Doctor insights on:
Calciphylaxis And 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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
Calciphylaxis with end stage renal disease, what is the mortality rate without my brother getting septic wounds?
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 moreSee 1 more doctor answer
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
Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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
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
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
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