Top
40
Doctor insights on: Some People Only Go To Dialysis One Day A Week

Share
1

1
It is danger to my son? He come to dialysis only one a week. Because he said he feel sick if he do 3 times a week. I am very worried about this.

It is danger to my son? He come to dialysis only one a week. Because he said he feel sick if he do 3 times a week. I am very worried about this.

Maybe: Depending on how much urine he is still able to make...he may get away with it. Or he may become fluid overloaded in his lungs and be unable to breathe. Ultimately, he will decide which makes him feel better (or worse) - dialysis once or 3X a week. While 3X a week is recommended, the way he feels best is what's most important. ...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


2

2
How long to one have to do dialysis?

How long to one have to do dialysis?

Depends: If you are diagnosed with irreversible kidney disease, you need dialysis life long until you get kidney transplant. If your docs are expecting recovery of kidney function, you may need dialysis until your kidney recover sufficient function. Pls discuss with nephrologist ...Read more

4

4
How long can one expect to live after starting dialysis?

Dialysis: It depends on many factors. The cause of end stage renal disease, the cardiovascular status of the patient, the age of the patient, other illnesses. I have had several patients on dialysis for 20+ years. ...Read more

5

5
Is it possible to have too much dialysis? Can some one die from too much?

No: The dose of dialysis as commonly provided three times a week is the minimal required to maintain some balance and adding treatments helps in several ways.
On the other hand if too much fluid is removed it can cause excessive drops in blood pressure and severe cramps. ...Read more

6

6
For what length of time can one expect to live after they start dialysis?

For what length of time can one expect to live after they start dialysis?

Varies a great deal!: Generally, the best results occur with kidney transplant - so aim for that if you can. Transplant is usually superior to dialysis, though daily hemodialysis done at home can run close behind! Life span depends in part on the initial cause of kidney failure. Patients with polycystic kidney disease, for example, tend to do better than diabetics. Talk to your nephrologist for answers on you. ...Read more

7

7
Advice? When dialysis fails, and there are no other treaments available how long does one live?

Advice? When dialysis fails, and there are no other treaments available how long does one live?

Hard situation: A person in end-stage renal failure (chronic kidney disease stage 5) will not live long without treatment: perhaps a week or two. Talk with your nephrologist. Sometimes, if peritoneal dialysis can't be continued, you can switch quickly to hemodialysis - even if it means a central line for dialysis access. Sometimes a person can switch from hemo to peritoneal dialysis. Find out what you can -now! ...Read more

8

8
If dialysis is given once then one has to take it always? Or by living on only veggies one can stop it?

If dialysis is given once then one has to take it always? Or by living on only veggies one can stop it?

Dialysis: There are people who are on dialysis only temporarily (they've had temporary kidney failure due to medications or infection), but some are on for the rest of their lives. It depends on the underlying kidney disease and if its reversible. And while veggies are good for you, they won't reverse permanent kidney failure. ...Read more

9

9
If only one kidney is functioning at 13%, should one go on dialysis and if I did would the treatment prevent further failure?

If only one kidney is functioning at 13%, should one go on dialysis and if I did would the treatment prevent further failure?

Judgment is needed: Overall function is measured as "gfr" or glomerular function rate, + represents the amount coming from all of your kidneys (1 or 2 native kidneys, + any transplanted kidneys). The judgment to start dialysis may be clearcut (e.g., if too much fluid is retained or potassium is too high), or less urgent. Most pts with symptoms feel better after even 1 treatment, but it won't prevent further failure. ...Read more

10

10
Can you have dialysis if you have only one kidney?

Yes: You can put anybody on dialysis as long as their blood pressure can tolerate it (not drop). However, it should only be done if the kidney is having low enough of a function to need dialysis. ...Read more

11

11
Home peritoneal dialysis vs center hemodialysis, which one is safer?

Home peritoneal dialysis vs center hemodialysis, which one is safer?

Depends on patient: In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer. ...Read more

12

12
How long can one live with stage 4 kidney failure, without dialysis?

How long can one live with stage 4 kidney failure, without dialysis?

Stage 4 CKD, HD: At CKD stage 4, one does not need dialysis. The time before a patient starts on dialysis depends on what the causes for the ckd, how well it is being controlled, e.g. Diabetes or hbp and the age of the patient. The nephrologist (n) treating this patient is in a much better position to answer your question. What does the patient's n say about the start of renal replacement therapy? ...Read more

13

13
How does one undertake kidney dialysis done; is it very uncomfortable and do you feel better after a treatment?

How does one undertake kidney dialysis done; is it very uncomfortable and do you feel better after a treatment?

