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Doctor insights on: Why Do Dialysis Patients Need To Watch Their Fluid Intake

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Dr. Quresh Khairullah
524 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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Do doctors just have to let patient die if they blood transfusions and need it to save their life?

Do doctors just have to let patient die if they blood transfusions and need it to save their life?

See below: Transfusions are important treatments in people who require blood products. Sometimes patients may refuse these treatments, or the may become futile. ...Read more

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Could you tell me if someone tends to be hypokalemic, should they limit their salt intake?

Could you tell me if someone tends to be hypokalemic, should they limit their salt intake?

No: Potassium is a salt. You don't need to restrict anything. You should supplement with potassium rich food or potassium pills if necessary. Consult a doctor to find out why you are hypokalemic. ...Read more

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Do people who use dialysis machines need to urinate at all?

Do people who use dialysis machines need to urinate at all?

Urinating + dialysis: Some people on dialysis will continue to urinate. The urine they produce is just not enough for their daily needs. ...Read more

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Why do people with COPD tend to have fluctuating weight gain and fluid retention?

Why do people with COPD tend to have fluctuating weight gain and fluid retention?

Steroids: Patients with COPD do not normally do that unless they are on and off steroids, pills or injections. ...Read more

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Why do the elderly need potassium free electrolyte?

Why do the elderly need potassium free electrolyte?

Not always: It is not true that all older adults must avoid potassium. However if the person has kidney problem, or is on medication (usually for high blood pressure) that causes the body to have problems getting rid of potassium, then it needs to be avoided. ...Read more

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Have you ever heard of any endurance athletes with diabetes insipidus? Were they able to manage their hydration and electrolyte balance?

Have you ever heard of any endurance athletes with diabetes insipidus?  Were they able to manage their hydration and electrolyte balance?

You're good: A search of the nih database showed no special care recommendations for endurance athletes with diabetes insipidus. I'm not an endocrinologist or nephrologist but my sense is that a smart patient could manage the electrolytes easily and enjoy taking part. ...Read more

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How do physicians keep up with information overload in their field?

How do physicians keep up with information overload in their field?

Self care!: For physicians as well as we psychologists/psychoanalysts, self-care is of paramount importance. This means emotional regulation, and not putting in superhuman amounts of hours. Unfortunately, in the current era of mangled...er, um, MANAGED healthcare where productivity and "treat 'em and street 'em" is emphasized, physician self care is often compromised, and information overload/burnout results. ...Read more

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Why do diabetics need to know their blood glucose concentration?

Why do diabetics need to know their blood glucose concentration?

Monitor Control: Blood sugar can change from one point in time to the next. A hba1c won't elaborate on what got it there. Testing blood sugars allows patients and doctors to decide how to adjust medication or when one needs to start taking medication. Particularly at the extremes, knowing blood sugar can prevent trouble with very high or low blood sugars. ...Read more

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What to do if patient hypovolemic doesn't respond to IV fluids?

What to do if patient hypovolemic doesn't respond to IV fluids?

Depends: This is not a simple answer. It really depends on the whole picture of the patient. Could they have heart failure or kidney failure? More info is needed to answer completely and comprehensively. ...Read more

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How much would a persons kidneys have to fail for their potassium to get too high and kill them? Would their he signs?

How much would a persons kidneys have to fail for their potassium to get too high and kill them? Would their he signs?

See below.: Renal function typically estimated by measuring creatinine levels and calculating estimated glomerular filtration rate. Normal egfr is age dependent, but generally > 100ml/min is normal. Egfr < 15ml/min defines stage v kidney disease which is when serious potassium problems are seen. This equates to about 1/16 of normal kidney function. There are generally nonspecific signs along the way. ...Read more

Dr. Alvin Lin Dr. Lin
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Do all elderly people need drugs for their weight, blood pressure, etc?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
Do all elderly people need drugs for their weight, blood pressure, etc?

