Doctor insights on:
Is their any bacteria that is known to indirectly cause ulceration in skin healing? What other option are their beside Prisma, Xerform for skin ulcer
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
HI! I HAVE DIABETES. AND HAVE A WOUND ON MY LEFT LEG. FOR A YEAR NOW I'VE WAS IN THE HOSPITAL JUST BEFORE XMAS. AND NOW THE WOUND KEEPS GETTING A SLIME ON IT. THE NURSE AND DOCTOR HAVE PUT MEDA HONEY ON IT NOW. BUT THEY HAVE USED TENDER WETS -PRISMA -SIL
I agree wholeheartedly with dr. Christensen's answer, and would like to add my own thoughts.
It's been my experience too many doctors, of all specialties, get hung up on treatment of leg and foot ulcers instead of focusing attention on the cause. An ulcer is a symptom, not a disease. The key to the successful closure of an ulcer is to address the underlying cause.
chronic venous insufficiency from varicose veins can cause an ulceration on the inner lower 1/3 of the leg. Since the underlying cause is blood stagnation, the blood needs help fighting gravity, so compression dressings are the most helpful.
Diabetic foot ulcers over pressure points are the result of pressure and a lack of sensation. Thus, the treatment must address pressure above all.
Chronic high blood pressure can produce leg ulcers on the outside of the lower legs. It doesn't matter what sort of goo is applied to these ulcers. To close them, the hypertension must be adequately addressed.
Ulcers that arise from ischemia (lack of blood circulation) will only close if the poor circulation is addressed.
In short, if the underlying cause of the ulcer is properly addressed, you could put mayonnaise on it and it will close. Likewise, if the underlying cause of an ulcer is not addressed, all the topical dressings, honey, antibiotics or the latest "miracle" dressing won't make a difference.
So my unsolicited $0.02 here is to find someone who will take the time and effort to make a diagnosis as to why you've ulcerated. That is the key to closing this thing. ...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
Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read more
2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...Read more
Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read more
The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read more
It's all relative.: A rising creatinine is a sign that your kidneys are failing. Dialysis is a type of kidney replacement therapy which needs to be started when you and your doctor decide that the time is right. This may be due to your just feeling lousy or due to specific medical threats to your health--high potassium, heart failure, etc. Once your creatinine is over 2, you need to see a nephrologist. ...Read more
Multiple things: You can become uremic leading to pericarditis, nauseas/vomiting, altered mental status, and comatose. Also you can and likely will become hyperkalemia (increase in your potassium) and if this persist you will die from a cardiac arrthymia. Also you will have itching from increased phosphate. It's best not to missed dialysis. ...Read more
Here is some...: Dialysis is to help patients with end-stage kidney disease to temporarily handle body fluid, electrolytes, & others by adjusting the electrolyte concentration of circulating fluid so to equilibrate and temporarily restore the electrolyte balance. As to "salting-in & salting-out", it simplifies the idea to balance electrolytes as briefed above. Besides, ask your nephrologist timely. ...Read more
Kidney...: When dialysis is needed is because the kidneys are not able to work on their own so an artificial "filter" is needed to get rid of the waste that your body produces. What conditions cause kidney failure? Too many to list here but the most common ones are: hypertension, diabetes, kidney tissue damage, medications, autoimmune disease, kidney stones or masses, severe infections. ...Read more
Different Solutions: Tonicity refers to concentrations of molecules that cause water to move from one side of a semipermeable membrane to another. Moving water out of a dialysis patient's blood along with waste products that also need to be removed requires a hypertonic solution. Isotonic means that there is no will be no movement of water, etc. Hypotonic means that water will move back into the patient. ...Read more
It can: Dialysis serves two functions. One is to remove some of the toxins in the blood that are no longer able to be removed by the kidneys due to kidney failure. The other is to remove fluid that has accumulated due to the diseased kidneys. If the dialysis prescription is incorrect in relation to the patient's "optimal" or dry weight, too much fluid can be removed and the person can become dehydrated. ...Read more
Not a good Idea: This is really not a wise choice. While you are likely to survive if you limit you water intake and severely modify your diet, this is a high risk activity. Before you even consider this, talk with your dialysis doctor and explain what is really happening with you to cause you to consider skipping dialysis. ...Read more
Filter, toxins: Dialysis does the work of kidney- removing fluids andtoxins. Blood from the patient flows on one side of the chamber and the dialysate solution which contains the optimal concentration of electrolytes on other side of the chamber. Electrolytes move along the concentration gradient, so toxins which are high in the blood, goes to the dialysate solution. ...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
Yes: From something as simple as being a bit tired to more serious complications of excessive fluids and difficulty breathing as well as accumulation of waste products that can lead to some really serious medical complications. Skipping dialysis is simply put, not a real wise choice. Please, please, please discuss this with your doctor and get all of the facts. ...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
Kidney tests.: Usually it takes years of kidney damage from diabetes before you need dialysis. If you're diabetic, you should be getting kidney function and urine tests at minimum yearly, and these will tell us how well your kidneys are working and if you're heading toward dialysis. Your kidneys may be getting worse and without the tests, you might have no idea, so good f/u with your doc is key. Good luck! ...Read more
Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, I would strongly recommend you talk with your kidney doctor. ...Read more
Dialysis: In general dialysis patients do complain of dry, darker skin, itching, etc. However one should keep in mind that these are complications of severe kidney insufficiency and result of toxins accumulating in your body. These skin changes are not from dialysis, in fact the whole goal of dialysis is to help and remove these toxins from your body. ...Read more