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Doctor insights on: How Long With End Stage Renal Failure Without Dialysis

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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

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Dr. Quresh Khairullah
517 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 average life expectancy for someone in end-stage renal failure on dialysis?

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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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

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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

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My 96yr old aunt is stage 4 renal failure. Congestive heart failure, hypertension, no dialysis. How long does she have?

My 96yr old aunt is stage 4 renal failure. Congestive heart failure, hypertension, no dialysis. How long does she have?

Life expectancy: You ask a difficult question. Stage 4 chronic kidney disease (ckd) is far advanced stage of ckd. The life expectancy (l) of a 96 year old female in the us is 3.18 years. That is the l without ckd. Patients with CKD live shorter than those without it. Your question is a difficult one to answer and I hope this helps. ...Read more

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Gram is 71 diabetic, renal failure, dyalisis 3x week for past 7 years. Today her heart function is at 25% how long is the life expectancy, options?

Gram is 71 diabetic, renal failure, dyalisis 3x week for past 7 years. Today her heart function is at 25% how long is the life expectancy, options?

No easy answer: She has a number of considerable medical problems, but noone can predict life expectancy with any certainty. Emphasis should be on quality of life. "tight" blood sugar control is not indicated because of the risk of hypoglycemia and because she already has complications. Take care of her eyes so she can enjoy her family. Work with her cardiologist to maximize heart function. ...Read more

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My 6yrs old nephew has renal failure, stage 5. If he undergos dialysis, what is the percentage of survival?

My 6yrs old nephew has renal failure, stage 5. If he undergos dialysis, what is the percentage of survival?

A lot of signs: Usually nausea, vomiting, weight loss, shortness of breath, trembling of hands, palor and mood disorders, problem sleeping are mostly the signs and symptoms of impending renal failure. ...Read more

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How can a person with total renal failure, who is on dialysis, pass small amounts of urine?

How can a person with total renal failure, who is on dialysis, pass small amounts of urine?

Residual kidney: Yes it is called the residual kidney function, meaning that kidneys ahem still making producing some urine. On hemodialysis this function is lost rapidly however on peritoneal dialysis one may maintain that function for a long time. ...Read more

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My son who is 17 has renal failure, he has dialysis three times a week for three hours. What hope is there for him?

My son who is 17 has renal failure, he has dialysis three times a week for three hours. What hope is there for him?

17 year old on HD: I am sorry to hear about your son's misfortune. He can look forward to a renal transplant from either a family member or from a deceased donor. Speak to your son's nephrologist about a renal transplant program near you and get more information on what you can do. Good luck. ...Read more

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I have chronic renal failure and am on dialysis. Could I still be able to adopt a child?

I have chronic renal failure and am on dialysis. Could I still be able to adopt a child?

See below: I don't see why not? Don't know your age, but you may want to ask your doctor about home dialysis therapies and kidney transplant
these would enable to have a better medical outcome and lifestyle and energy. Many things depend on your other medical problems. ...Read more

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My grandma has renal (kidney) failure and she has decided not to do dialysis. What will happen?

My grandma has renal (kidney) failure and she has decided not to do dialysis. What will happen?

Reanl failure: She will become more drowsy and disoriented. My grandfather made the same choice and he just simply went to sleep and passed away. My grandmother asked me the same question and after grandpa died she told me he was very peaceful and appeared comfortable. Thus, I have great empathy for your situation. Godspeed! ...Read more

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What are the protein needs for a person with chronic renal failure and not on dialysis?

What are the protein needs for a person with chronic renal failure and not on dialysis?

See below: It is very important to know if you have normal Albumin level before you restrict any protein in your diet
generally recommended is 0.8 grams per kg body weight.Consult a dietician. ...Read more

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Copd + renal failure not a candidate for dialysis?

Copd + renal failure not a candidate for dialysis?

Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read more

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How effective is dialysis for treating acute renal failure?

How effective is dialysis for treating acute renal failure?

Treating ARF: When used correctly and the underlying reason is also treated correctly, you cannot beat the combination of medical management of ARF along with prudent dialysis. ...Read more

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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

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I have progressive derranged renal failure. If medicine can't control it. How soon would dialysis or transplant be needed. Months or years?

Renal failure: You need to see a nephrologist (n) for an evaluation. The n will order a 24 hour urine for creatinine clearance and protein. Blood work will be taken when you return the urine. With the results of the tests, the n can tell you what stage of chronic kidney disease you have and if it can be treated. You also need a renal ultrasound to see how your kidneys look. Ask your doctor for a referral to a n. ...Read more

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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

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I'm 71 M I have renal failure stg 5, currently undergoing dialysis, blood urea is touching 223.4 & Uric touching 9, creatinine -7.4, how to control.

I'm 71 M I have renal failure stg 5, currently undergoing dialysis, blood urea is touching 223.4 & Uric touching 9, creatinine -7.4, how to control.

Ask your doc: This a question for your dialysis team. Some adjustments may be necessary to get your blood levels into acceptable range. Your doctor should know about your numbers. ...Read more

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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 a 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

Dr. Tarek Naguib
599 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