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Doctor insights on: Why Are Renal Patients Undergoing Dialysis At Risk For Anemia And Osteoporosis

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What is dialysis, and why are the patients at risk for anemia?

What is dialysis, and why are the patients at risk for anemia?

Cleansing of blood: Dialysis is the cleansing of the blood through an artificial membrane. It replaces some of the physiologic functions of a normal kidney but is generally inferior to a functioning kidney. One of the functions of the kidney is to produce a hormone that stimulates blood produciton. When kidney function is impaired, this hormone production is diminished, resulting in anemia. ...Read more

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Dr. Louis Gallia
64 doctors shared insights

Osteoporosis (Definition)

Currently it is better to think of osteoporosis as a condition where the bone is weakened, and can be managed or treated rather than cured. This is usually performed by dietary modifications, ingestion of supplemental calcium, vitamin d and a class of agents notice the bisphosphonates. These are usually delivered via oral or intramuscular injection on a weekly or monthly ...Read more


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Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Why are kidney recipients at a higher risk for diabetes, cancer and bone disease?

Immunosuppression: I am not a kidney transplant specialist, but i still think i can answer. Patients that receive an organ transplant usually need ongoing immunosuppression to prevent rejection. That can include a variety of drugs including steroids. Diabetes, bone loss - steroid induced cancer - immunosuppression drugs. ...Read more

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Why are patients with chronic kidney disease at higher risk for drug related complications?

Why are patients with chronic kidney disease at higher risk for drug related complications?

Kidneys filter drugs: When Chronic kidney disease is diagnosed kidney function have already dwindled. One of the many functions of kidneys is to filters drugs and their metabolic products into urine and excrete them. When that function is compromised, complications arise frequently. ...Read more

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What foods are recommended for patients with kidney failure?

What foods are recommended for patients with kidney failure?

Food n renal failure: What are foods recommended for renal failure. Depends on stage and degrees of impaired function. So ask your own team. In general you want low protein, low sodium, possibly low K content. ...Read more

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What are some good foods for someone undergoing kidney failure and with diabetes?

What are some good foods for someone undergoing kidney failure and with diabetes?

Control diabetes: First diabetes diet is very important. Then low salt to control BP and potential swelling. If kidney failure is not mild then animal protein and dairy product restriction is important. After dialysis starts then can push animal protein for better nutrition but not before dialysis. In other words, restriction is the main recommendation, no good food to recommend but good dietary regimen/restriction. ...Read more

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Why are patients in hemodialysis at risk for hepatitis b infection?

Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more

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What are the protein needs for adults with renal disease and pressure ulcers who are not on dialysis?

What are the protein needs for adults with renal disease and pressure ulcers who are not on dialysis?

Pressure sores: Pressure avoidance is the one 'must do' to allow sores to heal. As for diet, if you eat well you should be fine. Taking a multivitamin can only help. If you are worried about your nutritional status, see your doctor and have that evaluated. ...Read more

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How frequently are chronic kidney disease patients screened for heart disease? Are they screened for heart disease on a routine basis, or just once?

How frequently are chronic kidney disease patients screened for heart disease? Are they screened for heart disease on a routine basis, or just once?

Heart disease: This depends in large part on their doctor and their symptoms and can be highly variable. A thorough clinician will be assessing this with some regularity, but that does not always necessarily happen. ...Read more

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Why is the mortality risk so high for icu patients having acute renal failure? If you are already in the hospital, can't you start dialysis quickly?

Why is the mortality risk so high for icu patients having acute renal failure? If you are already in the hospital, can't you start dialysis quickly?

Renal failure death: Patients in the ICU who have a acute kidney failure (akf) have something that caused it, usually hypotension. The are very sick and have multi-systemic problems and may have an overwhelming infection leading to their akf. Although dialysis can replace kidney function lost in akf, it cannot perform any of the functions of other organs in the body. They need more than just kidney function to live. ...Read more

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Why are some people with pneumonia at risk for cachexia?

