Doctor insights on:
Should Dialysis Patients Eat Figs
Renal diet: Patients on dialysis need to watch their fluid, calcium, protein and potassium intake. The patient you are referring to must have a renal dietician at his dialysis center. You should speak to the dietician about your questions and she should be able to answer them and speak to you about a renal diet and its restrictions. ...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
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
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
Increased pigment: Kidney failure often causes increased pigmentation similar to tanning. The mechanism may be related to molecules and toxins that build up and are incompletely removed by dialysis. The pigmentation usually causes no problems. There can also be small deposits of calcium in skin, itching, sores from scratching and other skin problems in dialysis patients that can cause more severe symptoms. ...Read moreSee 1 more doctor answer
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 2 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
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