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Doctor insights on: Dialysis And Chf Patients

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Dr. Bennett Werner
731 doctors shared insights

Congestive Heart Failure (Definition)

Congestive heart failure, otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with sufficent oxygen and nutrients. When the left side of the heart is damaged, fluid builds up in the lungs, which results in difficulty breathing. When the right side of the heart is affected, fluid builds up in the extremities and abdomen, resulting in swelling of the legs and poor absorption of nutrients due to ...Read more


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My creatinine level jumped from 1.05 in march to 1.4/1.5 declining to 3.2 due to AKI/CHF and now at 2.3. Do I need to worry about dialysis now?

My creatinine level jumped from 1.05 in march to 1.4/1.5   declining to 3.2 due to AKI/CHF and now at 2.3.  Do I need to worry about dialysis now?

Yes: Unfortunately your kidney function has declined considerably. Please be seen by a nephrologist. You may be getting too much diuretic treatment. You should be on statin, beta blocker, ACE inhibitor and spirinolactone under medical supervision. Limitation of protein intake to 1gm/kg of body weight, limiting salt to 2 gm per day and fluid to no more than 60 ounces a day will be beneficial. ...Read more

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Will dialysis help someone with end-stage chf?

If with kidney dis: I've seen it relieve symptoms of fluid overload in patients with end stage CHF and kidney disease, but it does not prolong life much and some patients think it reduces the quality of life too much. ...Read more

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How long can one live with out dialysis who is esrd and has CHF at the age of 46?

How long can one live with out dialysis who is esrd and has CHF at the age of 46?

Not long: End stage renal disease indicates the absolute need for dialysis or kidney transplant. So for true esrd without dialysis or transplant death would come very quickly, especially because of associated heart failure, maybe days to weeks. ...Read more

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Male, 75 waiting for stent to begin dialysis -has 20% heart function (chf?) what are odds of CHF improving w/dialysis & intro of heart meds?

Odds are not good: 75 year olds with severe CHF usually do not do well on in center dialysis as large amounts of fluid removal every dialysis shift is difficult in setting of low BP caused by heart failure. Peritoneal dialysis or home hemodialysis where patients do daily dialysis at home and nocturnal hemodialysis where patients have a prolonged dialysis treatment for 8 hours would be a better option. ...Read more

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When someone has end stage renal failure, how long can they typically be expected to live if they do not get dialysis or transplant? 92 y/o with chf.

When someone has end stage renal failure, how long can they typically be expected to live if they do not get dialysis or transplant? 92 y/o with chf.

Hard to do: CHF and impaired renal function are difficult to deal with, because improving one makes the other worse. It is a fine line between reducing fluid to help the heart failure, but keeping enough to keep the kidney function from getting worse. Dialysis may be the best answer. See his nephrologist for an answer. ...Read more

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Hello professionals! thank you in advance. My father , 75 yearly male with c.O.P, CHF is now having kidnney failure with creatine levels high , potassium ok. What else besides dialysis is rec?

Hello professionals!
thank you in advance. 
My father , 75 yearly male with c.O.P, CHF is now having kidnney failure with creatine levels high , potassium ok. What else besides dialysis is rec?

Follow MD advice: Every case is different, so it would be impossible to say specifically what is best for your dad. However, it is extremely important that he follow the advice given him by his doctor, especially regarding dietary & fluid restrictions, medications prescribed, exercise as tolerated, and smoking cessation if applicable. Many patients are able to avoid dialysis for years by doing this. ...Read more

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How long can stage 4 CHF patients live?

How long can stage 4 CHF patients live?

Hard to say: There really isn't a crystal ball on prognosis of disease but i would recommend that somebody in later stages seek out care and comfort through hospice. Hospice can give more quality to the rest of a patient's life so i would recommend you speak to your physician about this. ...Read more

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How much exercise should CHF patients get?

How much exercise should CHF patients get?

As much as possible: Exercise is particularly beneficial for the heart and for patients with heart failure regular exercise will help to strengthen and improve overall function. Because heart failure can limit exercise tolerance, always consult with your doctor before embarking on an exercise regimen. ...Read more

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Why shouldn't you lay a CHF patient supine?

Why shouldn't you lay a CHF patient supine?

Fluid shifts: When a person lies flat, blood that has pooled in the legs and abdomen (from gravity) returns to the heart. The extra volume typically causes no problems for healthy persons. In pts with heart failure (chf), however, the failing heart cannot pump the extra fluid so the pressures in the chambers increase. Blood backs up into the lungs causing trouble breathing. This is relieved by sitting up. ...Read more

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Dr. Quresh Khairullah
507 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


Dr. Joseph Shen
3,283 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more