Doctor insights on:
Is A Kidney Transplant Even An Option With Acute Leukemia And Kidney Failure
Longer life: If a patient is in kidney failure they have few options. One is dialysis and the other is transplant. If you compare longterm outcomes of both options, on average people with transplants live longer. Also most patients state their quality of life is better after transplant than while on dialysis. Transplant does have it's own set of problems that patients must deal with however. ...Read moreSee 3 more doctor answers
In medicine: a transfer from one body or body part to another of an organ (liver, heart, lung, kidney, pancreas bowel) or tissue (hand, face, hair). The immune system fights foreign invaders (like infections) so it will reject transplants from other people (allotransplants) because they look like infections. So transplants usually require drugs to ...Read more
Yes: Small cancers found incidentally have little impact on the ability to get a kidney transplant. Larger tumors or those that have spread away from the kidney will require the patient to wait a period of time (usually 3-5 years) to make sure that the cancer is "cured" before they are allowed to receive a kidney transplant. ...Read moreSee 2 more doctor answers
What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?
Not remedy - death: Some patients with kidney failure who are not actively depressed, have tried dialysis and are not reasonable transplant candidates choose to withdraw from care and knowingly accept that they will die. This is allowed in the us but certainly not encouraged. A pulitzer prize winning author, james michener, decided after the age of 90 that he had written his last book and did withdraw from dialysis. ...Read moreSee 1 more doctor answer
If a person is in end stage renal disease and needs a kidney, would liver damage exclude them from getting a transplant?
Depends on severity: The liver can tolerate a significant degree of damage before it becomes apparent that there is a problem. The extent of damage is assessed in multiple ways ranging from understanding symptoms linked to liver disease (if there are any), blood tests, imaging tests, and very often a biopsy to look at the liver cells. Severe damage will likely require a liver txp too. Mild to moderate damage may not. ...Read moreSee 1 more doctor answer
ARF and infection: Acute renal failure (ARF) has a frequently reported mortality in 20-80% of the patients. Infection, as a cause or a complication of the syndrome, is a risk factor which adversely determines its outcome. In a study in 2009, infection occurred in four fifths of critically ill patients with ARF treated with dialysis and was in an unadjusted analysis associated with longer los and higher mortality. ...Read more
History is important: Kidney disease in family or chronic disease like diabetes and hypertension, hypercholesterolemia, and obesity for the person in question are risk factors. Things to do to decrease your risk is to control chronic disease, avoid smoking and avoid obesity. ...Read moreSee 1 more doctor answer
This is only a general question. If an elderly pt has "kidney failure" & sepsis does the kidney failure generally make much of a difference to survivablity?
Kidney failure: Kidney failure complicates treatment of other serious illnesses. The extra metabolic demands created during serious illness can also make recovery more difficult in the face of organ failure. Experienced physicians should be able to manage this to some degree for the best possible outcome. ...Read more
If someone has cardiomyopathy as a result of amyloidosis and is now palliative, can this stage bring renal failure?
Amyloid: Amyloid can cause a cardiomyopathy. If the heart is severely compromised in the later stages of the illness, there will be an inability of the heart to pump the blood forward through the arteries. This may cause the blood flow to the kidneys to also be compromised and result in a picture that looks like renal failure. ...Read moreSee 1 more doctor answer
Yes: It can definitely happen, although it also depends on whether your hospital offers this service. ...Read more
Cardiorenal: Think of a pump (or the heart) building pressure against a filter that is very slow and inefficient, the kidneys in our case. For a while, the pump, which is elastic, will adjust by stretching trying to accommodate the extra load, fluid unfiltered by the kidneys. Once that capacity is reached the heart goes in failure, too. The extra fluid is managed with diuretics and eventually dialysis. ...Read more
Cardiac transplant: Transplant survival rates have been improving over the past several years as better options exist in preventing rejection (better than 60% live 10 or more years). Diffuse post-transplant coronary arteriopathy tends to or relate more with late post-transplant events. Coexistant renal failure would also be a negative predictor on survival irrespective of transplant status (mortality 50% at 2 yrs). ...Read more
Yes: Living donor liver transplantation provides a liver for someone that has chronic or acute end-stage liver disease. There is often time to work up the donor over weeks and go through a thoughtful process in chronic liver disease, however in acute fulminant liver failure, there is life threatening complications measured in days, the whole process is sped up but should never compromise donor safety. ...Read more
If a person is in end stage renal disease and needs a kidney, would age exclude her from transplant?
Transplant: It depends on several factors. Age is definitely an issue, but they often use extended criteria donor kidneys for older patients (the kidney may be older). I have seen transplant patients in their 80s get kidneys. The biggest issue is that the patient has to be stable enough (heart, lungs, body) to tolerate a transplant. ...Read moreSee 1 more doctor answer
What is the survival rate of a patient with complete liver damage if they have a liver transplant. ?
Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?
Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more
Purpose of Renal Tx: When a person has renal failure, it is not just one kidney but both kidneys that have inadequate function. Therefore, a new kidney is needed to assume enough kidney function so that excess electrolytes (potassium, phosphorus) and fluids can be excreted. ...Read moreSee 2 more doctor answers
How long can a person with cirrhosis of the liver and mild hepatic encephalopathy live if transplant is not an option due to advanced age (80 yrs)?
Depends on MELD: Difficult to estimate survival in patients with cirrhosis until their meld or child's score becomes elevated. If one's meld score is high, mortality in the next 3months is high. Otherwise it is very difficult to predict. Follow closely with your physician so that symptoms of cirrhosis can be managed. ...Read moreSee 1 more doctor answer
If a person is in chronic renal failure awaiting transplant, would that not be the cause for amyloidosis? Neg in marrow, awaiting fat byopsy..
Kidneys anatomically require connection to an artery for blood supply, a vein for blood drainage and the bladder for urine outflow. In a transplant a healthy kidney is disconnected from its usual attachments and moved to a new location with those 3 requirements (artery, vein, bladder). This may be an auto-txp - somewhere else in your own body; or an allo-txp -from ...Read more
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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