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Doctor insights on: How To Know When Your At End Stage Kidney Failure

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If someone is dying from liver failure due to cirrhosis, how do you know when the end is near?

If someone is dying from liver failure due to cirrhosis, how do you know when the end is near?

Functional decline: End stage liver disease is characterized by jaundice(yellow eyes and skin), ascites(swoolen belly) and toward the very end, confusion, sleepiness and weight loss. Ultimately the kidneys also fail, so ther is less urine output. Most people will fall asleep into a deep coma as the end is near. ...Read more

Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more


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I am at stage 4 renal failure. How can I avoid going to stage 5 (end renal failure)? Thank you. Nancy

I am at stage 4 renal failure. How can I avoid going to stage 5 (end renal failure)? Thank you. Nancy

Stage 4 CKD: You have chronic kidney disease (ckd) and to avoid advancing toward dialysis, you need to treat the cause of your ckd effectively with the aid of a nephrologist (n). If you have hypertension (h), control it with medication. If you also have diabetes (d) with your h control your d and reduce any protein in your urine with medication. See a n to have your best chance of avoiding renal failure. ...Read more

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Am 4th stage renal failure due to adpkd, expectation of what will happen to my rather large and painful kidneys when they do finally fail?

May require removal: If the large kidneys become more symptomatic (pain, pressure, bleeding) may require excision eventually, especially if they are at minimal function and you are already on dialysis (esrd). ...Read more

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If you're up to stage 2 of cirrhosis of the liver, how long can you expect to live?

If you're up to stage 2 of cirrhosis of the liver, how long can you expect to live?

Liver disease: The progression of liver disease is difficult to predict and depends on the source of injury. The majority of people with stage 2 fibrosis live many more years with the disease. ...Read more

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How do cancer patients know when the end is near?

How do cancer patients know when the end is near?

Many well: Intentioned care providers withhold information, offer more treament, and don't come clean about the fact that: losing weight, not eating; having no appetite; spending increasing to all one's time in bed or chair signal approaching end. Inability to control bowels and blader and losing consciousness can occur before breathing ceases. Invite palliative care in early ...Before the end is near. ...Read more

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How fast does it take for your entire body to jaundice once it begins from end stage liver failure?

How fast does it take for your entire body to jaundice once it begins from end stage liver failure?

Same all over: When your bilirubin is over 2 mg/dl, the whites of your eyes will turn a light shade of yellow. When it is over 5 mg/dl, most fair skinned patients will have a yellowish tint to their skin. When it is over 20 mg/dl, the skin will appear bronze. Since bilirubin is distributed in the blood and fluid, it is evenly distributed. ...Read more

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What to expect during end of life kidney and liver failure?

What to expect during end of life kidney and liver failure?

Peaceful end!: Both kidney failure and liver failure cause a sleep state such that patients die peacefully, without being aware of any discomfort or pain. ...Read more

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How do you know when urine retention has reached a critical stage and you should go to the ER?

How do you know when urine retention has reached a critical stage and you should go to the ER?

If you have to ask..: To be safe - I'll say you should be seen as soon as possible. If you need to ask - it seems that you need to go. The risks are so bad in the direction of neglect and so small in the direction of over-caution that it believe it is clear. In any case, once there you can ask for guidelines for the future to avoid the problem or evaluate it better. Best wishes! ...Read more

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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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Do Patient have to cross every stage of typhoid to get well.Or patient can get well at earlier stage.

May get well: With proper treatment, they may get well sooner than dealing with the full wrath of the disease. ...Read more

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For what length of time can you live with stage five kidney failure?

For what length of time can you live with stage five kidney failure?

Ask the nephrologist: They will give you the lowdown. There is not a set number. It is dependent on many things including how good your heart, lungs, kidneys are and if you have high blood pressure and diabetes. Your nephrologist will know all this plus your current trends and perhaps can give you an idea. ...Read more

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Please tell me how long it takes for to fall from stage 3 kidney disease to dialysis?

Please tell me how long it takes for to fall from stage 3 kidney disease to dialysis?

No single answer: It can range from "never", to "few months" in the worst case scenario. There are red flags that are predictive of a worst outcome like uncontrolled blood pressure or massive amounts of protein in the urine. There are some equations that can help nephrologists make a reasonable prediction, but they are not quite as good as crystal balls! ...Read more

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How to deal this situation about the kidney and kind of renal failure if anny... And renal failure can pass through

How to deal this situation about the kidney  and kind of renal failure if anny... And renal failure can pass through

Silver linings: Hard to believe today because of all the care options available, but kidney failure used to be universally fatal. With good care and excellent cooperation fron the patient (you!) work, a family life, a sex life, transplant - much is possible. Try to focus on the positive and to listen to the professionals advising you. Ask questions and know your medications. Good luck. ...Read more

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What to expect when a person comes to the end of life with a stage 4 primary liver cancer?

What to expect when a person comes to the end of life with a stage 4 primary liver cancer?

hospice care: It can be overwhelming for the family. Get hospice involved immediately. They have resources to help the whole family through this tough time. ...Read more

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My fiancee has PKD and is at 20% gfr. How will we know when it's time to go to the hospital and start dialysis, etc.?

Regular visits: You need to regularly see your family doctor or nephrologist, either of whom can order bloodwork to follow his serum creatinine. If it is over 4.0, most nephrologists will want to start dialysis. Presuming that he is not at that level, now is the time for him to see a surgeon to have an arterio-venous fistula placed to make hemodialysis easier to perform. ...Read more

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My dad is at the end stage of liver failure, is there anything he can do to survive now? He got it through excessive drinking

My dad is at the end stage of liver failure, is there anything he can do to survive now? He got it through excessive drinking

Liver transplant: Many of the patients with an end-stage alcoholic liver disease get an orthotopic liver transplants on daily basis. Without transplant, five-year is a maximum survival rate. It is a waiting times until donor organs become available, but sooner you start a process the better it is. Consider transplantation as a potential option and call a transplant center for evaluation asap. Good luck. ...Read more

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When preparing for a liver transplant surgery due to stage 3 liver cancer, when do you start anti-rejection meds?

In the O.R.: The first dose of medicine to prevent rejection is typically given just prior to implanting the organ. Most patients receive a dose of steroids along with a more potent drug to prevent rejection. This first dose of medicine is commonly referred to as "induction". ...Read more

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What happens to a person that's close to the end when they have pancreatic cancer?

What happens to a person that's close to the end when they have pancreatic cancer?

Depend on the person: Some people are ready and more acceptable to the fact that death is actually another cycle of life- so is birth. They would feel more comfortable and peaceful with their last journey. They would get prepared and finish whatever they would like to finish. It does not mean they give up. Some other people are still on denial and refuse to accept the fact. They feel sad, anger, depressed. So it depends. ...Read more

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Can last stage of vascular dementia make you "forget" how to breathe or stop your heart and kidneys? Thanks.

Can last stage of vascular dementia make you "forget" how to breathe or stop your heart and kidneys? Thanks.

Involuntary acts: Breathing, heart and urinary functions are indeed controlled by brains and advanced brain dysfunction is a way these systems can cease to function, but don't confuse it with the functions like thinking in terms of "forgetting". It probably makes little difference in this case, but healthy folk don't "remember" how to do those things, right? They are part of autonomic nervous system brain functions. ...Read more

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


Dr. Fred McCurdy
361 doctors shared insights

Esrd (Definition)

End stage renal disease (ESRD) = final stage ...Read more