics?

See below: In any kidney disease it is important to control blood presssure .If uncontrolled it will lead to more rapid loss of function no matter what the underlying cause.Use of certain medications like ace inhibitors are preferentially used, ask your doctor. Blood sugar , cholesterol control and exercise all help. ...Read more

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My dad is in the ICU for acute pneumonia. Has diabetes and partial kidney failure as well. Will dialysis help in recovery and in reducing lung fluid?

My dad is in the ICU for acute pneumonia. Has diabetes and partial kidney failure as well. Will dialysis help in recovery and in reducing lung fluid?

It depends: Dialysis would be needed for severe renal failure that is causing significant metabolic abnormalities or fluid overload. It may not necessarily help in cases of mild or moderate renal failure and pneumonia. It definitely wouldn't help remove the inflammatory fluid from a pneumonia. I hope this helps and that your father improves. ...Read more

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Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more

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Is calciphylaxis life threatening?

Is calciphylaxis life threatening?

Yes: Calciphylaxis is, in a way, hardening of the arterioles (very small arteries) that supply blood to the skin. The arterioles are clogged, and blood does not pass, resulting in the death of the skin supplied. It is rare, occurring primarily in people with end stage renal disease (eg on dialysis) or rarely people with hyperparathyroidism (overactive parathyroid glands). ...Read more

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Is there a cure anywhere in the world for the disease called calciphylaxis?

Is there a cure anywhere in the world for the disease called calciphylaxis?

No cure, can treat: Calciphylaxis occurs in long term kidney failure as the name suggests it involves abnormal calcium and phosphorus metabolism . The associated wounds were once considered unhealable but that doesn't have to be the case. A good wound specialist using very cautious and gentle wound techniques can treat this type of wound. ...Read more

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What is calciphylaxis?

What is calciphylaxis?

Calcification: In calciphylaxis, calcium salts are deposited in large amounts in soft tissues, such as blood vessels, muscles and subcutaneous tissue. ...Read more

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How do you treat calciphylaxis?

How do you treat calciphylaxis?

Calciphylaxis: There are two components: first, your renal doctor will need to look into correctable biochemical abnormalities to see if there is something to be corrected like calcium, phosphate, and parathyroid hormone levels; second, the wounds will need careful treatment in a wound center by a physician that is willing to work with you over long term. ...Read more

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What symptoms suggest calciphylaxis?

What symptoms suggest calciphylaxis?

Calciphylaxis: An electrolyte disturbance noted at dialysis with peturbation in calcium and phosphate may indicate incipient problems. However, clinically, calciphylaxis is marked by irregular patches of dark purple/black eschars on the skin. These patches are tender. Additionally, the superficial veins may be dark (indicating thrombus inside the vessel). ...Read more

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Explain the problem of calciphylaxis?

Explain the problem of calciphylaxis?

Calciphylaxis: Calciphylaxis is a syndrome of vascular calcification, thrombosis and skin necrosis. It is seen almost exclusively in patients with stage 5 chronic kidney disease. It results in chronic non-healing wounds and is usually fatal. Calciphylaxis is a rare but serious disease. See more at: http://en.Wikipedia.Org/wiki/calciphylaxis. ...Read more

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What are the tests that indicate calciphylaxis?

What are the tests that indicate calciphylaxis?

Calciphylaxis: There are no lab tests that indicate calciphylaxis...It is a clinical diagnosis. Your doctor can take a small sample of the dark tissue and send it to pathologist, who can determine if there is calcium deposition in the skin and soft tissues. ...Read more

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Are there things I can do myself to treat calciphylaxis?

Are there things I can do myself to treat calciphylaxis?

No.: Calciphylaxis, which is almost always associated with advanced kidney disease, is a serious, potentially fatal problem, and needs to be treated by a physician. ...Read more

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Can you please tell me what I did wrong to get calciphylaxis?

Can you please tell me what I did wrong to get calciphylaxis?

Calciphylaxis: For goodness sake, you did not do anything wrong. We have no idea why some patients develop this syndrome and others not given similar parameters. Just concentrate on working with the renal physician in doing a workup to see if there are correctable chemical abnormalities; and a specialist in wound care that is familiar with calciphylaxis patients (this may require some investigation). ...Read more

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A friend was just diagnosed with calciphylaxis, is that a serious condition?

A friend was just diagnosed with calciphylaxis, is that a serious condition?

Calciphylaxis: Calciphylaxis is a serious condition that is associated with kidney disease. You need to be followed closely by a physician. ...Read more

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Calciphylaxis on diabetic patient; is it related?

Calciphylaxis on diabetic patient; is it related?

Dialysis?: Most frequently associated. With chronic dialysis but can occur with renal failure including diabetic as well as other causes of abnormal calcium metabolism including abnormal parathyroid gland function. ...Read more

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Does hyperbaric oxygen help with calciphylaxis?

Unknown for sure: There have been "reports" of success with hyperbaric oxygen (hbot) but no scientific studies have been published to back this up. Sometimes we have to ask "did the wound heal because of the treatment or despite the treatment!" you need to work together with a wound specialist and a nephrologist on this one. ...Read more

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Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?

Variable: Calciphylaxis is due to very high phosphorus in end stage kidney disease patients who are receiving dialysis. Mortality depending on overall health. There are some specific treatments. ...Read more

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My mother has a kidney problem. Now she says her doctor told her weeks ago she has calciphylaxis. What will that do to her?

My mother has a kidney problem. Now she says her doctor told her weeks ago she has calciphylaxis. What will that do to her?

?biopsy: Make sure diagnosis is really confirmed. Calciphylaxis is a serious disorder that causes calcium deposition in vessels that can occur throughout the body and can cause skin lesions that become painful ischemic/necrotic ulcers; it can cause death. Calciphylaxis typically occurs in people with end stage renal disease on dialysis, recent kidney transplant patients and primary hyperparathryoidism. ...Read more

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What is the treatment for calciphylaxis nephrogenic fibrosis dermatopathy for chronic kidney disease patients. The inflamation on both legs r unbearab

The 2 are different: Calcipylaxis is probably what you are referring to.Vpainful dark leg lesions that later ulcerate and actually may heal in my experience over months. The problem is its incapacitating pain and infection development that make mobility not possible. Most pts request to quit dialysis. May use local Lidocaine 2% gel on it to kill pain. Of 14 pts I have seen, 2 healed in 3 months both on 500 mgcipro/day. ...Read more

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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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Dr. David Wishnew
94 doctors shared insights

Calciphylaxis (Definition)

Calciphylaxis is a condition in which a person (usually somebody with kidney failure) has calcium build-up in small blood vessels of the skin. Calciphylaxis causes painful skin ulcers by clogging off small vessels with calcium, leading to death of affected areas of skin, which ...Read more