Doctor insights on:
Calciphylaxis And Dialysis Treatment
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
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
Yes, but few options: If a person with End Stage Renal Failure does NOT have dialysis or a transplant, they will die. So any risks pale in comparison to that! But yes, people can have infections or other problems with their dialysis sites, they may have blood pressure swings, muscle cramps, and a variety of other problems. Again, these are manageable. Transplant, when available, is a good choice, but not without risk. ...Read more
Here are some. ..: A patient on long-term dialysis can survive without any available renal function, i.e., even without kidneys although zero-functioning kidneys may still contribute their effects on red blood cell production and others. And some patients may recover to the state of not needing dialysis anymore if dialysis is given for some acute correctable conditions such as drug-/trauma-related renal failure. ...Read more
Yes: That would be the reason to get on dialysis as the kidneys are not clearing out the toxins, so the dialysis machine does that. 2 types of dialysis-PD&HD. Older people-above 70, tend get really wiped out after HD treatments which are 3 times a week. Survival time also depends on underlying other disease states and current functional status. ...Read more
If only one kidney is functioning at 13%, should one go on dialysis and if I did would the treatment prevent further failure?
Judgment is needed: Overall function is measured as "gfr" or glomerular function rate, + represents the amount coming from all of your kidneys (1 or 2 native kidneys, + any transplanted kidneys). The judgment to start dialysis may be clearcut (e.g., if too much fluid is retained or potassium is too high), or less urgent. Most pts with symptoms feel better after even 1 treatment, but it won't prevent further failure. ...Read moreSee 2 more doctor answers
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
Clean & Squeeze: Dialysis is both about cleaning (dialysis) the blood of toxins and squeezing (ultra-filtering) excess fluid out. Both functions are done constantly in patients with normal function. If too much fluid is removed. Patients can feel dizzy at the end of treatment. During the treatment, the blood pressure will drop, alerting the staff to decrease fluid removal. ...Read more
Treat the cause: Kidney disease is the most likely cause of high creatinine. Treating obstruction of the urinary tract, infection of the kidneys and possible drug damage or autoimmune diseases like lupus need to be considered before committing to life long dialysis. A discussion with your doctor is needed. You need to be certain that you need dialysis in order to tolerate the life style changes coming to you. ...Read moreSee 1 more doctor answer
Best time for Nephro: Nephro is a product that is high in protein, and low in potassium and phosphates. If you have an 8 oz. Portion of nephro, it really does not matter when you ingest it, unless the patient is fluid overloaded. That is because hemodialysis (hd) does not remove protein. I would take it at the start of one's hd session to make sure an adequate amount of fluid, potassium and phosphorus is removed. ...Read more
A 70year old man is going through dialysis but he is refusing treatment and has to be sedated in order to get dialysis. What will this do to his health?
Kidney function: A good example or analogy to how the kidney functions is comparing it to a washing machine, the kidney cleans the blood. You could make urine even if the kidney is loosing function. The function is measured by a blood test, from which a GFR is calculated. Gfr of 90 means the kidneys are cleaning the blood very well, and decreasing values like less than 10 is when you need dialysis. ...Read moreSee 1 more doctor answer
How does one undertake kidney dialysis done; is it very uncomfortable and do you feel better after a treatment?
Peritoneal or hemo: There are 2 types of dialysis: hemodialysis & peritoneal. Hemodialysis is generally done at a dialysis center 3x/week & requires "access" into the blood stream, a fistula is preferred, it can also be done thru a large catheter (tube) that is placed in a neck vein. After dialysis, one may feel a bit drained. Peritoneal dialysis is done at home through a catheter inserted into the abdominal cavity. ...Read more
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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