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Doctor insights on: Peritoneal Dialysis Leg Cramps

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I am in peritoneal dialysis and my legs have started swelling, why?

I am in peritoneal dialysis and my legs have started swelling, why?

Much liquid intake: Your intake of liquid exceeds your dialysis removal amount. You need to drink less or remove more liquid or both. Also, low salt diet makes your life easier since you don't get thirsty much a matter that makes you exceed your limits of intake. ...Read more

Dr. Jared Fialkow
386 Doctors shared insights

Peritoneal Dialysis (Definition)

One of the options for treatment of end stage kidney disease, the other options are hemodialysis and kidney transplantation. In peritoneal dialysis a tube is placed surgically in the belly. One end is in the peritoneal cavity and the other end is outside. Dialysis fluid is placed in the peritoneal cavity through the tube. The peritoneum acts as a filter, and drained ...Read more


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What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

What causes severe leg cramps in a dialysis patient. Especially at night or during dialysis.?

Fluid shifts: Most attribute leg muscle cramps during or after dialysis to the shifting of fluid out of the muscle cells as excess fluid is removed during dialysis and the body re-equillabrates. ...Read more

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Will glucose or dextrose 50% help treat leg cramps for patients during dialysis? Why or why not?

Will glucose or dextrose 50% help treat leg cramps for patients during dialysis? Why or why not?

Depends: If it is a glucose issue - yes. If it is an electrolyte issue or a vascular issue - probably not. Make sure to tell your doctor you are having these cramps. ...Read more

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Leg pain I have leg cramps often, sometimes very painfull. One night I was up all night. About 4am I heard a pop and unberable pain for a few min. S the cramp didnot stop for 2 days.

Leg pain I have leg cramps often, sometimes very painfull. One night I was up all night. About 4am I heard a pop and unberable pain for a few min. S the cramp didnot stop for 2 days.

Leg: Leg cramps occur frequently and awaken many people. They are sometimes related to circulation problems, wearing high heeled shoes, spending a lot of time sitting and other activities that shorten the calf muscles. Doctors used to prescribe quinine for the cramps but fda no longer approves of this use. A paper in the new england journal of medicine about thirty years ago suggested leg stretches at bed-time. Stand up against the wall with one foot in front of the other and bend the front knee while keeping the back knee stiff. This stretches the gastrocnemius muscle in the back of the leg. I usually suggest calcium/magnesium tablets as well. If the cramps are in the front and back of the leg at the same time, I usually push hard on the cramped area to make the cramp stop. If you try to stretch one muscle out, the other uscle will cramp more. You may have popped some of the fibers with a severe cramp. The reason it lasted so long was that you may have had some bleeding into the muscle causing irritation. Depending on your age it also would be wise to see your doctor for blood work to check for inbalance of salts in your blood or abnormalities in calcium levels.
Good luck in resolving this really common and annoying problem. ...Read more

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Can someone who is doing peritoneal dialysis have a pet?

Can someone who is doing peritoneal dialysis have a pet?

Yes: The main issues would be hygiene and cleanliness. It would probably be a good idea to establish a "pet free zone" in the area where you do your treatments to prevent contamination and infection. Also, don't allow you pet to bite, scratch or otherwise contaminate your catheter. ...Read more

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What is the longest you can survive on peritoneal dialysis?

What is the longest you can survive on peritoneal dialysis?

Indefinitely: It is impossible to predict how long any individual may survive most medical conditions, as there is too much variation in tolerance, genetics, associated factors, and the human spirit! I've never seen an "expiration date" on any patient and would question anyone who believes there are specific time frames for survival in any given person with any disease! ...Read more

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What diet is recommended to follow with peritoneal dialysis?

What diet is recommended to follow with peritoneal dialysis?

High Protein diet: Patients lose large amounts of protein during peritoneal dialysis and a high protein diet is recommended. ...Read more

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How do you prepare well for a session of peritoneal dialysis?

PD Prep: It depends upon what kind of peritoneal dialysis you are askinig about. Here is an excellent source of information on peritoneal dialysis that you can read at your leisure: http://kidney. Niddk. Nih. Gov/kudiseases/pubs/peritoneal/. ...Read more

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How much peritoneal dialysis is usually needed for optimal outcomes?

Depends: The more renal function you have left determines how much pd therapy you need. When a patient starts pd, if they still make lots of urine and the clearance rate is still reasonable, then you probably need less pd exchanges. However if you don't make urine and have poor renal function, then you will need much more pd exchanges. ...Read more

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What type of dialysis access procedure would be necessary for peritoneal dialysis?

What type of dialysis access procedure would be necessary for peritoneal dialysis?

PD cath: A peritoneal catheter is introduced in the lower abdomen to allow for introduction of fluids in and out. ...Read more

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If you are on peritoneal dialysis can you go swimming in a pool?

If you are on peritoneal dialysis can you go swimming in a pool?

Not advisable: Your doctor will tell you that you may develop a infection called peritonitis if bacteria in water enter your cathetor, not worth the risk. ...Read more

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What would the life expectancy of peritoneal dialysis at 13% be?

Depends: Peritoneal dialysis allows patients with kidney disease to not suffer symptoms of kidney failure and to not die from their disease. The life expectancy really depends on how healthy the patient is and how compliant they are with the treatment recommendations. Most deaths of dialysis patients are cardiovascular. If the patient has a bad heart the likelihood of death increases. ...Read more

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What is the cost of hemodialysis compared to peritoneal dialysis?

