Top
30
Doctor insights on: End Stage Renal Failure Timeline

Share
Dr. Tarek Naguib
600 Doctors shared insights

Kidney Failure (Definition)

A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more


2

2
My wife has end stage renal failure. She is undergoing pd now. Transplant looks like not possible in time soon. What is her life expectancy on dialysis?

My wife has end stage renal failure. She is undergoing pd now. Transplant looks like not possible in time soon. What is her life expectancy on dialysis?

Dialysis: Patients can have hd or pd for long time until they get transplant. As far as they don't get infection and get regular dialysis they will be ok for several years. .. ...Read more

3

3
End stage renal failure, what to do?

End stage renal failure, what to do?

ESRD options: Patients with esrd have 4 options. One is hemodialysis (h), either at a dialysis center, doing regular or nocturnal h, or doing h at home. The second is, peritoneal dialysis. Esrd patients can receive a transplant for either a living related or a cadaveric donor. The 4th option is one that very few patients consider, and that is not starting dialysis at all leading to a fatal outcome. ...Read more

4

4
What would the life expectancy of someone with end stage renal failure be?

Other factors too!: A lot of other things help explain this. If the person has multiple other medical problems life expectancy could be very short. From my experience most people with end-stage kidney disease have a matter of years on average. Anyone with end-stage disease of any kind should be actively preparing for the end-of-life, creating advanced directives and completing their bucket lists! ...Read more

5

5
If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?

If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?

GFR <15 is end stage: Kidney doctors will follow the lab results, start dialysis, and refer to the transplant team if one is eligible. Criteria for transplant can vary among medical centers and may include: end-stage renal disease, creatinine clearance at 20 or less, no active or ongoing cancers, no active infections, have reasonable heart and lung function, bmi <35, no smoking/drug-abuse/alcohol-abuse, etc... ...Read more

6

6
What is the difference between acute renal failure and end-stage renal failure?

What is the difference between acute renal failure and end-stage renal failure?

Renal failure: Acute renal failure: seen in a healthy person who develops an illness (e.g. hemolytic uremic syndrome [in children] or septic shock and multiple organ dysfunction) that leads to renal failure. Often it resolves. End-stage renal disease implies that the problem has been there for weeks/months, is not going to resolve and the person may need kidney transplant ...Read more

7

7
What is the average life expectancy for someone in end-stage renal failure on dialysis?

Depends upon health: Very variable. Current medical literature quotes 22% annual mortality rate which suggests 5 year survival rate. However, younger and otherwise healthy subjects can live 10 -20 years on dialysis. Kidney transplantation has a much better prognosis if and when there is choice. Some subjects only need tdialysis on temporary basis on temporary and recover kidney function. Others are 2 sick for transpl. ...Read more

8

8
If someone has end stage renal failure. Wouldn't they have severe swelling all over from fluid accumulation?

If someone has end stage renal failure. Wouldn't they have severe swelling all over from fluid accumulation?

Possibly: It depends if there is still urine output or not. Some people maintain good urine volume even if they are on dialysis and in that case there is an outlet for fluid excess to leave the body.
In the absence of urine output only dialysis can remove the extra fluid so a restriction of intake is mandatory. ...Read more

9

9
What are good ways to boost hemoglobin level for patient suffering from end stage renal failure?

Anemia and ESRD: This patient must be on dialysis. At his dialysis center, he should be receiving Epogen (epoetin alfa) to increase the hb level. There are some people that have a problem with EPO and do not raise their hb level, due to anti-epo antibodies and is rare. Other causes of no increase of hb levels are blood loss from the GI tract, hemolysis and high parathyroid hormone levels. Ask the patient's nephrologist about it. ...Read more

10

10
Isn't it impossible for someone to have end stage renal failure with consistently normal bun and creatine blood levels and only protien in urine?

Isn't it impossible for someone to have end stage renal failure with consistently normal bun and creatine blood levels and only protien in urine?

Most likely yes: The diagnosis depends on multiple factors including the likelihood of improvement with treatment. If there can be no improvement and there is severe protienuria due to glomerular malfunction, it is possible to be labeled end-stage before a significant change in creatinine or BUN has occurred. ...Read more

11

11
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

12

12
What is the difference between acute renal failure and end-stage renal failure? What is asthma? Can you tell me if someone is put on life support do they induce a coma or can that person b awake just.

A lot of information: acute renal failure when the kidney get insulted right now, and it has the potential to turn around, and becomes normal again.
end stage renal disease is when the kidney are no longer working, to the point it required dialysis, and there is no hope of turning around, beside dialysis, patient might need a kidney transplant.
not everybody on life support required induced coma, unless the problem in brain. ...Read more

13

13
My mother is 84 years of age and has end stage renal failure due to sepsis through chronic UTI. But now her cr-2, urea27, but again UtI with pus cell?

My mother is 84 years of age and has end stage renal failure due to sepsis through chronic UTI. But now her cr-2, urea27, but again UtI with pus cell?

