Doctor insights on:
Swollen Dialysis Arm
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
Let someone see it.: Hard to say without the benefit of examining that bump. If it is related to infiltration of blood from a needle inserted into your fistula or graft, then it should resolve with time. If the bump is an access aneurysm, it may need to be managed by your vascular surgeon. Better check with your rounding nephrologist who can better evaluate the bump. Good luck. ...Read more
Two yrs ago, an IV in left arm, hurt so bad, to remove it, I was given morphine. Now I may need dialysis, but my right arm is my dominate. Will they s?
Access placement: If you decide to go on hemodialysis, your vascular access should be a arterio-venous fistula (avf). That is normally placed in the non-dominant arm. Another option is peritoneal dialysis (pd), where a catheter in placed in the peritoneal cavity so no arterial access is needed. See the image on the right. The catheter is not placed in any abdominal organs. Discuss pd with your nephrologist. ...Read more
Lump on skin: Hemodialysis sites look like engorged veins. If they are "fistulas" (artery connected to a vein) the lump on the skin follows the natural pathway of the vein. Over time these can dilate and become aneurysmal. The arterio-venous grafts are basically synthetic / plastic tubes which are placed right under the skin. These you can see and feel. The actual needle puncture sites develop small scabs. ...Read more
Lidocaine topical: Usually patients who have a lot of pain before needle insertion we give them Lidocaine topical cream that they apply at the site of injection 30 to 60 min before dialysis. It is not over the counter and it should be prescribed by your physician. ...Read more
Itch on dialysis:
If this is only on the arm where he has his vascular access such as fistula or graft it may relate to irritation or allergy to the cleansing preparation solution being used.
Chloraprep is a common one that can cause it.
If it is on both arms and else where it relates to his kidney failure and most commonly a high phosphorous level. ...Read more
Fistula +/- aneurysm:
Dialysis patients need a mature vein that can withstand repeated puncture which is created by diverting arterial flow into a nearby vein.
Needling the same site causes a loss of pain nerve fibers, and thus patients prefer that site for repeated use. This can cause fibrosis and thinning of the wall at that site, resulting in aneurysmal dilatation. This is not in danger of rupturing. ...Read more
Trauma: Repeated trauma from the use of the needles to access for avf builds up over time. If happens to some degree in every patient but can happen more in patients who get the same areas "re-stuck" every time. These are called pseudoaneursyms. Best practice is to rotate "sticks" (needle access) as much as possible. Some patients need to have these operated on in extreme situations. ...Read more
Need Catheter: If an av fistula fails in dialysis patients, then they require a dialysis catheter until another long term dialysis access can be established. If all arm veins are too small or scarred, then it is possible to place an av graft (synthetic tube to connect the arterial and venous systems). Av grafts are typically made of gore-tex (ptfe). ...Read more
Numbing of arm: You can do several things to make your arm numb so the cannulation (c) of your vascular access is less troublesome. One is ask the physician to order the nurses to inject some Lidocaine (l) over the sites they use for cannulation, or use some l ointment. Another option is to spray Ethyl Chloride over the access sites of c, this causes the skin to be numb for a brief period of time. Good luck. ...Read more
What do you suggest if my father is on dialysis. His arm is always itching, does anyone know why?
Uremia: One of the most common and bothersone complaints in uremia is pruritis. Discuss with his Dr. As there may be specific issues going on that can be found and helped. ...Read more
Multiple black and blues in one arm only. No injuries. No other symptoms. Hx. Of dialysis, still have the shunts in the arm. Two months ago, hip fract?
Aspirin culprit: But you need it to keep shunt open. Show to nurse. ...Read more
Depends on cause: Bumps must be looked at to determine their nature. Cannot answer without seeing and palpating the sites. ...Read more
What are cosmetic surgery options for scarring/bumps after having a dialysis fistula on your arm?
Scar Revision: Scars can sometimes be improved with the following methods: 1) passage of time; 2) protection from sun; 3) dermabrasion or laser resurfacing; 4) steroid injection; 5) silicone topical therapy; 6) cosmetics (for camouflage); 7) surgical revision. The methods taht will work best for you will depend on factors seen during an exam. Hope this helps! ...Read more
What cosmetic surgery options are available for scarring/bumps after having a dialysis fistula on your arm?
Plastic surgery: A plastic surgeon would have to exam the area and develop a plan of care. ...Read more
Taking subclavian vein from left arm n artrey from right n placing graft betwen them for dialysis. Is it better or permanent catheter? No other option
Avoid catheters.: It sounds like your vascular surgeon is planning on placing what is sometimes referred to as a "necklace graft." Regardless of their location, and if placed by an experienced surgeon, grafts carry a much lower risk of getting infected than catheters. With this lower risk for infection, people with grafts generally live longer than those with catheters, so catheters are a last resort. Good luck! ...Read more
I have an av fistula in the antecubital space of my arm and a peritoneal dialysis catheter, is there a safe way to play paintball?