Peritoneal or hemo: There are 2 types of dialysis: hemodialysis & peritoneal. Hemodialysis is generally done at a dialysis center 3x/week & requires "access" into the blood stream, a fistula is preferred, it can also be done thru a large catheter (tube) that is placed in a neck vein. After dialysis, one may feel a bit drained. Peritoneal dialysis is done at home through a catheter inserted into the abdominal cavity. ...Read more

15

15
How long can one live with out dialysis who is esrd and has CHF at the age of 46?

Not long: End stage renal disease indicates the absolute need for dialysis or kidney transplant. So for true esrd without dialysis or transplant death would come very quickly, especially because of associated heart failure, maybe days to weeks. ...Read more

16

16
What is the purpose of a AV fistula for dialysis patients? I can't find anything good on the internet to explain this, please add link if you have one

High flow: An A-V fistula creates a peripheral region of high blood flow so that a large volume of blood can be removed and returned to the body for the "cleaning" done by the dialysis machine. ...Read more

18

18
Seven seizures in one night what's causing them she's in comatose and has some brain damage due to aspiration code blue also on dialysis

Seven seizures in one night what's causing them she's in comatose and has some brain damage due to aspiration code blue also on dialysis

Seizure: Seizures can be from brain infection, brain tumor, drugs, certain medication, electrolyte imbalance such as low sodium etc..., but medical/neurological evaluation may find the cause of the seizures. ...Read more

20

20
Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Complete liver failure and chronic kidney failure and diabetes, one doctor said emergency dialysis, and another said not bad enough? How can this be?

Kidney function: The decision to initiate dialysis usually is based on several factors. First laboratory testing can be performed to estimate the glomerular filtration rate. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. Since these are not absolute criteria, there may may some variance in opinion between physician. ...Read more

21

21
Can 7 seizures cause more brain damage for one in comatose stage also diabetic and on dialysis was without oxygen 5 min?

Can 7 seizures cause more brain damage for one in comatose stage also diabetic and on dialysis was without oxygen 5 min?

Seizures are not...: Seizures are generally not causing a problem. They are the result of a problem. A brain starts to get damage after about 2 minutes without air (oxygen). The brain is already damaged after 5 minutes. The coma, seizures, and other signs of brain damage just reveal the extent of the damage, but are not causing the problem. The problem, unfortunately, already happened. ...Read more

22

22
Please explain why does dialysis have to be done three times a week three to four hours?

Standard: This is the standard treatment to keep to keep your chemistries stable ...Read more

23

23
Why is home dialysis 6 days per week, whereas at a dialysis center it is only 3 times per week?

Important question!: Kidneys function 24 hours a day, 7 days a week. So it sure seems reasonable that the more dialysis one gets, the better. Home hemodialysis treatments are usually a little shorter than in-center treatments, but it is possible to do overnight home dialysis - running at a slower, more gentle blood flow rate. Home peritoneal dialysis, of course, must be done daily. LGromkoMD ...Read more

24

24
A year of dialysis, stopping for six weeks and then starting again...What happens? Is it painful to start again after six weeks worth of toxins?

A year of dialysis, stopping for six weeks and then starting again...What happens? Is it painful to start again after six weeks worth of toxins?

Re-starting dialysis: I am not sure of the reasons for the discontinuance of your hemodialysis (h) sessions. It appears that you regained some of your renal function, which allowed you to come off dialysis and it appears that it went down making it necessary for you to restart. The dialysis procedure which removes toxins and fluid is not physically painful. Good luck. ...Read more

25

25
How many hours a day is dialysis treatment?

Variable: There are 2 main ways to do dialysis. The hemodialysis treatment is for 3-4 hours a day, 3 times a week. If done at night it can be done over 6-8 hours. If done at home it needs to be done for 5-6 days a week 2-2.5 hours daily, this is the best. ...Read more

26

26
Can you skip dialysis for a week?

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

27

27
Is it possible that if my creatine becomes low, my dialysis, (2√óweek) can be lessened?

Reduced dialysis: Your question can best be answered by your nephrologist (n) as your n knows you best of all. Have you asked your n your question? If not, please do so for a meaningful answer. ...Read more

29

29
When you are on dialysis can you skip a day of treatment?

Not advised: Normal kidneys filter the blood every second. Patients on dialysis are filtered for 4 hours three times a week. Missing a treatment is not in your interests.

Patients are at risk for volume overload and hyperkalemia if they go 5 days without dialysis. ...Read more

30

30
Hi Am dialysis patient my skin colour is going dark day by day why? And how can I rid off it?

Hi Am dialysis patient my skin colour is going dark day by day why? And how can I rid off it?

Here are some...: Darkening skin my occur in some patients of ESRD with or without dialysis resulting from poor excretion of the metabolites of melanin leading to higher melanin in the skin. More? Ask your nephrologist timely. ...Read more

31

31
I'm a 36/f, been on dialysis 5 yrs. I've skipped 3 weeks and feel fine! How much longer can i, last? I don't wanna go back...I do pee a little still..