No question posted: To get the most from this site, you need to post background information and ask a clear related question. You have posted background with no defined question. Sometimes we can suspect what it might be, but not with what you posted. You are welcome to start over. Your posts are never linked nor can we pull them up. They go out at random to the site. ...Read more

14

14
My dad is in end stage renal failure, they told him yesterday that his liver is starting to fail. He also has calcified arteries in his heart. How long will he live with all of this? He doesn't want open heart surgery and I don't really think he would ma

My dad is in end stage renal failure, they told him yesterday that his liver is starting to fail. He also has calcified arteries in his heart. How long will he live with all of this? He doesn't want open heart surgery and I don't really think he would ma

It's his decision: Your father has serious medical problems. It's impossible to accurately gauge operative risk without all the details, but renal and kidney failure complicate the prospect of heart surgery. In any case, the decision to have surgery is in his hands. Get the best information from the medical team, and discuss it with your family. ...Read more

16

16
Can chronic renal failure cause someone to feel faint all the time?

Md: Faintness may indicate many problems 1. Low blood pressure 2. Anemia3. Drug effect 4. Low sugar if you are diabetic. Several electrolyte problems ocur in chronic renal failure. It is best to discuss with your physician. ...Read more

17

17
On oxycodone and have renal failure & dialysis. Recently stopped peeing. Afraid taking 15 mg/4-6 hrs w/o peeing could overdose me.?

On oxycodone and have renal failure & dialysis. Recently stopped peeing. Afraid taking 15 mg/4-6 hrs w/o peeing could overdose me.?

You are OK: Since you have been on the drug for awhile you should be ok. The drug is being cleared from your system by dialysis. Not peeing won't make much of a difference.
Drug od's occur with a rapid increase in dosage. No worry. ...Read more

18

18
What is the difference between chronic renal failure and end-stage renal disease?

What is the difference between chronic renal failure and end-stage renal disease?

Stages: Chronic kidney disease can be staged based on creatinine clearance in 5 stages. End stage usually designates stage 5 of chronic kidney disease. ...Read more

19

19
Approx how much time does a 90 y o have have left with stage 4 renal failure refuses dialysis in future?

Approx how much time does a 90 y o have have left with stage 4 renal failure refuses dialysis in future?

No crystal ball: A pulitzer prize winning author, art buchwald started a new phase of his career when he declined dialysis, entered a hospice and outlived their guidelines of 6 months survival. It is not really known. Keep things stable, control the bp, take the meds and maybe the patient will outlive us all. ...Read more

20

20
What is the life expectancy of an old woman with renal failure, end stage dementia, incontinent?

Difficult to say: Signs that someone is nearing the end of life include weight loss, decreased speech (fewer than 6 words per day), need for medical interventions like IV fluids, frequent infections, not walking any longer and decreased interactivity with others. ...Read more

21

21
What can be done for my 88 year old grandmother who has stopped eating and has renal failure and congentital heart defect?

What can be done: It sounds like your grandmother has made the decision for you. She has had a long life and she has some serious health issues. The best thing I can tell you is to have a talk with your grandmother and ask her what she wants to do. It may be that she has had enough of treatments and hospitals, so you can enroll her in hospice, spend some time with her, allow her to be with her family. ...Read more

23

23
Would you say my mom is in stage 5 of renal failure? She is 84 with dementia and dr say dialysis is not an option. How much time does she have?

Depends: If she was told that she has end stage renal disease, then she is in kidney failure. How functional the individual is is a better reflection on whether the person should recieve dialysis. In older adults, if there are no dangerous urgent symproms, then dialysis is delayed until absolutely needed. If mom is having these symptoms and not to be dialyzed, she may have only a few weeks. ...Read more

25

25
How much time can you live with complete renal failure and limited dialysis following sepsis caused by gall stones?

How much time can you live with complete renal failure and limited dialysis following sepsis caused by gall stones?

Not long: This is a tragic combination! Sepsis can be fatal in a matter of hours if untreated. Complete renal failure without the intervention of dialysis would be fatal within a few days at best. ...Read more

26

26
For what length of time can you live being elderly stage 4 colon cancer and renal failure and sepsis?

Sounds like serious: Illness. Of the conditions you mentioned, sepsis is probably the worst, because it means uncontrolled infection throughout the body. Next is renal failure, but dialysis can reverse some of the effects of it. Stage 4 colon cancer means widespread disease, so prognosis is poor. To have all of these conditions at one time in one person is quite ominous. ...Read more

27

27
How serious is renal failure?

How serious is renal failure?

It depends: Usually it depends on the reason, the severity and person health. While renal failure due to dehydration and obstruction (stones, prostate in a man)is reversible most of the the time, renal failure due to intrinsic kidney problems is sometimes hard to treat. ...Read more

28

28
What factors affect renal failure?

Renal failure: High blood pressure and prolonged uncontrolled diabetes and recurrent urine infection are BIG factors escalating renal disease to progress towards failure ...Read more

29

29
What are the causes of renal failure?

What are the causes of renal failure?

Multiple causes: I concur with dr. Griffiths' answer in general. However, one of very common and important cause should be added, namely poorly controlled diabetes. Among the kidney diseases, minimal change lesion is very unlikely to lead to renal failure. ...Read more

30

30
What is the management of renal failure?

Dialysis: Early on it can be managed with dietary changes. Later on dialysis is needed to remove the impurities from the blood. The kidney transplant is the permanent treatment. ...Read more