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Doctor insights on: What Medications To Hold Before Dialysis

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Dr. Quresh Khairullah
507 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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Some medication good in renal dialysis patient and some not good ( why)?

Some medication good in renal dialysis patient and some not good ( why)?

Depends: It depends if the medications are renally excreted and if they are dialyzable. If they are renally excreted and not dialyzable then they hang around in the body for a long time and have no way of being removed. If they are not renally excreted then the patient shouldn't have any problem with the medication. ...Read more

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Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Is it possible for a chronic kidney stage 5 patient to prolong dialysis and kidney transplant by just specialised medication and strict diet?

Yes: Yes; an appropriate (but relatively strict) diet would have to be adhered to as recommended by your nephrologist. Exercise and hydration are equally important. Stage v renal disease, however is near " end-stage" and will likely progress into renal failure at some time. Peritoneal dialysis is an extremely appropriate, and oftentimes under used/recommended option, especially for younger patients l. ...Read more

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If a kidney transplant fails after 3 years, can the patient go back to dialysis to stay alive? Do the immunosuppressant medications need to be cont?

If a kidney transplant fails after 3 years, can the patient go back to dialysis to stay alive?  Do the immunosuppressant medications need to be cont?

No: The sole purpose for the immunosuppression is to keep the body from rejecting the graft and thus there is no reason to keep taking it if the transplant is no longer functioning. Yes you will need to get dialysis while waiting for another transplant. Best to check with your nephrologist to see if there may still be some residual function in the transplant before you stop the IS drug. ...Read more

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Is their other treatment other than dialysis and transplant for chronic kidney disease ? At stage 4 ..... Is there medication available to repair ?

Treatment of CKD: At ckd stage 4, you do not need dialysis at present. If you ckd progresses to end stage renal disease, you will need to start on dialysis or have a transplant. You do not list that you have diabetes or hypertension, if the cause of your ckd is polycystic kidney disease, not much can be done for your decline into higher stages of ckd. Your nephrologist is the one to speak to about your prognosis. ...Read more

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Will others be able to tell if i'm on dialysis?

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

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I'm wondering how much time does someone have to live after dialysis stops?

2-4 weeks: Everyone is different and a lot depends on the underlying residual kidney function. Most patients will not survive more than 2-4 weeks due to cardiac arrhythmia caused by high potassium. ...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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What would happen if i skipped a night session of pd dialysis? I'm currently doing 8 hours a night and need a break, not sure how safe it is thank you

What would happen if i skipped a night session of pd dialysis? I'm currently doing 8 hours a night and need a break, not sure how safe it is thank you

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 2 days between treatments and at risk for electrolyte and/or fluid retention problems. ...Read more