All? No: We're all individuals so there's no blanket need for drugs for everyone, although it might seem as if every elderly person is taking aspirin & statin. But there are no drugs per se for weight, unless you're thinking of weight loss drugs or appetite stimulants (which we don't recommend). There's a greater tendency to higher blood pressure w/age but not everyone needs drugs. In fact, we've raised BP ...Read more

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Are we allow to take beer to enhance urinating ? Some people after take beer very easy to urinating. Do doctor advice this idea ?

Are we allow to take beer to enhance urinating ? Some people after take beer very easy to urinating. Do doctor advice this idea ?

I don't think so: It's increased fluids intake, which promotes urination. So it is really depends how much beer you would take without getting drunk would increase your urination.. I would rather have a water for that reason. ...Read more

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When do people need to get dialysis?

When do people need to get dialysis?

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

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Hi, i'd like to know how much protein/fat/carbs I have to eat each day to slowly and healthy loose weight and to not have sagging skin. 36kg to go :)?

Hi, i'd like to know how much protein/fat/carbs I have to eat each day to slowly and healthy loose weight and to not have sagging skin. 36kg to go :)?

Slow: If you decrease your caloric balance (calories in - calories out) you will lose weight. Firming your muscles is achieved through exercise. Skin tightening is not improved with weight loss, it can actually be worsened. Skin tightening is better addressed through surgery or laser treatments. Visit with a board certified plastic surgeon for more information. ...Read more

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If 3500 cal =1lb and you need to eat like 1800 calories to get that energy how do you lose weight?1800-300cal(exercise)= 1500.Just need clarification.

If 3500 cal =1lb and you need to eat like 1800 calories to get that energy how do you lose weight?1800-300cal(exercise)=
1500.Just need clarification.

To lose weight alone: you need 2 decrease caloric intake. A well balanced diet can do this. If you add an exercise program that includes cardio 1 day & a weight lifting on 2nd day and so on you will lose weight, but a program that includes hard work outs,while you lose fat you will gain muscle mass & strength & look more fit. But muscle is heavier than fat so weight loss may B negated, but you will look much better. ...Read more

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How many times must your kidney fail before you have to go on dialysis?

How many times must your kidney fail before you have to go on dialysis?

??: The" # of times that kidneys fail" is not what decides whether or not dialysis is necessary, that is a decision made after looking at blood tests to measure the levels of proteins that should be cleared by the kidneys ( creatinine) , calculating the GFR - glomerular filtration rate ( or how efficient the kidneys are clearing waste) and urine output. A nephrologist should be on board asap. ...Read more

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Why do some people need to have their lap band adjusted?

Why do some people need to have their lap band adjusted?

Too tight/too loose: It is adjusted because it may be too tight and cause limited food intake and nausea/vomiting or it may be too loose, allowing patients to eat past their caloric limitations. ...Read more

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What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?

What causes dialysis patients urine to be so dark? Why do they stop making urine after long term dialysis?

Dialysis dark urine: 34 F asks why do dialysis pats have dark urine and why do they stop making urine. ANS: urine is the remains of the fluid filtered at the glomerulus. As glomeruli are destroyed by the disease colored chemicals that normally go out in the urine build up in blood-thus the funny skin color. This color stays in the urine so dark. Eventually all glomeruli die from the cause and no urine Is formed. ...Read more

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Dont need to lose weight, just want to prevent future health issues in general. want to change my diet, what food groups should i mainly focus on?

Dont need to lose weight, just want to prevent future health issues in general. want to change my diet, what food groups should i mainly focus on?

All of,them: A healthy diet involves a balance of all basic food groups. This includes grains, breads, fruits ,vegetables, proteins, dairy, and some fats. Focusing on any one food group to the exclusion of others will likely be hard to maintain and will create deficiencies in your nutrition. The idea is to balance,so you have a diet,that works long term. Check WebMD for specifics about each food group. ...Read more

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What's an average fluid intake for late stage Alzheimer's patient they have also got fluid retention?

