Doctor insights on:
High Phosphorus Levels In Dialysis Patients
I am a peritoneal dialysis patient and my phosphorus levels have been running high these last few months. I started getting these sores on my back.?
Dialysis skin sores: Check with your dialysis team. Many need longer dialysis time. ...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
Hi there she is a end stage renal patient her bloods came back today with high ferritin levels of 933. Does dialysis lower this figure?
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
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
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
Filter, toxins: Dialysis does the work of kidney- removing fluids andtoxins. Electrolytes move along the concentration gradient, so toxins which are high in the blood, goes to the dialysate solution. Creatinine is removed from the blood during dialysis, so these levels are low in the patient after dialysis. ...Read more
My father (60 yrs) is a Gout patient.suffering now from high polina concentrate & did 8 dialysis so far.kidneys are fine, but polina still the same?
Why does CDC say intubation and dialysis are high-risk procedures for people treating ebola patient when they say biohazard suits should protect them?
Because: They expose the care giver to body fluids which is how the virus is transmitted. As we have seen biohazard equipment is only protective if used properly. We have seen recently that despite the best of intentions, there have been breaches in technique resulting in infection among caregivers. ...Read more
Why is the mortality risk so high for icu patients having acute renal failure? If you are already in the hospital, can't you start dialysis quickly?
Renal failure death: Patients in the ICU who have an acute kidney failure (akf) have something that caused it, usually hypotension. The are very sick and have multi-systemic problems and may have an overwhelming infection leading to their akf. Although dialysis can replace kidney function lost in akf, it cannot perform any of the functions of other organs in the body. They need more than just kidney function to live. ...Read more
Dialysis patient. 1 transfusion. My antibody count was too high to be admitted to a study on stem cells. Living donor. Anyway to lower antibodies count?
Not really: Antibody titers increase as a reaction to the antigen. Antigens are molecules (structures) on cells that give them a unique identity -- and so give you a reference to "self" or "not-self." in this case, you are making antibodies to something that cross reacts with the stem cell study (or equivalent). You can try to calm the immune system down (this is what medications do), but it is iffy. ...Read more
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
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
In-center dialysis: Your home training facility should have an in-center hemodialysis facility nearby that is available in the event you are unable to perform your home dialysis treatments. ...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 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
Phosphorus is an essential mineral. It is important in the formation high energy compounds used by the body, maintaining strong bones and teeth, and muscle and nerve functioning. Meats and milk are a good source of phosphorus. Deficiency is very rare as phosphorus is ...Read more
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