Doctor insights on:
Recommended B12 For Dialysis Patient
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
What is the best form of taking B12 supplement cyanocobalamin or methylcobalamin that you recommend to your patients and why. Thanks.
See below: Best efficacy and assurance of bodily incorporation occurs when injected once monthly. Some pts do well with sublingual prep, and some even absorb oral meds. Would urge you make certain that you do indeed suffer a vitamin b-12 deficiency prior to getting an aggressive solution. ...Read more
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. because online 400-letter does not suffice to address.. ...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
Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more
Possible: Tropical fruits have been shown to inhibit enzymes in the liver that help break down drugs. While this has not been critically tested in patients, test tube results are concerning. I would review with your doctor your medications and the available patient data on the interaction of tropical fruits with you meds. ...Read moreSee 1 more doctor answer
When kidneys fail...: Dialysis is required when the kidneys are no longer able to do the work of removing the body's toxins, removing extra fluid, and keeping the body's acid/base balance normal. (The kidney has other functions, too.) Doctors follow lab tests (a rising creatinine and/or falling eGFR) to detemine when a patient requires dialysis. Ask your nephrologist for answers that fit your body! LGromkoMD ...Read moreSee 4 more doctor answers
ESRD and Death: Most patients simply become very disoriented, sometimes agitated, and then they go to "sleep". Many health professionals have commented to me that dying from renal failure is gentle and painless. My grandfather simply went to sleep and never woke up and he appeared comfortable. ...Read more
Kidney machine clog?: I am not sure what you are referring to by a dialysis patient's clogging of a kidney machine. Patients can have their dialyzer (d), the artificial kidney, during dialysis. This normally occurs when the patients are not getting enough Heparin during dialysis and their d's clot ending their use of that d. If that is not the answer you were looking for, ask the patient's nephrologist youyr question. ...Read more
High albumin: You need to ask your nephrologist and renal dietician about the significance of your high Albumin level (ha). It can be seen in cases of dehydration, severe infection, hepatitis, HIV , some congenital disorders, cancer, severe infection and in some instances of chronic inflammation. Please speak to your nephrologist for the cause in your case. ...Read more
5 years: It varies based on the patient other medical conditions. But on the average the mortality rate (death rate) is 20% per year. However some patients who are young with fewer other associated medical conditions and who are compliant with their dialysis. Treatment could live over 10 to 20 years on dialysis ...Read moreSee 1 more doctor answer
Is it possible that dialysis patients stop their dialysis when the creatinine level became normal.
What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?
Dialysis dark urine: 34 F asks why do dialysis pats have dark urine and why do they stop making urine. ANS: urine is the remains of the fluid filtered at the glomerulus. As glomeruli are destroyed by the disease colored chemicals that normally go out in the urine build up in blood-thus the funny skin color. This color stays in the urine so dark. Eventually all glomeruli die from the cause and no urine Is formed. ...Read more
Can a male dialysis patient still be fertile after being appr.10 year on dialysis? He is still active in sex.
What is the best recommendation for a 19yr female patient diagnosed with pauci glomerulonephritis. No improvement after a month. She's on dialysis. ?
Is it posible for a patient to need B12 injections (deficiency) and also be allergic to the B12 injections?
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