Would avoid: High impact paintball may cause damage ask your surgeon what they think. ...Read more
Swollen arm: There are many entities that can cause a swollen arm but the most common are trauma, infection, and hypersensivity reactions. Since you did not specify the main reason for your swollen arm, you did your condition be diagnosed by a doctor. ...Read more
More info needed:
Unless you can directly related to a muscle pull or strain possibilities involve the muscles, nervous system, cardiovascular system and skeletal system to mention a few.
A cardiac condition, poor blood flow, inflamed nerves, muscles, lymphatics and lungs may be involved.
A thorough exam is needed. ...Read more
Family history?: Do you have any personal or family history of breast cancer or lymphoma? These would be worst-case scenarios for a lump under the arm. If you had any sort of injury with infection in the arm this could also explain a tender lymph node. Overall if it persists you probably need an ultrasound to see if the node looks abnormal. ...Read more
How long? Fever?: Is there any pain, any swelling in rt. Underarm from lymph node. Is there any breast abnormality. Is there any pitting of the swelling-rt arm, any swelling on opposite side, r u on any hormonal trt. Few possibilities- poor venous drainage secondary to a possible clot in deep veins of arm, head and neck masses, breast masses --lymphatic obstruction/venous obstruc. See ur pcp/surgeon for more evaln. ...Read more
Monitoring Centers: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more
No such disease: I have never heard of the term "ostebena." resubmit your question. ...Read more
Get it evaluated: The first thing is to determine why it is swollen. See a doctor and have it evaluated. ...Read more
I have a swollen gland under my arm out. I just noticed it this morning in the shower. What could cause this?
This could be: Related to an infection, or a cyst. If it gets larger and doesn't go away in 1-2 weeks see a doctor ...Read more
I tried to do a double red donation tonight. My arm is now very swollen, hard to the touch, and quite painful. Should I be concerned?
My brother hit me above the elbow with a utensial and its swollen and when I try to straighten arm it hurts I don't want it to be broken?
Cold Pack See Dr:
Ouch being hit with a utensil and getting a swollen arm from your brother is a bummer. Make sure you are in a safe environment.
Try to keep it in a position it does not hurt.
Use an ice pack on it.
If worse after that
go to Urgent care or doctors office.
Dr Lori Lange ...Read more
I have been bitten or stung on my arm and a lot of the area surrounding has swollen quite a lot and my arm does feel weaker is this normal?
WatchItClosely: This is a case of needing to see it in person or at lest a photo. An insect venom reaction & an infection can look quite the same. If you were bitten within the last 24 hours then the chances of an infection is less. They usually develop over 2-3 days. When in doubt, though, it needs to be examined. So see if it levels-off over the next several hours. If not & it hurts a lot & you get a fever, see a doc ...Read more
This morning when I woke up my left elbow hurt bad now it feels like the inside of my arm by the bend is swollen what could this be? Should I worry?
Maybe short lived: If you just twisted during sleep or had an athletic event it should go away on its own. If you injured the area and the joint fluid leaked you may a synovial cyst. Let it resolve for a few days without using it and ice it. If this resolves it was abruise and is better. If not see your doctor to check it out in person to make sure you are ok. Hope it gets better. ...Read more
All day today I need to know why arm hurt since this morning and the pain has it gotten away it feels swollen specially the pain is in my right arm?
Need a consultation: Pain and swelling in an arm can be due to many different causes. Without being able to ask the right questions it's difficult to make a diagnosis. 90% of a diagnosis is made by taking a good history of the symptoms. At this point the physician has narrowed down the possible causes. The physical exam and possible tests will complete the diagnosis. Please see your physician or have a HT consultation. ...Read more
Bite on my arm, gotten more swollen and hot to the touch over the last 24 hours, No other symptoms. What2 do, I really don't wantto go in? Pic in file
I don't know how to: Access your picture, but, increasing redness, tenderness, and heat are all signs of inflammation, which could indicate infection. Itchiness would lead in another direction of an allergic reaction.To be safe, you could take an antihistamine, which would help block any allergic component of your reaction, but that still leaves you uncovered for treatment for infection. This requires proper antibiotics. ...Read more
My son fell on he' elbow yesterday in the park, it hurts, but hard to say how bad, swollen, he can bend he's arm as he is using it ok now hurts little?
Elbow pain: Sounds like he contused his elbow by your description. If he has any problems with range of motion or increasing pain or swelling do not hesitate to have it checked and possibly frayed. Expect by your description that he should be fine in a couple of days. ...Read more
I woke up 24 hours ago with two insect bites and my arm was swollen a little bit I went to work and after I started working with swollen that really b?
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