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Doctor insights on: End Stage Renal Failure Timeline

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Dr. Tarek Naguib
594 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


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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

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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

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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

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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

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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

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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

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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

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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