Doctor insights on:
Dialysis Patients And Body Odor
Avoid decongestants.: Best to check with your nephrologist for specific advice that is tailored to you. Many cold medicines with decongestants can raise blood pressure and most dialysis patients already have high blood pressure. Coricidin HBP contains medicines that will not affect your blood pressure so this may me a safe option. ...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
Dialysis diet: Patients on dialysis need to have diet that are special to them. If they are not diabetic, the usual diet is a two gram sodium, 2 gram potassium and 80 gram protein diet. If they are diabetic, they may be on a 1800-2200 calorie ADA diet, as another restriction. Speak to the dietitian at the patient's dialysis center for more specific information. Good luck. ...Read more
Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more
Possible: Tropical fruits have been shown to inhibit enzymes in the liver that help break down drugs. While this has not been critically tested in patients, test tube results are concerning. I would review with your doctor your medications and the available patient data on the interaction of tropical fruits with you meds. ...Read more
IT DEPENDS: There are no set values at which a patient should be placed on dialysis. It is a decision that needs to be made by the patient and physician to avoid progression of symptoms such as feeling tired and ill all the time, volume overload in the body not corrected by medications, and declining nutritional status. It is important to be ready for dialysis before a patient requires it emergently. ...Read more
ESRD and Death: Most patients simply become very disoriented, sometimes agitated, and then they go to "sleep". Many health professionals have commented to me that dying from renal failure is gentle and painless. My grandfather simply went to sleep and never woke up and he appeared comfortable. ...Read more
Kidney machine clog?: I am not sure what you are referring to by a dialysis patient's clogging of a kidney machine. Patients can have their dialyzer (d), the artificial kidney, during dialysis. This normally occurs when the patients are not getting enough Heparin during dialysis and their d's clot ending their use of that d. If that is not the answer you were looking for, ask the patient's nephrologist youyr question. ...Read more
High albumin: You need to ask your nephrologist and renal dietician about the significance of your high Albumin level (ha). It can be seen in cases of dehydration, severe infection, hepatitis, HIV, some congenital disorders, cancer, severe infection and in some instances of chronic inflammation. Please speak to your nephrologist for the cause in your case. ...Read more
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
Is it possible that dialysis patients stop their dialysis when the creatinine level became normal.
Yes: But if renal function has not returned then the cr level will rise fairly quickly. ...Read more
What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?
Dialysis dark urine: 34 F asks why do dialysis pats have dark urine and why do they stop making urine. ANS: urine is the remains of the fluid filtered at the glomerulus. As glomeruli are destroyed by the disease colored chemicals that normally go out in the urine build up in blood-thus the funny skin color. This color stays in the urine so dark. Eventually all glomeruli die from the cause and no urine Is formed. ...Read more
Can a male dialysis patient still be fertile after being appr.10 year on dialysis? He is still active in sex.
My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?
Discuss with nephrol: We can not answer your question as we do not have enough information about your friend. I will suggest your friend discuss with his/her doctor as to what is causing the vomiting and if it needs any therapy. ...Read more
What is the best recommendation for a 19yr female patient diagnosed with pauci glomerulonephritis. No improvement after a month. She's on dialysis.?
Listen to nephrology: Nephrologist, a specialist in kidney disease can best advise you on this. ...Read more
Here are some...: You will get most pertinent answer for this Q from the treating nephrologist who oversees dialysis, since this doc possesses more clinically relevant information about you. Of course, you may take it once for a while, not on regular basis like those in "normal" health. So, ask the right doc for timely right answer. Best wish... ...Read more
Dialysis: It is best to ask your Nephrologist this question, as they know what is right and needed for you and your situation. ...Read more
Whey Proteins: Most important - look at phosphorous and potassium content and talk to your dietician before you start anything. Products that I have seen suggested are now foods whey protein and body fortress whey protein. But check everything out thoroughly before starting including checking with your doctor. ...Read more
Nothing: The adrenal medulla produces cathecolamines which are stress hormones stimulated by the automated nervous system under control of the hypothalamus which is the unconscious part of the brain. During dialysis if your blood pressure falls receptors in your circulation will signal the adrenal medulla to secrete these hormones which cause the heart to speed up and arteries to constrict. ...Read more
Ketosis: I am thinking you might be a diabetic. If I am wrong, I apologize. I have searched for causes of a sweet taste in the mouth and have come up with two possible reasons - high blood sugar and high ketones (usually seen in diabetes). See your doctor and tell her/him what you are experiencing. ...Read more
Two methods: There are two methods: mechanical or chemical. Occasionally both methods are used. In general, the doctor accesses the av graft or fistula with a needle and places a tube into the graft. He then uses wires and catheters to cross the clot and inject clot busting meds. There are devices he can use that also break up clot. Or, he can open the graft and use special balloons to pull clot out. ...Read more
Fistula +/- aneurysm:
Dialysis patients need a mature vein that can withstand repeated puncture which is created by diverting arterial flow into a nearby vein.
Needling the same site causes a loss of pain nerve fibers, and thus patients prefer that site for repeated use. This can cause fibrosis and thinning of the wall at that site, resulting in aneurysmal dilatation. This is not in danger of rupturing. ...Read more
Dialysis Potassium: Yes, it is very common for dialysis patients to develop elevated potassium levels. The kidneys normally excrete potassium, so patients with renal failure will have a tendency for their potassium levels to rise. The dialysis machine removes excess potassium from the body, just like the kidneys do. Taking a diet low in potassium is helpful in keeping potassium levels controlled. ...Read more