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Doctor insights on: Causes Of Fibrin In Peritoneal Dialysis

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Would heating up the peritoneal dialysis fluid cause any harm if used for dialysis?

Would heating up the peritoneal dialysis fluid cause any harm if used for dialysis?

Overnight PD is!: When using an overnight automatic cycler for peritoneal dialysis, the fluid is warmed on a warming panel. Of course, this is set to a safe temperature by design. Don't try warming on your own, but ask your nephrologist or the nurses at your dialysis center what they suggest. LGromkoMD ...Read more

Dr. Jared Fialkow
386 doctors shared insights

Peritoneal Dialysis (Definition)

One of the options for treatment of end stage kidney disease, the other options are hemodialysis and kidney transplantation. In peritoneal dialysis a tube is placed surgically in the belly. One end is in the peritoneal cavity and the other end is outside. Dialysis fluid is placed in the peritoneal cavity through the tube. The peritoneum acts as a filter, and drained ...Read more


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I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern,?

I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern,?

Loss of urine: This is average, actually, for a person on peritoneal dialysis. Over about 5-8 months, a person receiving hemodialysis loses urine production. A person receiving peritoneal dialysis typically retains urine flow for 1-2 years, sometimes longer. Loss of urine flow diminishes native kidney clearances, so your diet will have to be stricter and your nurse/doctor may have to raise dialysis bags/day. ...Read more

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What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

Pain on PD: This question is clearer — turbid fluid indicates infection. Infection will cause these symptoms. Call your doctor and PD nurse. ...Read more

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What are some advantages of peritoneal dialysis?

What are some advantages of peritoneal dialysis?

Peritoneal: Peritoneal dialysis gives you many freedoms that incenter hemodialysis does not. You can drain and fill and then go live your life. Travel is easier than is work and activities. Most nephrologists would choose pd if they needed dialysis. ...Read more

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What exactly happens during peritoneal dialysis?

What exactly happens during peritoneal dialysis?

Blood is cleaned: Special formulated fluid is filled in the peritoneal cavity in the belly which helps remove toxins and other waste products from the blood into this solution which is then drained. ...Read more

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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation
90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript. ...Read more

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Could patient on peritoneal dialysis swim?

Could patient on peritoneal dialysis swim?

Yes: Only once it heals well after initial insertion. Three to six months minimum. You still need to be very careful with it ...Read more

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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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Why would I be on peritoneal dialysis not haemodialysis?

Why would I be on peritoneal dialysis not haemodialysis?

Access : I agree with the freedom that pd offers, but remember that not everyone has blood vessels that can support a fistula or graft, so sometimes pd is a nice way to fix that. ...Read more

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How long is continuous ambulatory peritoneal dialysis continued?

CAPD Duration: It continues until there is no longer a need for dialysis. Here is an excellent resource for you to read on the internet: http://kidney. Niddk. Nih. Gov/kudiseases/pubs/peritoneal/. ...Read more

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If you are on peritoneal dialysis can you go swimming in a pool?

If you are on peritoneal dialysis can you go swimming in a pool?

Not advisable: Your doctor will tell you that you may develop an infection called peritonitis if bacteria in water enter your cathetor, not worth the risk. ...Read more

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What would the life expectancy of peritoneal dialysis at 13% be?

Depends: Peritoneal dialysis allows patients with kidney disease to not suffer symptoms of kidney failure and to not die from their disease. The life expectancy really depends on how healthy the patient is and how compliant they are with the treatment recommendations. Most deaths of dialysis patients are cardiovascular. If the patient has a bad heart the likelihood of death increases. ...Read more

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Can you have peritoneal dialysis if you also have an urostomy bag?

Yes: It can certainly be done if you have the right person to place the catheter. I will be happy to help you with that. ...Read more

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What is the cost of hemodialysis compared to peritoneal dialysis?

What is the cost of hemodialysis compared to peritoneal dialysis?

Don't know: This is variable. Would contact the facility or provider to obtain more information about the anticipated cost. ...Read more

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Home peritoneal dialysis vs center hemodialysis, which one is safer?

Home peritoneal dialysis vs center hemodialysis, which one is safer?

