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Doctor insights on: Sores Due To Phosphorus And Dialysis

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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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If dialysis patients take in too much phosphorus, what will happen?

If dialysis patients take in too much phosphorus, what will happen?

Itching: High phosphorus levels in a dialysis patient can lead to many issues. Usually most patients itch uncontrollably. However over time elevated phosphorus levels can alter bone structure, lead to calcium deposits on heart vessels and cause nerve damage throughout the body. ...Read more

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My husband is on peritoneal dialysis & takes phosphorus binders. Levels are still elevated & now has calcium deposits in fingers. Any advice?

My husband is on peritoneal dialysis & takes phosphorus binders.  Levels are still elevated & now has calcium deposits in fingers. Any advice?

See your doctor: Renal failure and dialysis are extremely complex and every case is different. A discussion with the Nephrologist will provide insight to the realistic goals and expectations of treatment. Best Wishes. ...Read more

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Is there anything I should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s). Thank you.

Is there anything I should be doing right now to assist me in preparation for dialysis when the time comes? (the do's and don't s). Thank you.

Yes: If you have renal insufficiency ("pre-dialysis" kidney disease) you should consider getting a fistula placed. Since you have some klidney function you are a better surgical candidate, will heal better, and can get a native vein fistula (the best kind). Don't wait until you start dialysis because you may need a catheter (which is not good). ...Read more

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Is there back-up for patients whose home dialysis is compromised due to short term problems?

In-center dialysis: Your home training facility should have an in-center hemodialysis facility nearby that is available in the event you are unable to perform your home dialysis treatments. ...Read more

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What is dialysis?

What is dialysis?

Kidney failure treat: Kidneys are vital to keep the body in a stable condition, removing waste products, keeping water and electrolytes within very narrow range required for normal function of all the organs. With kidney failure this can be done by dialysis either hemodialysis where blood is filtered through an external machine or using the lining od the abdomen (peritoneal membrane) as a filtering mechanism. ...Read more

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How is dialysis performed?

Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read more

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What exactly will dialysis do?

Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read more

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How old is to old for dialysis?

How old is to old for dialysis?

Depends: Age itself is just a number. What is more important is how likely is dialysis going to improve the patient's quality of life. If a patient has a terminal illness or multi-organ failure, some kidney doctors will not recommend dialysis. ...Read more

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Can I have children on dialysis?

Less likely: Fertility is significantly decreased in patients on dialysis, but it is still possible to have children. If you become pregnant, however, your likelihood of a successful pregnancy are much lower. If it is not your intention to become pregnant, make sure that you are using some form of birth control. ...Read more

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What exactly does dialysis mean?

Filter: Dialysis does the work of kidneys, acts like kidney filter. Removes the extra fluid and wastes, toxins that accumulate in the body. ...Read more

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Will dialysis affect my employment?

Possibly: If you are on hemodialysis, then you will have to be at an in center facility three times a week for 3 to 4 hours per session. This form of dilaysis makes it very difficult to maintain a full time job however if you choose to perform peritoneal or home hemodialysis, they you have a better shot of maintaining a full time position. ...Read more

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When do people need to get dialysis?

Depends: Dialysis is initiated in advanced stages of kidney disease when one develop symtoms due to toxins accumulating in blood or when excess fluid builds up causing shortness of breath or swelling of thebody. Kidney doc evaluates the symptoms of the patient and correlates with level of kidney function to decide initiation of dialysis ...Read more

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When is it time to stop dialysis?

When is it time to stop dialysis?

See below: Dialysis is initiated if your nephrologists determines you have inadequate kidney function, some cases are reversible and they can determine if you have recovered some function and hold dialysis. ...Read more

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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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Why do you get cold during dialysis?

Why do you get cold during dialysis?

Out of body: The blood flows in tubes out of the body (~150ml), losing heat during it's path from and back to the body. ...Read more

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How many forms of dialysis are there?

2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...Read more

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How much time can I live on dialysis?

Life on dialysis: It is not possible to give you a definite answer. Patients on dialysis live shorter than the age-matched controls not on dialysis. A dialysis patient's life span is dependent on the patient's age at the start of dialysis and the co-morbid conditions the patient has, such as diabetes. You should ask your nephrologist (n) for an answer to your question as the n knows you the best. Good luck. ...Read more

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How will you survive without dialysis?

No dialysis and life: If the person you are talking about has end stage renal disease and needs dialysis and does not commence it, death normally occurs in 2-3 weeks. It is usually due to high potassium levels or fluid overload. ...Read more

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How long can you survive off dialysis?

Depends on Kidney Fx: Your ability to survive without dialysis is dependent on how much function is left in your kidneys. Most people can survive with greater than 10% function and everyone will die within a few days with zero function. It's a crapshoot if you're between zero and 10% so it's best to make decisions with your nephrologist if you plan on making it to christmas! ...Read more

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How long can a person live on dialysis?

How long can a person live on dialysis?

For Years: People can survive for years on dialysis while they wait for a kidney transplant. ...Read more

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Can there be an alternative to dialysis?

RRT options: There are five renal replacement therapy options i always discuss with patients who are about to start dialysis.
1. Blood dialysis
a) in center (hd)
b) home (hhd)
2. Peritoneal (ccpd or capd) (also done at home)
3. Renal transplantation
4. Comfort care. Not everyone decides to use this technology. ...Read more

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My creati ine is 480 do I need dialysis?

My creati ine is 480 do I need dialysis?

Not clear: I'm not sure on the units in your value or if there is a decimal missing. A creatinine of 4.80 mg/dl is abnormal and requires investigation.
A creatinine of 480 micromol/l is also elevated and requires evaluation. ...Read more

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What is fatty deposit in dialysis tubing?

Not sure: Couild you be more explicit, i never heard about that akthough I take care of dialysis patients. ...Read more

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When is it necessary to commence dialysis?

Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read more

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What is the best type of dialysis to have?

See below: Opinions may vary, but most nephrologists agree that home dialysis which includes home hemo dialysis [where you perform your own dialysis at home] and peritoneal dialysis [stomach dialysis, blood free dialysis] are better options than incenter hemodialysis where you go for dialysis to a center 3 times a week. There are some considerations whereby home dialysis may not be a proper option. ...Read more

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What can I expect after starting dialysis?

Gradual improvement: It usually takes several weeks to months before patients usually start to feel noticeably better. However, certain symptoms and signs (edema, high blood pressure) may improve much sooner. ...Read more

Phosphorus (Definition)

Phosphorus is an essential mineral. It is important in the formation high energy compounds used by the body, maintaining strong bones and teeth, and muscle and nerve functioning. Meats and milk are a good source of phosphorus. Deficiency is very rare as phosphorus is ...Read more