Doctor insights on:
What Happens To Dialysis Patients When They Have Too Much Phosphorus
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 moreSee 1 more doctor answer
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
I am a peritoneal dialysis patient and my phosphorus levels have been running high these last few months. I started getting these sores on my back. ?
Clean & Squeeze: Dialysis is both about cleaning (dialysis) the blood of toxins and squeezing (ultra-filtering) excess fluid out. Both functions are done constantly in patients with normal function. Missing a session puts you 4-5 days between treatments and at risk for electrolyte and/or fluid retention problems. ...Read more
Don't Really Know: Have spent a bunch of time researching your question and can find no good answer. It is reported to improve renal function in some patients and there are many testimonials to its benefits. However, the peer reviewed medical literature is a bit sparse on the subject. Before doing anything, i would strongly recommend you talk with your kidney doctor. ...Read more
When kidneys fail: People are treated with dialysis when the kidneys are no longer able to perform their main functions: filtering out toxins and removing excess body fluids. For an excellent reference, look for the book "Help! I Need Dialysis!" by Dori Schatell and John Agar, MD. LGromkoMD ...Read more
Avoid decongestants.: Best to check with your nephrologist for specific advice that is tailored to you. Many cold medicines with decongestants can raise blood pressure and most dialysis patients already have high blood pressure. Coricidin HBP contains medicines that will not affect your blood pressure so this may me a safe option. ...Read more
Dialysis diet: Patients on dialysis need to have diet that are special to them. If they are not diabetic, the usual diet is a two gram sodium, 2 gram potassium and 80 gram protein diet. If they are diabetic, they may be on a 1800-2200 calorie ADA diet, as another restriction. Speak to the dietitian at the patient's dialysis center for more specific information. Good luck. ...Read more
See below: In general regular dialysis. Watch fluid intake. Follow dietician's instructions. Take medications on time. Your dialysis center has a dedicated team of doctor, dietician, social worker, dialysis staff- please follow their instructions. They spend a lot of time, sometimes without your knowledge planning optimal health for you. Please get on transplant list. ...Read more
Age illnesses matter: The attached picture is from medicare data. It breaks down life expectancy of dialysis using age and sex. 20yo male on dialysis 15.3years average 40yo male on dialysis 8.4 years average 60yo male on dialysis 4.6 years average 80yo male on dialysis 2.3 years average illnesses and the reason for starting dialysis matter too, but that's too complicated for a chart. Good luck. ...Read moreSee 1 more doctor answer
7-14 days: If a long time dialysis patient stops dialysis, not because of recovery of function, the average 10 days. Usually death occurs between 7-14 days. Some patients may live much longer if their native kidney function is still present and they eat a very restricted diet without protein or potassium and they manage their fluid well. The death from withdrawal of dialysis is usually peaceful. ...Read more
Im a dialysis patient for 17 years. I havent slept in 4 days. I have been trying no sucess what should i do?
Here are some ...: You should bring to and discuss your concern of insomnia with your treating Doc so how to implement lifestyle and behavioral modification, possible use of melatonin and other sleep-inducing drugs, etc. to suit your clinical profile. There has been no magic means or pill around online to meet your specific need. Best wish ... ...Read more
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
Nothing: The adrenal medulla produces cathecolamines which are stress hormones stimulated by the automated nervous system under control of the hypothalamus which is the unconscious part of the brain. During dialysis if your blood pressure falls receptors in your circulation will signal the adrenal medulla to secrete these hormones which cause the heart to speed up and arteries to constrict. ...Read moreSee 1 more doctor answer
Metabolism: Kidneys eliminate toxins from the body. Dialysis is never a complete substitute for a real kidney. Some toxins are not removed or only partially eliminated from the body. Accumulation of these chemicals often disturbs brain function. Dialysis may result in infection, of which the first manifestation may be impaired thinking (cognition). ...Read more
Possible: Tropical fruits have been shown to inhibit enzymes in the liver that help break down drugs. While this has not been critically tested in patients, test tube results are concerning. I would review with your doctor your medications and the available patient data on the interaction of tropical fruits with you meds. ...Read moreSee 1 more doctor answer
IT DEPENDS: There are no set values at which a patient should be placed on dialysis. It is a decision that needs to be made by the patient and physician to avoid progression of symptoms such as feeling tired and ill all the time, volume overload in the body not corrected by medications, and declining nutritional status. It is important to be ready for dialysis before a patient requires it emergently. ...Read moreSee 4 more doctor answers
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
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