Doctor insights on:
What Meds To Hold Before Dialysis
Brother taking 6 different blood pressure meds. Feet swell sometimes. Drs want him to undergo dialysis for bp. Does this sound right?
Dialysis and BP: Your brother sounds acutely ill. He is on 6 medications, is his BP controlled? I would assume not. The fact that he is edema is his legs is the reason that his physicians want to have him start dialysis. Did they mention his renal function. Perhaps he has renal failure, due to poorly controlled bp, and he needs to start dialysis for that. Ask his doctors why his BP is not controlled on 6 meds. ...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
Ouch phorporus in blood comm8ng out skin help hurts warm compress anyrhing else taling meds doing dialysis never miss a trea5ment hust help me get pas?
Here are some. ..: Take the advantage that your treating doctors have known so much about you through dialysis so ask them for detail. But make sure you're willing to hear what you need to hear not just what you like to hear. Online inquiry for your individual need would not suffice to address your concern to meet your satisfaction. ...Read more
Male, 75 waiting for stent to begin dialysis -has 20% heart function (chf?) what are odds of CHF improving w/dialysis & intro of heart meds?
Odds are not good:
75 year olds with severe CHF usually do not do well on in center dialysis as large amounts of fluid removal every dialysis shift is difficult in setting of low BP caused by heart failure.
Peritoneal dialysis or home hemodialysis where patients do daily dialysis at home and nocturnal hemodialysis where patients have a prolonged dialysis treatment for 8 hours would be a better option. ...Read more
Is it normal for someone to be sickly after being discharged from hospital? Mom had a knee replacement 27/09. Pain meds make her vomit. She thinks it could be ulcers (she's a retired nurse).She also undergoes dialysis twice a week. Is it normal?
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
Kidney failure treat: Kidneys are vital to keep the body in a stable condition, removing waste products, keeping water and electrolytes within very narrow range required for normal function of all the organs. With kidney failure this can be done by dialysis either hemodialysis where blood is filtered through an external machine or using the lining od the abdomen (peritoneal membrane) as a filtering mechanism. ...Read more
Dialysis: Dialysis can be done through the blood (hemodialysis) or through the abdomen (peritoneal dialysis). Hemodialysis involves passing the blood across and filter to purify it / remove toxins and remove water. Peritoneal dialysis takes advantage of the membrane within the abdomen to act as a filter. In either case toxins are removed from the blood stream. ...Read more
Clean blood: Dialysis removes waste products from the blood and extra fluids to replace the function of the kidneys and prolong life. Without it death is usually eminent in a few months more or less. The quality of life on dialysis is less than that with functioning kidneys due to substantial fatigue and other medical problems and medications. ...Read more
Less likely: Fertility is significantly decreased in patients on dialysis, but it is still possible to have children. If you become pregnant, however, your likelihood of a successful pregnancy are much lower. If it is not your intention to become pregnant, make sure that you are using some form of birth control. ...Read more
Possibly: If you are on hemodialysis, then you will have to be at an in center facility three times a week for 3 to 4 hours per session. This form of dilaysis makes it very difficult to maintain a full time job however if you choose to perform peritoneal or home hemodialysis, they you have a better shot of maintaining a full time position. ...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
See below: Dialysis is initiated if your nephrologists determines you have inadequate kidney function, some cases are reversible and they can determine if you have recovered some function and hold 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
2 peritoneal & hemo: The 2 types of dialysis are hemodialysis and peritoneal. Both are effective but have pros and cons. Hemodialysis is generally done at a dialysis center three times a week and requires "access" into the blood stream, a fistula is preferred. Peritoneal dialysis is done at home through a catheter (tube) inserted into the abdominal cavity. You should discuss with your nephrologist what is best for you. ...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
Depends on Kidney Fx: Your ability to survive without dialysis is dependent on how much function is left in your kidneys. Most people can survive with greater than 10% function and everyone will die within a few days with zero function. It's a crapshoot if you're between zero and 10% so it's best to make decisions with your nephrologist if you plan on making it to christmas! ...Read more
There are five renal replacement therapy options I always discuss with patients who are about to start dialysis.
1. Blood dialysis
a) in center (hd)
b) home (hhd)
2. Peritoneal (ccpd or capd) (also done at home)
3. Renal transplantation
4. Comfort care. Not everyone decides to use this technology. ...Read more
Dialysis: A patient is started on dialysis when their doctor decides that their metabolic disturbances caused bytheir renal failure can no longer be managed with medications alone. The length of time from the onset of chronic renal failure to dialysis varies from one patient to another and has to be individualized by your doctor with your concurrence. ...Read more
See below: Opinions may vary, but most nephrologists agree that home dialysis which includes home hemo dialysis [ where you perform your own dialysis at home ] and peritoneal dialysis [stomach dialysis, blood free dialysis] are better options than incenter hemodialysis where you go for dialysis to a center 3 times a week. There are some considerations whereby home dialysis may not be a proper option. ...Read more
? vacation dialysis: I think you might be referring to dialysis performed when patients receiving dialysis go away on vacation. Temporary dialysis can be arranged at centers all over the United States and still paid for by insurance. It has to be arranged well in advance and medical information shared to the temporary dialysis unit. It allows for a more normal lifestyle for patients, especially for family visits. ...Read more
The neck: The permacath is placed in the internal jugular vein on either the right or left side of the neck. It is generally considered a temporary dialysis access, with an arteriovenous fistula being the favored dialysis access. It is recommended that people not shower with a permcath because it increases the infection risk. ...Read more
A lot of effects: While dialysis is essential to survival by replacing kidney function unfortunately there is a price to pay with that. Dialysis patients are anemic (low blood counts) and require medications for that, they have many problems with their calcium and phosphorus level. Patients and especially men mostly can be depressed and they lack sexual desire. They may have weight loss and peripheral nerve damag. ...Read more
Whichever works 4 u: Sometimes your choices can be limited by finances or availability. The medical studies vary and experts argue over the 'best'. There are pluses and minuses to all the renal replacement therapies: hemodialysis in center, hemodialysis at home, peritoneal dialysis, transplant. My opinion for my patients is the best solution is the one that works the best for you, your health, and your lifestyle. ...Read more
Removes waste, fluid: Dialysis takes over two important functions of the kidney: removing waste products & removing excess fluid. There are two basic techniques: hemodialysis and peritoneal dialysis. In hemodialysis, blood is removed from the body, circulated through a filter much like an oil filter, and returned to the blood stream. Peritoneal dialysis uses the peritoneal membrane in the abdomen. ...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
Work on dialysis: Many patients on dialysis continue to work full time. The biggest obstacle tends to be the time spent doing dialysis, with schedules that can be fairly rigid. However now hemodialysis treatments can be done at home, or overnight in some centers, and cycled peritoneal dialysis can be done overnight at home. Your underlying medical condition is also a big factor in determining your ability to work. ...Read more
Possible: If you are an in center patient, travel becomes more difficult but not impossible. Depending on where you are traveling the social woker must arrange for a dialysis center to perform dialysis at your destination location. This requires 3 week advance notice, but many dilaysis patients have been to the caribbean and mexico. ...Read more
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