Doctor insights on:
Fluid Management In Dialysis Patients
What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?
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
Serious question. Patient has uti. On fluid restriction due to heart problems. Needs dialysis but can't yet. Today eyes yellow. What can be done?
Check liver: This sounds like a very serious problem. The yellow eyes suggests jaundice and liver dysfunction. In the setting of kidney and heart problems, too, I worry about multiple-system organ failure, a bad problem. All these issues relate. The patient needs volume status addressed, antibiotics and likely evaluation of organ function, quickly and closely. So sorry and good luck. ...Read moreSee 2 more doctor answers
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
When kidneys fail: People are treated with dialysis when the kidneys are no longer able to perform their main functions: filtering out toxins and removing excess body fluids. For an excellent reference, look for the book "Help! I Need Dialysis! " by Dori Schatell and John Agar, MD. LGromkoMD ...Read more
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
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. Missing a session puts you 4-5 days between treatments and at risk for electrolyte and/or fluid retention problems. ...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
See below: In general regular dialysis. Watch fluid intake. Follow dietician's instructions. Take medications on time. Your dialysis center has a dedicated team of doctor, dietician, social worker, dialysis staff- please follow their instructions. They spend a lot of time, sometimes without your knowledge planning optimal health for you. Please get on transplant list. ...Read more
Age illnesses matter:
The attached picture is from medicare data. It breaks down life expectancy of dialysis using age and sex.
20yo male on dialysis 15.3years average
40yo male on dialysis 8.4 years average
60yo male on dialysis 4.6 years average
80yo male on dialysis 2.3 years average
illnesses and the reason for starting dialysis matter too, but that's too complicated for a chart. Good luck. ...Read more
Itching: High phosphorus levels in a dialysis patient can lead to many issues. Usually most patients itch uncontrollably. However over time elevated phosphorus levels can alter bone structure, lead to calcium deposits on heart vessels and cause nerve damage throughout the body. ...Read moreSee 1 more doctor answer
7-14 days: If a long time dialysis patient stops dialysis, not because of recovery of function, the average 10 days. Usually death occurs between 7-14 days. Some patients may live much longer if their native kidney function is still present and they eat a very restricted diet without protein or potassium and they manage their fluid well. The death from withdrawal of dialysis is usually peaceful. ...Read more
I'm a dialysis patient for 17 years. I haven't slept in 4 days. I have been trying no sucess what should I do?
Here are some. ..: You should bring to and discuss your concern of insomnia with your treating Doc so how to implement lifestyle and behavioral modification, possible use of melatonin and other sleep-inducing drugs, etc. To suit your clinical profile. There has been no magic means or pill around online to meet your specific need. Best wish. .. ...Read more
What if a dialysis patient takes a medication or something that isn't dialyzable and can't be removed by dialysis?
See below: Prescribing for pts on dialysis can be challenging. Many drugs are not cleared by the kidneys. The drug’s clearance and therapeutic index determine if a dose adjustment is needed. When prescribing for pts on dialysis, it is essential to consult a reference guide to determine if the drug is subject to renal clearance and requires a dose adjustment. Best to discuss with a nephrologist. ...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 moreSee 1 more doctor answer
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 moreSee 4 more doctor answers