I'm a 36/f, been on dialysis 5 yrs. I've skipped 3 weeks and feel fine! How much longer can i, last? I don't wanna go back...I do pee a little still..

Survival depends...: A person goes on dialysis because her kidneys can't remove enough byproducts from her body. The byproducts are toxic when their levels get high, so survival off of dialysis depends on what remaining natural kidney function there is. Survival time would be different for each person. If she still has things to do, people to see, places to go, then it's best to get dialyzed and live a little longer. ...Read more

32

32
Husband has chest catheter for dialysis. Said has some green drainage from exit site for a couple weeks. Wont go get it looked it. What should he do?

Husband has chest catheter for dialysis. Said has some green drainage from exit site for a couple weeks. Wont go get it looked it. What should he do?

Not normal: Green drainage or push from any drains is concerning and should be evaluated before it becomes a bigger problem. If he was my father or brother, I would help him make an appointment with the doctor that put in the chest catheter to at least get it looked at. Even if he is stubborn, it may be that he is afraid of what the doctor may tell him. Get him to make an appointment or make it for him. ...Read more

33

33
I was hospitalised for a week. Just waiting for creatinine levels to go down. Doc suggests it will go down without need for dialysis. Is that correct?

I was hospitalised for a week. Just waiting for creatinine levels to go down. Doc suggests it will go down without need for dialysis. Is that correct?

Renal insufficiency: If the creatinine shot up with some temporary and reversible cause like in dehydration it may correct back to normal with hydration itself. So the cause determines the intervention required. ...Read more

35

35
My fathr's creatinine lvl 9 and he is on dialysis 2 times week. We worried abt its continue till end of life or folowing discipline fud will revise c?

May be forever...: Most dialyzed patients are for ended stage of chronic failure by various reasons; if so, he would need dialysis forever until renal transplant if clinically, ethically, and socially suitable. Occasionally, the renal failure requiring dialysis may be acute and usually related with identifiable surgical or medical ordeals. So, ask treating doc in detail.

Nonetheless, practice healthy lifestyle.. ...Read more

36

36
How much dialysis is needed for a patient that urinates every day, his kidney trnasplant failed after 5 years?

How much dialysis is needed for a patient that urinates every day, his kidney trnasplant failed after 5 years?

It depends...: Even if there is residual kidney function left after transplant failure, the nephrologist will look at other clinical and lab factors like patient symptoms, blood pressure/volume, phosphate, nutritional status, etc to determine dialysis frequency. Urine output is just one part of this complex decision making process. And finally, the urine's "quality" matters as much as its quantity! ...Read more

37

37
My son who is 17 has renal failure, he has dialysis three times a week for three hours. What hope is there for him?

My son who is 17 has renal failure, he has dialysis three times a week for three hours. What hope is there for him?

17 year old on HD: I am sorry to hear about your son's misfortune. He can look forward to a renal transplant from either a family member or from a deceased donor. Speak to your son's nephrologist about a renal transplant program near you and get more information on what you can do. Good luck. ...Read more

38

38
My dad has failing and had tubes put in to drain them. It is not workin anymore and he has refused dialysis. His doctor gave him a week to a week 1/2.?

No good answer: I assume that your dad's kidneys are somehow obstructed and need to be drained externally. If the tubes are not draining because they are obstructed, the tubes can be replaced. If they are not draining because the kidneys are failing, the only other alternative is to replace the function of the kidneys through dialysis. If he is refusing dialysis, I'm sure that he is aware of the repercussions. ...Read more

39

39
My father just started dialysis last week. His wearing diapers because his not able to go to the bathroom on time is that normal?

My father just started dialysis last week. His wearing diapers because his not able to go to the bathroom on time is that normal?

Here are some...: Despite on dialysis, the patient most likely still excretes urine of wide variable volume resulting in peeing 1-3 or up to 4-6 times. His current voiding pattern requires evaluation to make sure: 1. no overflow urinary incontinence, 2. being able to hold the urine, & 3. no active cystitis. To get things done correctly, follow instructions in http://www. Formefirst. Com/eNewsletter06.html. ...Read more

40

40
Husband has green drainage from exit site from dialysis venous catheter for three weeks and won't go to the dr. Does local infection always spread?

Husband has green drainage from exit site from dialysis venous catheter for three weeks and won't go to the dr. Does local infection always spread?

Green goo dialysis: Green goo makes me worry about staph or other serious infection. If he wants to live much longer he should see Dr. Many patients decide that dialysis is not worth it and stop. Or may have serious depression. Please call his dialysis team. ...Read more