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Doctor insights on: Refusing Dialysis Treatment

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What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

What diet is appropriate for someone undergoing hemodialysis or peritoneal dialysis?

Renal Diet: Patients who have ESRD (end-stage renal disease) and require dialysis need adequate nutrition (daily protein 1.2 gm/kg) but need to watch out for high phosphorus and potassium. Dialysis patients are assigned a dietitian to review their diet and to go over their blood test results to individualize their dietary needs. ...Read more

Dr. Quresh Khairullah
518 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


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Is dialysis necessary to cure kidney disease?

Is dialysis necessary to cure kidney disease?

No: Dialysis does not cure kidney disease. It replaces enough kidney function to allow support and survival while the kidneys get better or, if kidney failure is permanent, until transplant can be considered. Some permanent kidney failure patients remain on dialysis for the rest of their lives. ...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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Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Subsequent to heart surgery patients suffers acute renal failure, dialysis done breifly then low b.P occurs now dialys?

Depends : Very low blood pressure sometimes hurts kidney function. The need for dialysis in the acute hospital setting is determined by complications of poor kidney function. Your physician can help explain this in the context of the specific patient. ...Read more

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Dad is admitted to the medical icu for breathing problem. Lungs detected with fluid he is diabetic..Creatinine is 3.5 and urea 156. Dialysis is req ?

Dad is  admitted to the medical icu for breathing problem. Lungs detected with fluid he is diabetic..Creatinine is 3.5 and urea 156. Dialysis is req ?

A good idea,, : This is probably a good thing for him as he has fluid in his lungs and a high creatinine. This and the known history of diabetes likely means he has renal failure. Fluid in his lungs also indicates congestive heart failure which would need diuretics and so dialysis could help do this as well. Good luck. ...Read more

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How effective is dialysis for treating acute renal failure?

How effective is dialysis for treating acute renal failure?

Treating ARF: When used correctly and the underlying reason is also treated correctly, you cannot beat the combination of medical management of ARF along with prudent dialysis. ...Read more

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What criteria is used to determine if someone needs kidney dialysis? Mom is stage 4 kidney failure, diabetic, has extra ureters/prone to infection.

What criteria is used to determine if someone needs kidney dialysis? Mom is stage 4 kidney failure, diabetic, has extra ureters/prone to infection.

When dialysis: Daughter asks what criteria are used to start diaysis for her mother. A complex question that can only b answered by your mother and her Nephrologist. But absolute indications to begin tonight: uremic pericarditis, pluritis or encephalitis, unresponsive high K or fluid Fluid excess. If eGFR <5 most need dialysis depending on other symptoms and signs of renal failure. some may need at higher eGFR. ...Read more

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Mom going for chemotherapy(gemcitabine) for gallbladder cancer 4th stage with severe lung mets, she is with home oxygen, does chemo worthful?

Mom going for chemotherapy(gemcitabine) for gallbladder cancer 4th stage with severe lung mets, she is with home oxygen, does chemo worthful?

Palliative care.: Treatment for stage 4 cancer is mainly palliative, menaing to improve symptoms and hopefully to prolong life. Based on your age, your mom is probably in her late 70s or 80's. With her on home oxygen because of diffuse lung metsand at her advanced age, we should be careful and realistic about her treatment. You and mom should have a thorough discussion with her oncologist about his goal for her. ...Read more

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Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

Expert opinions? Which dialysis is better: peritoneal or hemodialysis?

To peritoneal or not: Hemodialysis cleans your blood directly meaning, your blood is taken from you, ran thru a filteration system, then returned to you. On the other hand, peritoneal does it indirectly. The blood vessels in your abdomen are exposed to a very concentrated solution. By osmosis, the concentrated solution will leech out the excess fluids you normally pee out if your kidneys were working well. As the ...Read more

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Can taking water pills benefit end stage renal patient on dialysis?

Can taking water pills benefit end stage renal patient on dialysis?

Not on the internet: Never if not prescribed by a professional that is treating the problem and knows the exact history, physical exam, and current medication list. ...Read more

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Doctors refuse to treat end stage multiple myeloma patient stating he is unfit. Can chemo still reverse his conditionpatient can't swallow pills, food?

Doctors refuse to treat end stage multiple myeloma patient stating he is unfit. Can chemo still reverse his conditionpatient can't swallow pills, food?

Multiple myeloma: I am sorry. If he is end stage, I would agree with his oncologist. It seems to me that he is really seriously ill. Chemotherapy will not do him any benefit at this stage. He should seek palliative care which will address all his Symptoms including emotional, moral and spiritual support. My prayers are with him and you. ...Read more

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Copd + renal failure not a candidate for dialysis?

Copd + renal failure not a candidate for dialysis?

Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read more

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Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?

Advanced pan can. No more chemo, 3 months. Bile duct blocked. drainage tube. Home care nurse. High fever. IV antibiotics. Life expectancy?

Hard to say: Each patient and each cancer has its own characteristics and it is not possible to predict the life expectancy with accuracy. You may consult this site for general information on the topic. http://www.pancreatic.org/site/c.htJYJ8MPIwE/b.5050503/k.40C9/Pancreatic_Cancer_Facts.htm ...Read more

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What is the life expectancy for stage 5 kidney failure with starting dialysis?

What is the life expectancy for stage 5 kidney failure with starting dialysis?

Here are some...: On average, some 20-22% of the dialyzed will pass away in every each year so to live longer than 5 yrs is hard. But, young age + hope to get kidney transplant + willing to cope and live a healthy lifestyle + follow available good advice are your best possible hope. Nonetheless, do something within our control now and don't waste time & energy to think & worry about what beyond our control. Best... ...Read more

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Is their other treatment other than dialysis and transplant for chronic kidney disease ? At stage 4 ..... Is there medication available to repair ?

Treatment of CKD: At ckd stage 4, you do not need dialysis at present. If you ckd progresses to end stage renal disease, you will need to start on dialysis or have a transplant. You do not list that you have diabetes or hypertension, if the cause of your ckd is polycystic kidney disease, not much can be done for your decline into higher stages of ckd. Your nephrologist is the one to speak to about your prognosis. ...Read more

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What indication of hemodialysis peritoneal dialysis?

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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Can patients refuse life-saving treatment?

Can patients refuse life-saving treatment?

Yes: As a patient, you have the right to refuse any treatment as long as you are fully aware of the consequences, oriented, and alert. If you have an active psychiatric disorder like psychosis or conditions like dementia or delirium, an evaluation needs to be done to determine your ability to make decisions. The court may even get involved depending on the situation. ...Read more

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Signed up for phlebotomy classes. Would patient care technician or dialysis be better?

Up to you: It all depends on where your interests lie and what you like to do best. The only person who can really answer your question for you is you. ...Read more

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What would be the average years for hemodialysis patient to receive dialysis?

Depends: If your not a transplant candidate and depending on what other ailments they have the person may be on dialysis for the rest of their lives. ...Read more