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Doctor insights on: Why Is People On Dialysis At Risk For Anemia And Osteoporsis

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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. Quresh Khairullah
520 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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Why platelets are high and hgb low on a patient with prostate cancer and bone mets? Do you recommend a g-tube on this patient.

Why platelets are high and hgb low on a patient with prostate cancer and bone mets? 
Do you recommend a g-tube on this patient.

Talk to oncologist: High platelets could be a sign of inflammation and low hemoglobin a sign of being chronically ill, but your oncologist can do further testing to see if something reversible is causing both of these. A g-tube typically is helpful for obstruction or non-functioning GI tract, if tract working then with terminal cancer cachexia force feeding if not hungry typically doesn't work and adds side effects. ...Read more

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How much extra stress is really put on the heart of a patient whose heart is only working 10 percent when you going in for mandatory surgery?

How much extra stress is really put on the heart of a patient whose heart is only working 10 percent when you going in for mandatory surgery?

Surgery: I presume you refer to a 10% ejection fraction in a surgical patient. The risk depends on the kind of surgery, the patient's other problems and many factors. The surgical stress for minor surgery is less than a major vascular procedure for instance. ...Read more

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According to my 23andme I have elevated risk for type 2 diabetes. However, based on style of life's questionnaires, my risk is very low. What to do?

According to my 23andme I have elevated risk for type 2 diabetes. However, based on style of life's questionnaires, my risk is very low. What to do?

Keep watching: Even with the best lifestyle choices, sometimes genetics still determine things like high blood pressure, high cholesterol, or diabetes. However, with good choices (excercise, avoiding obesity, healthy eating, not smoking, etc) these can often be delayed, prevented, or at least treated more easily. Have your labs and BP checked regularly, but keep making good choices! ...Read more

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How long can one live with out dialysis who is esrd and has CHF at the age of 46?

How long can one live with out dialysis who is esrd and has CHF at the age of 46?

Not long: End stage renal disease indicates the absolute need for dialysis or kidney transplant. So for true esrd without dialysis or transplant death would come very quickly, especially because of associated heart failure, maybe days to weeks. ...Read more

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What diseases or conditions can cause liver failure, high blood sugar, and sugar in the urine i know someone that is in the hospital on life support and nobody can figure out what is going on. She has kidney failing, and is getting no oxegen because her f

What diseases or conditions can cause liver failure, high blood sugar, and sugar in the urine i know someone that is in the hospital on life support and nobody can figure out what is going on. She has kidney failing, and is getting no oxegen because her f

Diabetes : Diabetes can cause high blood sugar (glucose) and glucose in the urine. Also infections can raise the glucose level. Kidney failure can be a result of damage to the kidneys from poorly controlled or undiagnosed diabetes. She likely has a viral illness which exacerbated her diabetes and ultimately put her in kidney failure. I hope she recovers. Take care. ...Read more

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Why is it that kidney recipients at higher risk for diabetes, cancer and bone disease?

Why is it that kidney recipients at higher risk for diabetes, cancer and bone disease?

Medications: After a renal transplant, an individual must take immunosuppressive therapy as well as steroids. Unfortunately, these medications can increase a person risk for diabetes, cancer and bone disease. ...Read more

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Is a homocysteine level of 12 kind of on the high end for someone in their 20s? Can it be associated w osteoporosis and homocystinuria?

Is a homocysteine level of 12 kind of on the high end for someone in their 20s? Can it be associated w osteoporosis and homocystinuria?

No: Normal levels of homocysteine is below 15. Increased levels of this amino acid are associated with early onset blood vessel plaque and blood clots that can cause heart attacks, strokes and blood clots in other areas as well. It is not associated with osteoporosis. Homocysteinuria is a genetic disease associated with multiple birth defects including mental retardation. ...Read more

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Hi, what is the best diet for a 72 year woman with trouble with kidneys, heart disease, diabetes, blood pressure and anemic? I would appreciate it .

Hi, what is the best diet for a 72 year woman with trouble with kidneys, heart disease, diabetes, blood pressure  and anemic? I would appreciate it .

Balanced.: There is not particular diet that one might prescribe or recommend. However, with that constellation of medical problems, the diet should be low in salt (sodium content on food labels), low in cholesterol, and low in sugars/carbs. Iron intake (green leafy vegetables) or iron supplements may help with anemia, if it is due to iron deficiency. ...Read more

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For those with mds what is the rate at which hb and RBC decrease per year. I know it may vary between patients but on average. Is it 1, 2, 3 ...?