Why are some people with pneumonia at risk for cachexia?

Its the reverse: Cachexia is a sign of either nutritional deficiency or severe chronic underlying disease which releases inflammatory compounds that cause loss of muscle tissue and body mass. A large number of diseases do this, like cancer and advanced heart disease. This condition will lower the ability to fight infection and increase the risk of all infections including pneumonia. ...Read more

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What patients with postmenopausal osteoporosis are at high risk (not all of them, right)?

What patients with postmenopausal osteoporosis are at high risk (not all of them, right)?

Brittle bones: Unfortunately, dexa, the standard way to diagnose osteoporosis can only tell the density of bone per volume, not he quality of the bone. Additional risk factors are propensity for falling, smoking, high coffee and carbonated drink intake and poor diet in general. ...Read more

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What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?

What are the possible negative outcomes for emergency IV fluid treatment for a patient with low blood pressure who also has end stage renal disease?

Dialysis patient: The fact that needs to be ascertained is what the low BP was caused by. Was the patient bleeding or have a heart attack? When was the patient's last hemodialysis? Iv fluids may be appropriate in the short term and the object of therapy is to find the cause of the low BP and treat it. I assume that the patient is in the hospital and can be dialyzed for fluid removal with pressors to raise it. ...Read more

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What would be the life expectancy for younger patients with stage IV renal failure?

Stage 4 RF: Stage 4 patients have GFR between 15 & 30. I approach this from the standpoint of preserving what kidney function you have, not life expectancy. Ways to do that - watch your diet and avoid foods that have lots of potassium and salt; limit protein intake; watch your weight; take all medicines prescribed; see your doctor regularly. Look here : http://www.Kidneyfailureweb.Com/prognosis/221.Html. ...Read more

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Is it safe for organ transplant patients to be around lung cancer chemotherapy patients who are also periodically receiving radiation?

Is it safe for organ transplant patients to be around lung cancer chemotherapy patients who are also periodically receiving radiation?

Yes, with caution: Both patient's described are immune compromised. Extra care needs to be taken around the immune compromised patient. Washing has periodically, wearing a mask, if there is anybody sneezing, or in a big public place is a good start. Consult, your physician to have periodic blood draw to check if patients are immune compromised. ...Read more

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How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?

How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?

Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more

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What patients are at risk for heart valve disease?

What patients are at risk for heart valve disease?

Depends: Depends on the part of the world. In the US, the most commonly affected valves are the mitral and the aortic valve, with the mitral valve developing leakage (incompetence) and the aortic either leakage or stenosis (tightening) or both. Hypertension, and other risk factors for coronary disease can also affect the aortic valve; mitral valve degeneration however is less well understood. ...Read more

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Who is at risk for a kidney failure and transplant?

Who is at risk for a kidney failure and transplant?

History is important: Kidney disease in family or chronic disease like diabetes and hypertension, hypercholesterolemia, and obesity for the person in question are risk factors. Things to do to decrease your risk is to control chronic disease, avoid smoking and avoid obesity. ...Read more

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What are good ways to boost hemoglobin level for patient suffering from end stage renal failure?

What are good ways to boost hemoglobin level for patient suffering from end stage renal failure?

Anemia and ESRD: This patient must be on dialysis. At his dialysis center, he should be receiving Epogen (epoetin alfa) to increase the hb level. There are some people that have a problem with EPO and do not raise their hb level, due to anti-epo antibodies and is rare. Other causes of no increase of hb levels are blood loss from the GI tract, hemolysis and high parathyroid hormone levels. Ask the patient's nephrologist about it. ...Read more

Dr. Quresh Khairullah
527 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


Dr. Steven Ginsberg
1,320 doctors shared insights

Anemia (Definition)

A condition marked by a deficiency of red blood cells or hemoglobin in the blood, resulting ...Read more