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Doctor insights on: Calciphylaxis And Dialysis Treatment

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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

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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What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?

What are the treatment options for a patient who has hyperphosphatemia, hypercalcemia, and chronic renal failure?

Treatment: I am very surprised that your kidney doctor has not described this to you in detail. Either go back for more education or have your PC to refer you to a different specialist who should help you understand what is happening and what will develop. Hopefully for better! ...Read more

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How effective is dialysis for treating acute renal failure?

Treating ARF: When used correctly and the underlying reason is also treated correctly, you cannot beat the combination of medical management of ARF along with prudent dialysis. ...Read more

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Can enzyme therapy help with chronic kidney disease and dialysis treatment?

Can enzyme therapy help with chronic kidney disease and dialysis treatment?

Debatable: One newer approach to treating chronic kidney disease (ckd) is experimental anti-inflammatory drugs. There have been limited positive results. Alternatively, there are many testimonials on the benefits of enzyme therapy for a variety of disorders, many of which have some inflammatory component. Thus, benefits of enzyme therapy in ckd/dialysis is debatable. Best, talk to your doctor and discuss. ...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

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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What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more

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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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How effective is dialysis for treating chronic kidney disease?

How effective is dialysis for treating chronic kidney disease?

Dialysis: The only way to treat and prevent folks from dying once disease has progressed too far. Done millions of times a day in US. ...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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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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What is the prognosis for diabetes with cellulitis and osteomyelitis?

What is the prognosis for diabetes with cellulitis and osteomyelitis?

Osteomyelitis: Not sure i can answer that easily. Osteomyelitis is a bone infection and unfortunately these are more difficult to treat in diabetics. A lot depends on the status of your blood flow. The antibiotics need good blood flow to work so if you have good flow it generally improves the prognosis. Also, good sugar control helps. ...Read more

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Can there be better and low-cost alternatives to peritoneal dialysis in the treatment of end-stage renal disease?

Can there be better and low-cost alternatives to peritoneal dialysis in the treatment of end-stage renal disease?

Dialysis: Peritoneal dialysis is the least expensive form of dialysis. It is effective and more natural than hemodialysis. PD provides continuous clearances that are natural. ...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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What is the treatment for acute renal failure?

Renal failure: Acute renal failure requires close attention to volume status, acid-base status, electrolytes, and any signs of uremia. These events might signal a need for urgent dialysis. Avoiding exposure to nephrotoxic meds is necessary. Studies to rule out obstruction (u/s usually) are necessary as well. ...Read more

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Prognosis for total kidney and liver failure dyalisis not an option, what type of life expectancy?

Prognosis for total kidney and liver failure dyalisis not an option, what type of life expectancy?

Very poor: Unfortunately very poor however depends on what is meant my "total" failure. If complete kidney failure means not making any urine, then prognosis is typically days, up to 1-2 weeks w/o dialysis. If complete liver failure (your doctor would use prognostic tools such as meld and childs-pugh) and would consider lab values and signs/symptoms of liver failure and typically could be weeks to months. ...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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Treatment of copd with renal insufficienccy?

Treatment of copd with renal insufficienccy?

Nothing specific: There should t be any specific treatment alterations for COPD with renal insufficiency unless you take antibiotics - they may need to be dosed based on your kidney function ...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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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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Help please! is dialysis the only treatment for high serum creatanine?

High creatinine: Before one starts dialysis, a 24 hour urine for creatinine clearance is done to quantify one's glomerular filtration rate (gfr). If the GFR is. ...Read more

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Are there any risks associated with undergoing kidney dialysis treatment?

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

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Can someone with less than 95% of kidney function survive on dialysis treatment?

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

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Can someone with less than 95% of kidney function survive on dialysis treatment?

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

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If only one kidney is functioning at 13%, should one go on dialysis and if I did would the treatment prevent further failure?

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 more

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When someone who undergo dialysis for almost 6-7 years and 61 years old women..she had high pottasium..which types of treatment better?is it operate?

Complex: The potassium elevation likely due to the renal failure being treated by dialysis. For specific advice talk to her treating doctors. Dialysis does not replace kidneys all that well but does prolong life for awhile. ...Read more

Dr. Jay Park Dr. Park
2 doctors agreed:
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What will happen if you skip a dialysis treatment?

Dr. Jay Park Dr. Park
2 doctors agreed:
What will happen if you skip a dialysis treatment?

Can lead to death: Dialysis is a way of filtering out the toxic wastes in blood and removing excessive fluid in body. Cummulation of potassium at high level can lead to irregular heart beats and even to cardiac arrest. ...Read more

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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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Why would patient pass out at end of dialysis treatment?

Why would patient pass out at end of dialysis treatment?

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

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When you are on dialysis can you skip a day of treatment?

Not advised: Normal kidneys filter the blood every second. Patients on dialysis are filtered for 4 hours three times a week. Missing a treatment is not in your interests. Patients are at risk for volume overload and hyperkalemia if they go 5 days without dialysis. ...Read more

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Is there a treatment for high creatinine other than dialysis?

Is there a treatment for high creatinine other than dialysis?

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 more

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What foods should be eaten by a patient after a dialysis treatment?

Food: Can really eat any food after a HD treatment just watch the high K foods and stick to your prescribed diet ...Read more

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What is the best time to dink nepro before or after dialysis treatment?

What is the best time to dink nepro before or after dialysis treatment?

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

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What is the heavy feeling i feel through out my whole body after missed dialysis treatment?

What is the heavy feeling i feel through out my whole body after missed dialysis treatment?

Fluid: When you miss hd, you retain more fluid and you either swell up, gain weight or get short of breath. Your electrolytes also become abnormal and your strength can go down. So don't miss your hd. ...Read more

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How does a doctor know when you need a dialysis treatment?

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 more

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How does one undertake kidney dialysis done; is it very uncomfortable and do you feel better after a treatment?

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

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