Doctor insights on:
Nepro Dialysis Drink
See below: Not clear on your question. Patients can live decades on dialysis. Usually depends on one's age and other illnesses. ...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
Volume. Interdialytic gains should be limited to 1kg (1liter)/day so that means 2 liters over two days. A soda can is 375ml.
Phosphate. Colas contribute to your phosphate burden and increase the need to require phosphate binders with meals.
Calories. Empty calories don't benefit you. ...Read more
Best time for Nephro: Nephro is a product that is high in protein, and low in potassium and phosphates. If you have an 8 oz. Portion of nephro, it really does not matter when you ingest it, unless the patient is fluid overloaded. That is because hemodialysis (hd) does not remove protein. I would take it at the start of one's hd session to make sure an adequate amount of fluid, potassium and phosphorus is removed. ...Read more
Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?
Nurses being nice:
The total fluid removal target is programmed at the beginning of the dialysis run.
Fluids consumed on dialysis are added to the total weight target. The removal target is doable from the onset of dialysis. If you drink 32 oz in the last hour, it is difficult to get this (and the preprogrammed amount) all off in the last hour. ...Read more
My mother is on dialysis 4 session was done but still she is not passing urine normally, she's passing urine like a drops. She's drinking 1ltr water in a day.
Probably normal: If she is in kidney failure, temporarily from serious insult. Infection, trauma or such it is quite normal to have little or no urine. She may return to making urine later as she recovers. If permanent failure, she could produce no urine from now on. 1 liter of water per day is the necessary fluid to keep normal body functions going. Your doc can give you more details knowing the problem. ...Read more
Husband on dialysis, has mild cirrhosis from Atn. What will happen if he drinks alcohol daily with kidney failure? Abour pint a day.
It is likely that: He will shorten his life through further damage to his liver as well as interfering with the metabolism of medications he is probably being given for his condition. ...Read more
I am on dialysis. I cannot stand those fiber drinks. Can I take 2 colaces (docusate sodium) a day? I know the gastrointerologist does not like using laxatives.
Ask Doctor: Colace can have added sodium (docusate sodium) in it, and your nephrologist may not want you taking things that can upset your electrolytes, even if it's such a small dose through your stool softener. So, consult with him/her first, and then you'll have peace of mind. Instead of the laxative drink, you maybe could do it naturally eating organic greens/vegetables instead. ...Read more
Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read more
Less likely: Fertility is significantly decreased in patients on dialysis, but it is still possible to have children. If you become pregnant, however, your likelihood of a successful pregnancy are much lower. If it is not your intention to become pregnant, make sure that you are using some form of birth control. ...Read more
There are five renal replacement therapy options I always discuss with patients who are about to start dialysis.
1. Blood dialysis
a) in center (hd)
b) home (hhd)
2. Peritoneal (ccpd or capd) (also done at home)
3. Renal transplantation
4. Comfort care. Not everyone decides to use this technology. ...Read more
See below: Opinions may vary, but most nephrologists agree that home dialysis which includes home hemo dialysis [ where you perform your own dialysis at home ] and peritoneal dialysis [stomach dialysis, blood free dialysis] are better options than incenter hemodialysis where you go for dialysis to a center 3 times a week. There are some considerations whereby home dialysis may not be a proper option. ...Read more
Possible: If you are an in center patient, travel becomes more difficult but not impossible. Depending on where you are traveling the social woker must arrange for a dialysis center to perform dialysis at your destination location. This requires 3 week advance notice, but many dilaysis patients have been to the caribbean and mexico. ...Read more
See below: 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 wastes are removed here. ...Read more
Dialysis risks: Dialysis is a high risk procedure that should not be done unless absolutely necessary. The risks do not increase of its not needed, but if there is no benefit they are senseless. Complications include blood loss, both rapid and slow, dangerous blood pressure drops, reactions to the fluid or membranes used, and increased risks of infection. While dialysis is generally safe, why risk it if no need? ...Read more
Is there anything I should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s). Thank you.
Yes: If you have renal insufficiency ("pre-dialysis" kidney disease) you should consider getting a fistula placed. Since you have some klidney function you are a better surgical candidate, will heal better, and can get a native vein fistula (the best kind). Don't wait until you start dialysis because you may need a catheter (which is not good). ...Read more
Countercurrent flow: The dialysis machine is based on pumps that move blood through the artificial kidney (a filter) while making dialysate (a mixture of water and chemicals) to move the opposite direction through that filter. The blood and dialysate are separated by a semipermeable membrane in the filter. By moving in opposite directions, the waste products in the blood tend to go into the dialysate cleaning the body. ...Read more
Start of dialysis: Your question is difficult to answer without knowing the age, weight, sex and race of the patient in question. The creatinine level is rarely the only indication for starting dialysis. Factors such as high potassium, nausea, vomiting, increased sleep during the day time and itching are more commonly used indicators. Ask your doctor, or go to a nephrologist to get more information. Good luck. ...Read more
Avoid dialysis: Yes, it is possible to avoid dialysis in stage 2 kidney, but it is not guaranteed. You need to be under the care of a nephrologist to find out what caused your CKD in the first place. Was it due to poorly treated hypertension and/or diabetes? Was it due to some disease of the disease of the kidney's glomeruli? Find a good nephrologist to increase your chances of not having your CKD progress. ...Read more
Yes and know: What determines if dialysis is necessary is if all attempts to manage all of the things that go wrong when kidneys fail have been tried and failed. Usually this happens when the creatine levels reaches 10, but I have seen levels higher than 10 before dialysis became necessary. ...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
Go to ER: You need dialysis ASAP and under these circumstances may need to be admitted. ...Read more
Age illnesses matter:
Using medicare data for dialysis patients life expectancy...
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
females typically live longer than males. Illnesses and the reason for starting dialysis matter too. Transplant if patient qualifies offers greatest survival. Good luck. ...Read more
Synthetic: It is made of Cellulose or cellophane. ...Read more
Dialysis inside you:
Hemodialysis involves blood leaving your body in a circuit that passes through a filter membrane, before being returned to your circulation.
Peritoneal dialysis involves the patient instilling fluids into the abdominal space, via a surgically placed silicone catheter which remains in place. The toxins from the blood stream in the blood vessels flowing to the bowel loops, pass through to the fluid. ...Read more