Individualize: For 'late stage' of any disease that might be approaching end-stage i advise letting your loved one (or patient with dementia) guide how much they need based on thirst (i.e. Offer fluids on demand but and don't force). By letting them guide you it maximizes their comfort towards the end of their life. For sudden declines be evaluated by a doctor for easily reversible causes. ...Read more

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How to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

How to reduce blood urea and creatinine in patients with limited fluid intake and diuretics?

Depends: If it is irreversible chronic kidney disease you cannot. If it is reversible then you can decrease diuretic dose and increase fluids- this should be done with the help of a doctor otherwise you will become fluid overloaded. ...Read more

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What causes decreased thirst/fluid intake?

A Couple of Things: Thirst is controlled by a center in the brainstem. That center is sensitive (exquisitely so) to the concentration of sodium in the blood. So, from that, you can gather the two simple answers. If the sodium level is too low for any reason, it would require more than usual dehydration to raise it to the level triggering thirst. If the center is less responsive (old age) the thirst signal is weaker. ...Read more

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Will increasing fluid intake help increase gestational sac size? Is there anything else i can do to help?

Sorry, no: Drinking fluid will not help, I am sorry. The gestational sac grows as the amniotic cavity fills with fluid, and then expands to squeeze out the chorionic cavity. This is determined by the pregnancy, not the mom. Good luck. ...Read more

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Should I limit my fluid intake before delivery?

Should I limit my fluid intake before delivery?

No: Good hydration is important throughout and before pregnancy. A healthy person manages fluid intake by controlling fluid output through the kidneys. Though there are conditions that can interfere with this, most people can do with a wide range of fluid inputs. Dehydration, in general, is bad. ...Read more

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Why does increases fluid intake help when you have a cold?

Why does increases fluid intake help when you have a cold?

Hydration: Is very important during any acute event your body is experiencing, this would include an acute infection. Also if you have a fever, you need to make sure that you stay well-hydrated as perspiration causes fluid loss. ...Read more

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How much fluid intake does the average 3 year old need per day?

How much fluid intake does the average 3 year old need per day?

Fluid intake : A 3 year old should be taking in 40-50 ounces of fluid daily. The vast majority of this should be as water. About 12-16 ounces should be as milk. Needs go up with exercise, hot weather or increased losses such as when child has diarrhea. Try to stay away from soda, sugary fluids such as kool-aid or juices, and energy drinks in that age group are absolute NO. ...Read more

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I heard that if we take lot of fluid intake we are actually making our kidney oveework...Is.This true? How much litres of fluid should we take?

I heard that if we take lot of fluid intake we are actually making our kidney oveework...Is.This true? How much litres of fluid should we take?

Takes a lot: Your question is fun. Healthy kidneys are capable of managing large swings in fluid intake to keep you balanced. If you eat a healthy diet, have normal kidney function, and are purposefully forcing yourself to hold urine....(drinking/peeing contest) then you can drink many liters a day if you really wanted too. 2-3liters should prevent kidney stones but not overwhelm you if your currently helathy. ...Read more

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What is the average fluid intake of a 27mo old male. 33lbs, 35in tall. How often should they urinate?

What is the average fluid intake of a 27mo old male. 33lbs, 35in tall. How often should they urinate?

About 2 liters: About two liters of water/day is sufficient, and some of it can be part of food. How often one urinates is not nearly as important as to see that the urine is not too concentrated, as indicated by dark color and smell. ...Read more

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What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?

Pain on PD: This question is clearer - turbid fluid indicates infection. Infection will cause these symptoms. Call your doctor and PD nurse. ...Read more

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Does beetroot juice count towards my fluid intake like water would?

Does beetroot juice count towards my fluid intake like water would?