Depends on patient: In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer. ...Read more

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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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What diet changes should I make while I am doing peritoneal dialysis?

What diet changes should I make while I am doing peritoneal dialysis?

Low phosphorus: People on dialysis generally need to limit salt intake to avoid swelling. Also, you may need to avoid foods high in phosphorus and potassium. Examples of phosphorus rich foods include dairy products, chocolate, dark colored colas. Examples of high potassium foods include oranges, orange juice, bananas. ...Read more

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What are the differences between hemodialysis and peritoneal dialysis?

Both means to an end: Hemodialysis and peritoneal dialysis both accomplish filtering the blood of impurities. Hemodialysis is done by rapidly filtering the blood through a machine using a catheter or a surgically created access. Sessions usually last four hours and are done three times a week. Peritoneal dialysis is done by instilling special fluid into the abdomen and overnight the impurities are removed. ...Read more

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Will I have to get poked with a needle when I get a peritoneal dialysis?

Not for the dialysis: No needle sticks are needed to do the peritoneal dialysis procedure. But routine blood tests, which require a needle stick each time they are done, are performed at least once a month. These tests monitor the effectiveness of the treatment and monitor the associated problems (like anemia, hormone and electrolyte problems) related to the renal failure that has caused the need for dialysis. ...Read more

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Do I need to be very careful in catheter care during peritoneal dialysis?

Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead. ...Read more

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What are some things peritoneal dialysis patients should know about traveling?

It can be done!: Patients on either hemodialysis or peritoneal dialysis can travel the world with planning. You will need to work with your home dialysis center to travel with enough supplies or be able to get them at your destination. You will want to be current with your vaccinations and have a plan in case you become ill while traveling. Make sure you plan for possible delays while traveling. ...Read more

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How are wastes and excess water actually eliminated during peritoneal dialysis?

Concentrations: Concentrations of waste are zero in the dialysis fluid. Combined with the glucose and other substances in the dialysis fluid "drags" waste and water out of the blood and changing the bags as has been prescribed by your kidney doctor results in less waste and water in the body. It's all based on the behavior of fluids and physical chemistry. Great question! ...Read more

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In regard to peritoneal dialysis, what color should the returned dialysate be?

Clear: Any opaqueness could be the result of infection and should be investigated. ...Read more

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Please help! What is the difference between hemodialysis & peritoneal dialysis?

Please help! What is the difference between hemodialysis & peritoneal dialysis?

Different filters!: Both hemodialysis and peritoneal dialysis remove toxins and excess fluid in kidney failure. In hemodialysis, blood runs out of the body through IV tubing, and into a machine — where it's filtered before returning to the body. In peritoneal dialysis, dialysis fluid is introduced into the abdomen, where it interfaces with blood by way of the peritoneal membrane. Read 'help! I need dialysis' by agar. ...Read more

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I am on peritoneal dialysis and sometimes the effluent smells funny, why is this?

See below: It is after all bodily fluid. Have it examined by your nurse or doctor
if it is cloudy it is possibly an infection. ...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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In peritoneal dialysis, what is the color the returned dialysate (cleansing solution) should be?

Light amber: The PD fluid is normally clear and very light yellow (like a very diluted urine!). The most important thing is it should be clear (as opposed to turbid). The best test of clarity of fluid is to place a piece of newspaper under the bag, you should be able to read it through, if not, it's called turbid and highly suspicious for infection! ...Read more

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Are there any diaylsis units that cater for neonate peritoneal dialysis?

Are there any diaylsis units that cater for neonate peritoneal dialysis?

Not typically: Pd is typically done in the neonatal intensive care unit until volumes are great enough, and a baby healthy enough to be done home. ...Read more

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What is peritoneal dialysis?

Dialysis inside you : Hemodialysis involves blood leaving your body in a circuit that passes through a filter membrane, before being returned to your circulation.

Peritoneal dialysis involves the patient instilling fluids into the abdominal space, via a surgically placed silicone catheter which remains in place. The toxins from the blood stream in the blood vessels flowing to the bowel loops, pass through to the fluid. ...Read more

Dr. Quresh Khairullah
520 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