Doctor insights on:
What Are Other Medical Solutions For Kidney Failures Besides Hemodialysis
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Many things: It has a much finer filtering mechanism to selectively remove waste products. The kidney also has endocrine function meaning it can respond to other hormones in the body such as parathyroid hormone to keep the bones healthy and aldosterone or vasopressin that aid in salt and water control. The kidney also can produce hormones that stimulate the bone marrow and produce vitamin d. ...Read moreSee 2 more doctor answers
Sex function varies: The definition of a quality sexual relationship varies for each individual couple. If you are specifically asking about the ability of your husband to have and maintain an erection, then this depends upon his primary disease. For example, diabetic patients frequently have kidney failure and also impotence from the same etiology. Your physician can prescribe medications, such as viagra, (sildenafil) that help. ...Read more
Dialysis and sex: You should be able to take part in normal sexual relations with your husband even if he has end stage renal disease. If he has impotence there may be a hormonal or vascular reason and he should discuss this with his doctor for possible options for treatment. ...Read moreSee 1 more doctor answer
My husband is a chronic kidney failiure patient and is doing haemodialysis twice weekly, what will happen if he misses one session?
Get sick: Missing dialysis results in fluid retention manifested by swelling of the body, especially the dependent areas, making the heart work more, risking potential heart failure. Increase in electrolytes, especially potassium, which can be life threatening with cardiac dysrrhythmia. It is best to maintain a strict dialysis schedule, and stick with it. ...Read more
If my kidney failure leads to haemodialysis, are there some nsaids filtrated by the dialysis machine (and so used to relieve spondylarthropathy pain)?
Cramping treatment: The use of Hypertonic Saline (hs) and d50w (dextrose) in the treatment of leg cramps during dialysis is based on their being able to raise the serum osmolarity (so). Sodium, glucose and BUN combine to form the so of a patient. As BUN is lowered during dialysis, the so falls and may cause leg cramps. By giving hs and d50w (dextrose), the so is increased with the alleviation of them. ...Read more
My father is a hemodialysis patient. He is experiencing shortness of breath. What could be the causes? Should he seek emergency medical treatment?
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.These include 24 urine collection for protein and creatinine clearance as well as complete blood. In addition clinical signs are taken into account such as the presence of swelling, poor appetite, weight loss, and decreased level of functioning. ...Read more
Venous access use: Patients on hemodialysis need access to their vascular system to remove blood and send it to the artificial kidney (af). That can be done with an arteriovenous fistula, a graft or a central venous catheter. The arterial part of the access is the part that takes the blood out of the patients body to the af. The blood is returned to the patient via the venous access. ...Read more
IHD vs CRRT: CRRT is a continuous form of hemodialysis used in critically ill patients who have kidney failure and unstable blood pressure. What most people mean when they use the term "hemodialysis" is intermittent hemodialysis. About 90% of dialysis patients in the U.S. get their blood cleansed and excess fluids removed by HD. Most get their treatment 3x per week and each session lasts 3-4 hrs. ...Read more
See below: To perform hemodialysis blood needs to pass through a artificial kidney or membrane in a hemodialysis machine.A fairly large volume needs to pass trough the machine and recirculated back to the patient to be an efffective way to "clean" the blood of waste. A large vein needs to be canulated and a large size IV plastic tube needs to inserted into a vein in the neck or groin. ...Read moreSee 1 more doctor answer
Using saline: During hemodialysis heparin is used to prevent clotting in the system at entrance ( arterial end ) when blood returns back ( venous end ) unclothed state . Some times heparin is contraindicated ( like reaction to it etc ) then saline is used continuously or intermittent flush to prevent clotting in extracorporeal system . ...Read more
Hemodialysis hurting: Once a patient is placed on dialysis, there usually is no pain. Patients may experience some pain when the needles (n) are placed in the vascular access. They may get used to this or have Lidocaine or Ethyl Chloride spray given to numb the n pain. If patients have some cramping, due to too much fluid being taken off, that can be painful. Other than that, patients on dialysis are usually pain free. ...Read more
Maybe: Baking soda may have too much salt for a hd patient. ...Read more
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