Doctor insights on:
What Is The Classic Sign Of Hemolysis During Dialysis
Watch for...: While I am not a nephrologist I understand that you should look for a falling crit line, severe pain, or a pink hue to the filtrate. There may be acute hypertension, shortness of breath, and generalized redness of the skin. All of these are indications that action should be taken immediately to remedy the situation. ...Read more
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
Start of dialysis: Your question is difficult to answer without knowing the age, weight, sex and race of the patient in question. The creatinine level is rarely the only indication for starting dialysis. Factors such as high potassium, nausea, vomiting, increased sleep during the day time and itching are more commonly used indicators. Ask your doctor, or go to a nephrologist to get more information. Good luck. ...Read more
Urochromes and: Middle molecules. These are substances that normally are filtered out by your kidney but not by the dialysis machine. ...Read more
Irritation: The skin over the shunt may be itching in reaction to irritation from adhesive from tape or from the topical antiseptic used on clean the shunt prior to use. If there is any redness or signs of irritation, see a dermatologist for topical treatment. ...Read more
ESRD and fertility: While being on dialysis does decrease fertility, pregnancy is still possible. Men are affected to a much much smaller degree then women. Many organizations recommend pregnant dialysis patients receive more frequent dialysis than other patients in attempts to have healthier newborns. Talk to your doctor and dialysis team if your intentions are pregnancy. Good luck. ...Read more
My friend is an dialysis patient and vomited during dialysis! This is the second time. Will it cause any problems?
Discuss with nephrol: We can not answer your question as we do not have enough information about your friend. I will suggest your friend discuss with his/her doctor as to what is causing the vomiting and if it needs any therapy. ...Read more
Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead. ...Read more
Concentrations: Concentrations of waste are zero in the dialysis fluid. Combined with the glucose and other substances in the dialysis fluid "drags" waste and water out of the blood and changing the bags as has been prescribed by your kidney doctor results in less waste and water in the body. It's all based on the behavior of fluids and physical chemistry. Great question! ...Read more
What does my husband need to do for an erection that occurred during dialysis that is quite painful? My husband is a 20 year diabetic and a 2 1/2 year dialysis patient.
Yes: Keep it covered and without tension on the exit site, and use a antibacterial cream recommended by your nephrologist. Contact your nurse if you notice any redness or discharge. ...Read more
Adjust electolytes: Your nephrologist should be able to adjust your electrolyte levels for you during your dialysis to help prevent this issue. Please discuss with your nephrologist. Hope this was helpful. Thanks for using Healthtap. Best of luck with this. Dr R ...Read more
Cramps during HD: Do not gain more than 3 liters or kg between sessions; know calcium and potassium levels; if these drop too low with HD, cramping occurs; also, know bicarbonate (sodium bicarbonate) setting on machine for you - too high can induce cramping; talk to nephrologist and dietitian; and avoid constipation. ...Read more
My husband does home dialysis and is suffering from extreme cold sweats low body temp and regurgitation. Is this a sign of infection?
Could be: He should go see a doctor as these are potentially worrisome symptoms. ...Read more
Tell me why patients with kidney failure eat and drink what they like only during the first few hours of dialysis?
Nurses being nice:
The total fluid removal target is programmed at the beginning of the dialysis run.
Fluids consumed on dialysis are added to the total weight target. The removal target is doable from the onset of dialysis. If you drink 32 oz in the last hour, it is difficult to get this (and the preprogrammed amount) all off in the last hour. ...Read more
I have chronic renal retention. I was able to urinate during daytime & can't for the rest of the day. Now I can't urinate at all. Will I need dialysis now?
Fluid shifts: Most attribute leg muscle cramps during or after dialysis to the shifting of fluid out of the muscle cells as excess fluid is removed during dialysis and the body re-equillabrates. ...Read more
During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?
Talk to doctor: What kind of dialysate, what kind of mebrane, all can and should be discussed with your renal doctor. ...Read more
Father (86)has been on dialysis for 3 yrs. Recently he has had diahrrea and upset stomach everyday. Is this a sign dialysis is not working anymore.
No: This could be a complication of dialysis, his underlying condition or could result from other causes. Your father needs to be evaluated immediately and treated. At his age with his comorbidity, he susceptible to a host of infectious agents as well ...Read more
My mother recently died from a heart attack while having a stroke during dialysis. How could this be?
Not sure: Not sure what happened. Heart attack can cause a stroke but not the other way around. You should talk to her doctor who may be able to give you the most likely chain of events. ...Read more
Cause of hemolysis: Once hemolysis is thought to be occurring, the cause is saught. The causes are many. Some are inherent to the red blood cell (sickle cell, spherocytosis, thalassemia, g6pd deficiency). Some are from antibodies. Some are from other causes of destruction within the blood vessels (mechanical heart valves, hemolytic uremic syndrome). This work up is quite involved. ...Read more
Yes. But only...: Mom would need to be rh negative. This would sensitize the mom, producing an anti-rh antibody that can cross the placenta and began to hemolyze the rh positive cells of the infant. This can began to occur early in the pregnancy, making the unborn child very sick. Or it can be detected at birth and cause prolonged jaundice. Subsequent children may be more affected. Mom needs rhogam. ...Read more
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
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
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
Life on dialysis: It is not possible to give you an 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
Most time not: Dialysis will take at least 3 h 3 times a week from your time and if you have a catheter for dialysis that is obvious that will be very hard to explain to others. Symptom wise some patients may feel drained after hemodialysis and they may have anemia but these symptoms are not specific for dialysis. In conclusion if you do not have symptoms it is very hard to tell. ...Read more
Dialysis: I have taken care of patients who have been on dialysis for over 20 years. It really depends on the patient and how well they manage their multiple diseases. It requires care by the patient and the physician but there is no limit as to how long someone can survive on dialysis. ...Read more
Need dialysis: I am not sure what your question is. If you have questions about your needing dialysis, speak to your nephrologist (n) who is in charge of your care. If you are dissatisfied with the answers you get from the n, get a second opinion from another n. Good luck. ...Read more
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