What is the cost of hemodialysis compared to peritoneal dialysis?

Don't know: This is variable. Would contact the facility or provider to obtain more information about the anticipated cost. ...Read more

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I am on peritoneal dialysis and sometimes the effluent smells funny, why is this?

See below: It is after all bodily fluid. Have it examined by your nurse or doctor
if it is cloudy it is possibly an infection. ...Read more

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What indication of hemodialysis peritoneal dialysis?

Kidney failure: Hemodialysis and peritoneal dialysis are 2 effective types of treatment for kidney failure. Kidney function generally needs to be less than 10% before dialysis is needed. Kidney failure can be permanent or reversible. Kidney doctors (nephrologists) need to be involved in evaluation and treatment of kidney failure. There are 6 stages depending on severity. Stages 4-6 require specialist care. ...Read more

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What is the record for the longest period of time on peritoneal dialysis?

Years!: This modality to keep people alive is not the easiest. If all works well and there are no complications with the catheters and especially infections/peritonitis one can live on it for years. Of course a kidney transplant is the best of the solution with the best quality of life! ...Read more

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I'm on peritoneal dialysis and am having excruciating back pain, is this normal?

I'm on peritoneal dialysis and am having excruciating back pain, is this normal?

NO: Talk to your kidney dr. This may be related to your kidney, but something like an infection needs to be ruled out! ...Read more

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How do I help stop leg cramps.?

How do I help stop leg cramps.?

Review meds, exercis: It depends on what is causing them. Lots of reasons exist for leg cramps, including medications, electrolyte problems, vascular problems, etc. If it is from a cholesterol drug called statins, then sometimes stopping or changing the medicine can help. Other times, over the counter medicines help, like naproxyn or ibuprofen. Coq-10 is a supplement that can help. Exercise may help too! ...Read more

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What can I do for sever leg cramps?

Consider veins: As dr. Isobe rightly said, there are many things that can cause leg cramps. However, venous insufficiency is a more common cause of leg cramps that calcium, magnesium, iron, and potassium defiencies combined. ...Read more

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What causes leg cramps at night in men?

What causes leg cramps at night in men?

Many: Not limited to men! Usually fatigue. Could be due to medications taken. Diuretics exacerbate this by causiing low potassium, magnesium and perhaps low calcium. Poor hydration contributes to this. If one has poor circulation to the lower extremities (pvd), leg crams can occur. Sometimes we just don't know why they cramp. You may be helped by some meds. See your pcp and discuss. ...Read more

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What causes leg cramps, and why does stretching help?

Cramps are common: A muscle cramp is a involuntary contraction of a musle, especailly common of the legs and feet. Most commonly caused by hyperexcitability of the nerves that stimulate the muscles. Can also be the result of an injury and vigorous activity. Dehydration and electrolyte, element imbalances can also be causative factors. Simple stretching lengthens the muscle and stops the contraction. ...Read more

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What exactly is continuous ambulatory peritoneal dialysis (capd)?

Type of dialysis: Capd is a form of dialysis which involves inserting a tube into the abdominal cavity and the lining of the cavity the peritoneum, acts like a kidney and exchanges waste when you instill a special fluid into the cavity via the tube. If you do it 3-4 times a day you can draw the waste out. This different from blood/hemo dialysis. The peritoneal dialysis can be done at your home. ...Read more

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Can sotalol cause leg pains or leg cramps?

Can sotalol cause leg pains or leg cramps?

Yes: According to the drug literature pain can occur in 2-7% cases depending on dosage. I would not change any medication that your doctor prescribes before talking with them first. ...Read more

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What to do for leg pain after 3 nights of leg cramps?

See PCP: Even though I'm a pm;r spine/pain specialist, I would personally recommend a patient see their pcp to rule out any vascular issue if the physical exam I perform doesn't look like there is any spinal issues (pinched nerves) that can quite commonly cause leg cramps.

An MRI would help to look at the spine, but your pcp may be able to do some vascular studies if they deem appropriate. ...Read more

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What should I take for major leg cramps from dancing?

What should I take for major leg cramps from dancing?

Fluids, rest, NSAIDs: Assuming these cramps are after dancing, because if they are coming while you're dancing the treatment is different and you should probably see your doctor. Any one who performs vigorous exercise, including dancing, is no stranger to muscle aches and cramps. Hydration before, during and after is important. Ice might help with pain but you should cool down first before using ice or a cold shower. ...Read more

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What are the causes of leg cramps and how can you prevent/cure them?

What are the causes of leg cramps and how can you prevent/cure them?

Many causes: Common causes of cramping include rigorous exercise, side effects to certain prescription medications, and calcium, magnesium, potassium and vitamin d deficiency. ...Read more

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I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

Loss of urine: This is average, actually, for a person on peritoneal dialysis. Over about 5-8 months, a person receiving hemodialysis loses urine production. A person receiving peritoneal dialysis typically retains urine flow for 1-2 years, sometimes longer. Loss of urine flow diminishes native kidney clearances, so your diet will have to be stricter and your nurse/doctor may have to raise dialysis bags/day. ...Read more

Dr. Quresh Khairullah
520 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


Dr. James Isobe
343 Doctors shared insights

Legs Cramping (Definition)

Involuntary contraction of one or more muscle groups in the lower extremities. There are ...Read more