For those with mds what is the rate at which hb and RBC decrease per year. I know it may vary between patients but on average. Is it 1, 2, 3 ...?

Unpredictable: Mds is a very complex and variable disease the severity is very variable the hemoglobin is more likely to decline rapidly if the patient presents with a low hemoglobin can be stable if it is near normal to have mds in a male of only 34 years is unusual and other diagnosis such as aplastic anemia and other marrow problems should be excluded if you have only anemia exclude causes of anemia. ...Read more

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My baby has jaundice and one of the causing factors may be hypothydrosim! we are at the hospital waiting for blood work. What should I do?

My baby has jaundice and one of the causing factors may be hypothydrosim! we are at the hospital waiting for blood work. What should I do?

Congenital Hypo-: Thyroidism is an inborn error of metabolism treated by pediatric endocrinologists with daily oral thyroid hormone supplement beginning in the 1st few mos. Of life & maintained so that the child grows well & develops typical intelligence. Attention & learning problems can still occur, so follow through with the referral to your state's early intervention program to monitor development. ...Read more

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My baby has jaundice and one of the causing factors may be hypothydrosim! we are at the hospital waiting for blood work. What should I do?

My baby has jaundice and one of the causing factors may be hypothydrosim! we are at the hospital waiting for blood work. What should I do?

Be Patient: While jaundice may be caused by hypothyroidism, the likelihood is vanishingly small. Jaundice is very common, and rarely a cause of long term problems. Relax, enjoy your new baby and wait fro recommendations from your pediatrician. ...Read more

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My grandfather a htn and CKD patient with dm and a thalassaemia carrier has just started dialysis at the age of 81 what are his chances of survival?

My grandfather a htn and CKD patient with dm and a thalassaemia carrier has just started dialysis at the age of 81 what are his chances of survival?

Time on dialysis: That is a difficult question to answer. You should ask his neprhologist for his opinion about your father's survival. The literature shows that 50% of patients starting dialysis over 75 years of age die within 2 years and the mean survival of that cohort is 31 months. A healthy male in the us has a life expectancy of 7.4 years at age 81. These data are for your information only. ...Read more

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How many years of having high blood pressure would it take to develop an anuerysm if at all ?

How many years of having high blood pressure would it take to develop an anuerysm if at all ?

Hypertension: Hi, you are on the right track. Hypertension is a chronic disease that causes problems over decades. Family history, smoking, uncontrolled high blood pressure all play a role in aneurysm formation. There are also aneurysms that are found for seemingly no reason as well. Hope this helps! good luck, dr. H. ...Read more

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Why my blood count drops so quickly during pregnancy while my ferritin is >UNL? I'm at high risk for antepartum/postpartum hemorrhage (had IV iron due to the bleeding risk and IDA diagnosis prior to preg). Why do I still have anemia without iron/b12/folat

Why my blood count drops so quickly during pregnancy while my ferritin is >UNL? I'm at high risk for antepartum/postpartum hemorrhage (had IV iron due to the bleeding risk and IDA diagnosis prior to preg). Why do I still have anemia without iron/b12/folat

Inflammation?: I would think about this being secondary to anemia of chronic disease. Ferritin can be an acute phase reactant, essentially being indicative of ongoing inflammation; inflammation that can act as a mechanism for speeding up loss of red blood cells...Also look into your MCV. High MCV I would look into thyroid dysfunction. Pregnancy hemorrhage --> Panhypopituitarism --> Low thyroid --> Macrocytosis ...Read more

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Recommended iron level for a woman in child-bearing age? Does it have to be higher for vegetarians or other groups of people?

Recommended iron level for a woman in child-bearing age?  Does it have to be higher for vegetarians or other groups of people?

18 mg per day: 18 mg / day of iron for woman of child bearing age, increasing to 27 mg/day while pregnant. Meat proteins and vitamin c will improve the absorption of nonheme iron. It does not have to be higher for vegetarians or other groups. ...Read more

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Dr. Steven Ginsberg
1,284 doctors shared insights

Anemia (Definition)

Any condition where there is a decrease in the red blood ...Read more


Dr. PHILIP WALLER
1,580 doctors shared insights

Osteoporosis (Definition)

A condition in which bones ...Read more