Yes: Beetroot juice is a type of vegetable juice. Occasional drinking of beetroot juice, other vegetable juices, or fruit juices is fine. Too much of any one kind of food or juice can cause problems. One should visit a primary care doctor before drinking too much of any one type of juice, just to be sure the ingredients (such as minerals, salts, sugars, etc...) won't end up harming the person. ...Read more

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How long will I have to reduce my fluid intake to stop urinary urgency?

How long will I have to reduce my fluid intake to stop urinary urgency?

As long as needed: If the only reason u have frequency is drinking too much then the change will need to be permanent. If its while u are making other changes- stopping caffeine and water pills, bladder training kegels then u may be able to resume fluids at 80-100 ounces per day. ...Read more

Dr. James Lin Dr. Lin
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I am hardly urinating at all during the day and worried this could be serious? My diet is currently poor & fluid intake very low. Thanks.

Dr. James Lin Dr. Lin
1 doctor agreed:
I am hardly urinating at all 
during the day and worried this could be serious? My diet is currently poor & fluid intake very low. Thanks.

Here are some...: Low water intake naturally leads to low urine excretion. But why have you had poor intake, voluntary or involuntary? Just for these concerns alone, you should seek a timely evaluation to check out how your bladder works, how your kidney function is, and how your general health has been. All of these are something serious to be sorted out for correction; don't just wait out with a wishful thinking. ...Read more

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Fluid intake not decreased, urine output has. Usually urinate frequently & a lot, now a couple drops every few hrs. No symptoms. Be concerned?

Fluid intake not decreased, urine output has. Usually urinate frequently & a lot, now a couple drops every few hrs. No symptoms. Be concerned?

See a Dr.: You may be retaining urine in the bladder, You did not give an age, but prostate enlargement or inflammation of the prostate may cause these symptoms. Prostate enlargement is very common in men over 50. ...Read more

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24 hour urine over 3LT. I drink lots of fluids (probably over 3LT daily). Should I cut down on fluids? Is this normal urine output for fluid intake?

24 hour urine over 3LT. I drink lots of fluids (probably over 3LT daily). Should I cut down on fluids? Is this normal urine output for fluid intake?

More than needed: About two liters would be sufficient, unless you are engaged in activity than causes excessive sweating or are exposed to high ambient temperature. See this site for more info. http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256 ...Read more

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Increased frequency of urination, noting onset about a week ago, with no diet/lifestyle changes, and no other symptoms. Fluid intake has not changed.

Depends: Go to a doctor to get examined and get a simple urine test to rule out medical conditions that could be the reason of the increased frequency of urination. Conditions like diabete or infection or kidney stones or an electrolyte abnormality. ...Read more

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How much is considered normal urinary output in a 35 yearsold man, fluid intake of approx. 2, 5 l?I just urinate 400ml morning, 200ml afternoon, no more..

Highly variable...: Daily urinary output highly varies among individuals depending upon fluid intake, physical activity, age, weight, kidney function, and other medical diseases such as heart, liver, etc. On average, it's about 800-2000 cc or about 35-100 cc/hr. But in young age, nighttime urine is about 10-15 %of daily output; in older age, about 35-45%. Bottom line is renal function as reflected in blood test and.. ...Read more

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My husband doesn't need to urinate in the mornings regardless of how many hours slept. (slept nearly 15hrs one sat.) i don't think he drinks enough water, but does have a lot of fluid intake. 26yr old?

My husband doesn't need to urinate in the mornings regardless of how many hours slept. (slept nearly 15hrs one sat.) i don't think he drinks enough water, but does have a lot of fluid intake. 26yr old?

Bladder capacity!: When i was younger, it was over 2 qts. The lack of need to urinate may not be a reflection of fluid intake. Urine specific gravity and bun/creatinine ratios will define adequate of inadequate fluid intake! ...Read more

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What can cause excessive urination with minimal fluid intake?

Diabetes (2): Both mellitus and insipidus. Both are associated with hypernatremia. Have your chemistry checked to see if this is present. ...Read more

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Ingestion (Definition)

Is the consumption of ...Read more