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

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Dr. Quresh Khairullah
518 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 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

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Do all elderly people need drugs for their weight, blood pressure, etc?

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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Ingestion (Definition)

Is the consumption of ...Read more