Doctor insights on: Some people only go to dialysis one day a week

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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
517 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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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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