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Doctor insights on: Kidney Failure After Transplant

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Who is at risk for a kidney failure and transplant?

Who is at risk for a kidney failure and transplant?

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 more

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Dr. Sanjiv Kaul
3 doctors shared insights

Transplant (Definition)

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


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How severe must kidney failure be before you need a transplant?

How severe must kidney failure be before you need a transplant?

CKD5: Either already on dialysis or vey close to it ie the calculated GFR (a measure of kidney function) is less than 20. ...Read more

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After being diagnosed with kidney failure, how quickly will you need a transplant?

After being diagnosed with kidney failure, how quickly will you need a transplant?

Severity: It depends on the severity of the kidney failure. Kidney function is estimated using various formulas, common one being mdrd formula.When the estimated kidney function is about 20%, discussion about dialysis and transplant begins. Many patients start dialysis, when kidney function is less than 10% or get preemptive transplant (avoid interim dialysis). It is best to discuss with a nephrologist. ...Read more

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If soneone has kidney failure how long will they live on average, with no transplant?

Need more Info: Life expectancy with end stage renal disease (kidney failure) would be impacted by other systemic diseases (diabetes, heart disease, cancer, etc.) and age at the time of diagnosis. There have been people leaving 20 years or more on dialysis. ...Read more

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What's an alternative remedy for a patient with kidney failure aside from dialysis and kidney transplant?

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 more

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Sir, my is suffering from kidney failure and her native disease is sle, we are planning for kidney transplantation. After transplant whether sle react?

Sir, my is suffering from kidney failure and her native disease is sle, we are planning for kidney transplantation. After transplant whether sle react?

Yes: Sle can deactivate after kidney transplant and cause graft damage. However, proper aggressive immunosupression regimens are effective in treating both rejection as well as preventing sle recurrence. ...Read more

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My mum has just been diagnosed stage 4 kidney failure she also has been told she can't have transplant as has heart failure how long can u live dialys?

My mum has just been diagnosed stage 4 kidney failure she also has been told she can't have transplant  as has heart failure how long can u live dialys?

Depends on heart: It depend on general health and associated health conditions especially heart disease. Heart failure by itself doesn't prevent someone from getting kidney transplant. I guess she was evaluated in a transplant center and being followed by a cardiologist. ...Read more

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My sister is in the hospital with kidney failure. Does she need an organ transplant right away? If she can't get a kidney transplant, will she be able to survive with just dialysis until she can get a donor?

My sister is in the hospital with kidney failure. Does she need an organ transplant right away? If she can't get a kidney transplant, will she be able to survive with just dialysis until she can get a donor?

The : The short answer is almost certainly "no", although every patient is different, and critical care patients by definition have complex medical stories. Acute kidney injury (or aki, also known as "acute renal failure") is very common in hospitalized patients, and particularly patients in intensive care (although you do not say your sister is actually in intensive care) there are degrees of kidney failure ranging from mild and quickly reversible, to permanent and complete. The kidneys are very sensitive to what is going on around them -- they're sort of the "canary in a coal mine" of our organ systems. So they tend to protest severe illness early by not making enough urine and allowing toxic byproducts to build up in the bloodstream. Fortunately, usually hospital acquired acute kidney failure goes away with minimal intervention. When it doesn't, the function of the kidneys can often (depending on the other medical circumstances) be replaced with a machine which removes the things the kidneys usually remove from the blood(dialysis). Dialysis isn't a perfect replacement for functioning kidneys by any means, but it's good enough for the short term, and many people live for decades on dialysis. Not every patient can benefit from dialysis -- the choice of whether to initiate dialysis is made on an individual basis. Kidney transplant is usually only made available to patients who have complete and permanent kidney failure, are dialysis dependent, and are doing very well otherwise. I hope you have found this helpful, and that your sister feels better soon. ...Read more

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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


Dr. Tarek Naguib
587 doctors shared insights

Kidney Failure (Definition)

The kidneys do several tasks. Dialysis is necessary when one or more of the following occur, that can't be remedied or palliated with medications: 1. Insufficient clearance of daily toxins in food and metabolic waste 2. Insufficient clearance of excess water 3. Dangerous electrolyte imbalance, ...Read more