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Doctor insights on: Candidiasis Patient Hemodialysis

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What's the recommended dosage of dilucan for oral candidiasis in a patient receiving hemodialysis?

What's the recommended dosage of dilucan for oral candidiasis in a patient receiving hemodialysis?

See below: Usually 200 mg on the first day followed by 100 mg once per day. Continue taking for a full 2 weeks. If localized to the oral cavity then Mycelex (clotrimazole) troches work very well also. ...Read more

Dr. SCOTT HARWOOD
1,384 Doctors shared insights

Candidiasis (Definition)

Candidiasis is an infection caused by a specific group of fungi or yeast that usually occur in warm, moist parts of the body. Common symptoms include ...Read more


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What is the recommended dosage of dilucan for oral candidiasis for a patient receiving hemodialysis?

What is the recommended dosage of dilucan for oral candidiasis for a patient receiving hemodialysis?

Diflucan (fluconazole)?: 100 mg daily will be adequate. Due to partial renal excretion, which is lacking in dialysis patients, the dose may need to be decreased if used more than 10 days. For instance HIV patients may need long term treatment then interrupted treatment guided by response of candidiasis may be the way to go. ...Read more

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Is it possible for a patient on hemodialysis go back to peritoneal diaylsis?

Is it possible for a patient on hemodialysis go back to peritoneal diaylsis?

Yes: If you used to be on peritoneal dialysis and changed to hemodialysis as a preference you certainly can. If the reason to switch was due to severe peritonitis it may have damaged the membrane enough that dialysisi that peritoneal dialysis would be ineffective, . ...Read more

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How much does hemodialysis for patients hurt?

How much does hemodialysis for patients hurt?

Hemodialysis hurting: Once a patient is placed on dialysis, there usually is no pain. Patients may experience some pain when the needles (n) are placed in the vascular access. They may get used to this or have Lidocaine or Ethyl Chloride spray given to numb the n pain. If patients have some cramping, due to too much fluid being taken off, that can be painful. Other than that, patients on dialysis are usually pain free. ...Read more

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Docs, could a patient under hemodialysis become fat?

Dialysis isn't diet: Hemodialysis is to replace the poor function of your kidneys and will remove excess water that your kidneys may not clear and can cause swelling and lung fluid. This can reduce your "water weight" but has nothing to do with fat metabolism. That depends upon your diet and activity level. Anyone eating the wrong foods and/or taking too many calories with low energy expenditure can gain far weight. ...Read more

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What are some lifestyle changes for patients undergoing hemodialysis?

What are some lifestyle changes for patients undergoing hemodialysis?

Food/water control: Besides that, they have to do a strict schedule of dialysis i.e. Go to dialysis unit 3 times a week for hemodialysis and do peritoneal dialysis daily at home if on it. Hemodialysis restricts the travel since patients have to secure a space in a dialysis unit at the town they are going to visit before hand. ...Read more

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What would be the average years for hemodialysis patient to receive dialysis?

Depends: If your not a transplant candidate and depending on what other ailments they have the person may be on dialysis for the rest of their lives. ...Read more

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What is the average number of years for hemodialysis patient to receive dialysis?

What is the average number of years for hemodialysis patient to receive dialysis?

5 years: It varies based on the patient other medical conditions. But on the average the mortality rate (death rate) is 20% per year. However some patients who are young with fewer other associated medical conditions and who are compliant with their dialysis. Treatment could live over 10 to 20 years on dialysis ...Read more

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Can patients with heart disease go on daily home hemodialysis?

Yes: Daily home dialysis is better tolerated by most patients compared to in center dialysis as small amount of fluid and toxins are removed with each session. ...Read more

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Can epoetin cause vision changes in a hemodialysis patient with diabetic retinopathy?

Can epoetin cause vision changes in a hemodialysis patient with diabetic retinopathy?

Depends: Dialysis can change the osmolarity of blood. The osmolarity of the jelly like substance inside the eye and lens can also change. These changes create a flux of fluid out of these tissues. These changes the anatomy of this lens system. So prescription of eye changes. These changes are temporary and not occur each time of dialysis or everyone. ...Read more

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Good morning, For patients who had severe allergic reaction to oral fluconazole for treatment of candidiasis, which treatment would you suggest? Thanks

Good morning, For patients who had severe allergic reaction to oral fluconazole for treatment of candidiasis, which treatment would you suggest? Thanks

It depends...: Potential options are caspofungin and related drugs, nystatin, and amphoteracin B. But this depends a lot on the particular kind of candidiasis: different for superficial or body orifice infections (vaginal, anal, mouth) than for advanced (e.g. bloodstream) infections. If you mean "systemic candidiasis", that's an urban myth, not a real illness and doesn't need treatment. ...Read more

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I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?

I am a hemodialysis patient with av fistula and I lift 5-10 pds of weights which my nephro agrees, can I take amino acid and creatinine to gain mass?

Hemodialysis: You sound like you are in excellent shape. I have seen the lab value for creatinine rise a bit in some patients, not on hemodialysis. This does not mean the kidney function was diminished; the body just had a higher creatinine intake. Especially being on hemodialysis, you should be able to take both supplements. Let your nephrologist know, in case any routine labs change over time. ...Read more

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Following partial removal of tvt sling, if patient develops invasive recurring candidiasis and bacterial infection around mesh and in bladder, what is the treatment? Must remaining mesh be removed?

Following partial removal of tvt sling, if patient develops invasive recurring candidiasis and bacterial infection around mesh and in bladder, what is the treatment? Must remaining mesh be removed?

Mesh infection: It sounds like the mesh may be the problem, but before I say - to be removed or not, you will need to discuss it with the doc who did the surgery, since he may be aware of things that you and I aren't. ...Read more

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Why are patients in hemodialysis at risk for hepatitis b infection?

Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more

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If patient is on inj. Amiodarone infusion can we do haemodialysis?

If patient is on inj. Amiodarone infusion can we do haemodialysis?

Yes: Amidarone is predominately metabolized in the liver, and levels will not be significantly affected by dialysis. ...Read more

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How to treat reanal patient with disequilibrium syndrome after second session of heamodialysis?

Slow and steady: Disequilibrium syndrome after dialysis is usually due to "too effective" dialysis. To prevent similar reactions in future treatments ask your dialysis doctors to make adjustments such as slow the blood flow rate, decrease the amount of fluid removed and avoid excessive electrolyte correction or changes. Also treat the symptoms you currently have with appropriate medications. ...Read more

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My husband is a chronic kidney failiure patient and is doing haemodialysis twice weekly, what will happen if he misses one session?

My husband is a chronic kidney failiure patient and is doing haemodialysis twice weekly, what will happen if he misses one session?

Get sick: Missing dialysis results in fluid retention manifested by swelling of the body, especially the dependent areas, making the heart work more, risking potential heart failure. Increase in electrolytes, especially potassium, which can be life threatening with cardiac dysrrhythmia. It is best to maintain a strict dialysis schedule, and stick with it. ...Read more

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My father is a haemodialysis patient and his bun is 151 mg/dl is that ok?

My father is a haemodialysis patient and his bun is 151 mg/dl is that ok?

Too high: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more