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Doctor insights on: Diarrhea In Dialysis Patients

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Dr. Quresh Khairullah
515 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 is the safest way to replace fluids in a dialysis pt who is having severe diarrhea secondary to opiate withdrawal?

What is the safest way to replace fluids in a dialysis pt who is having severe diarrhea secondary to opiate withdrawal?

Couple of Choices: You could manipulate the dialysate solution and or vary ultrafiltration to normalize the electrolytes and fluid balance or you could try to manage the withdrawal symptoms. This could be tricky in a esrd patient as the most common rx is Clonidine which can abruptly lower bp. I would opt for a gradual tapering off of the opiates or the use of subutex which has a gentler and slower withdrawal. ...Read more

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I'm on hemo dialysis. I have chest cath. I have had a low grade fever for 2 weeks now starting in late afternoon through evening.now diarrhea?

I'm on hemo dialysis. I have chest cath. I have had a low grade fever for 2 weeks now starting in late afternoon through evening.now diarrhea?

It is very important: that you have this evaluated. I cannot imagine the dialysis people are unaware of this. You need to have blood cultures and a complete search for the source of this fever! Act NOW! Hope this will help! Be WELL! Dr Z ...Read more

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Why does ors liquid for diarrhea patients contain citrate?

Why does ors liquid for diarrhea patients  contain citrate?

Check out these: Links.Take care! http://www.Ncbi.Nlm.Nih.Gov/m/pubmed/3015443/ http://www.Nasa.Gov/topics/nasalife/features/rehydration_beverage.Html.

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About chemotherapy drugs, how can we reduce the diarrhea caused by them!?Is it safe to use lupramide for these patients, oe not?

About chemotherapy drugs, how can we reduce the diarrhea<side_effect> caused by them!?Is it safe to use lupramide for these patients, oe not?

Chemo and diarrhea: Some chemo can cause diarrhea or other GI problems. You need to make sure you hydrate yourself well- fluids-fluids-fluids. Gatorade or pedialite would be good. If you think about antidiarrhea- you need to make sure that it is not infectious diarrhea- no bloody stool, no mucuous, no fever. Discuss with your oncologist in detail. If diarrhea continues for 2 days or so, you may need IV fluids +/- abx. ...Read more

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Please explain why isn't questran (cholestyramine) is used for diarrhea in cancer patients?

Please explain why isn't questran (cholestyramine) is used for diarrhea in cancer patients?

Could be tried: Questran (cholestyramine) binds up bile acid salts. If this is the cause of the diarrhea, it may help. If the cause of the diarrhea is something else, like shortened bowel after surgery or due to chemotherapy, it may not make a difference. For diarrhea that has not responded to the usual medications, it may be worth a try. ...Read more

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Are there IV drugs for ovarian cancer patients with low WBC count and severe diarrhea? (oral fluids/food not allowed)

Are there IV drugs for ovarian cancer patients with low WBC count and severe diarrhea? (oral fluids/food not allowed)

Ovarian cancer: It sounds as if she needs IV fluids first. Then it needs to be known by she has diarrhea. Is it because of an infection (c. Diff) or a side effect o treatment (chemo causing diarrhea). Hydration is key to make sure she doesn't get sicker. The antibiotics and the anti-diarrheals are best when given orally. If she is having a lot of diarrhea, she should see her doctor or go to the er. ...Read more

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Laminine can be used for dialysis patients?

Laminine can be used for dialysis patients?

Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, i would strongly recommend you talk with your kidney doctor. ...Read more

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Why some dialysis patient got dark skin?

Why some dialysis patient got dark skin?

Increased pigment: Kidney failure often causes increased pigmentation similar to tanning. The mechanism may be related to molecules and toxins that build up and are incompletely removed by dialysis. The pigmentation usually causes no problems. There can also be small deposits of calcium in skin, itching, sores from scratching and other skin problems in dialysis patients that can cause more severe symptoms. ...Read more

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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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Can dialysis patients take Dimenhydrinate?

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

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How does a fistula work to dialysis patient?

How does a fistula work to dialysis patient?

Arterial Diversion: When an artery is connected to a vein, the vein walls thicken and become muscular (due to the new high arterial pressure). This makes finding the vein easier. More importantly, the large bore needles can be removed and pressure held, with clot forming in the muscular walls, to stop the bleeding. If the veins weren't muscular, putting the needle in and taking it out safely, aren't possible. ...Read more

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How long can lupus patients live on dialysis?

A very long time: Since medical care has improved over the past three decades people can live a very long time on dialysis. There is also a possibility that the patient will be a candidate for a kidney transplant. Lupus symptoms often but not always go into remission when patients go on dialysis. ...Read more

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Dialysis patients feeling severe cold and headache?

Call your: Dr..... Withour more detail i an not provide more, however with what you did provide i would suggest you call your dr or be seen in an ed. ...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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Patients in dialysis drink only nepro, how long to live?

See below: Not clear on your question. Patients can live decades on dialysis. Usually depends on one's age and other illnesses. ...Read more

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What is the best supplement for dialysis patient . Please?

What is the best supplement for dialysis patient   . Please?

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

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Can any doc tell me what's the best diet for dialysis patient?

Can any doc tell me what's the best diet for dialysis patient?

See the nutritionist: People on dialysis do have some dietary considerations, although you will have more freedom in your diet if you are on frequent home dialyis! But as a rule, you must watch salt and potassium intake. Phosphorus is often limited in the diet, which can be tricky because it is in so many foods. Many dialysis patients will take a phosphate binder. Do talk with your kidney center dietician! LGromkoMD ...Read more

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Is it serious for a dialysis patient to have blood in the urine?

Is it serious for a dialysis patient to have blood in the urine?

Possibly: If patient is on dialysis, we assume there is little functional kidney left, but kidneys, ureters, and bladder may still develop cancer, especially if patient is a smoker. It should be investigated. ...Read more

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Why aneurysm always happen to patients who is having a dialysis?

It's due to the need: Dialysis access grafts or fistulas develop aneurysms due to the repeated injury from being punctured multiple times per week. ...Read more

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Dr. Oscar Novick
2,152 doctors shared insights

Loose Stools (Definition)

Loose stools is a symptom in which a person's stool (poop) does not hold its shape after it goes into the toilet. Instead of remaining a shaped piece of poop, the poop spreads out in the toilet bowl water. Very loose stool is called diarrhea. Loose stool can be caused by infections, certain foods or drinks, ...Read more


Dr. Oscar Novick
3,297 doctors shared insights

Diarrhea (Definition)

Diarrhea = increased frequency of stools which ...Read more