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Doctor insights on: Why Is Phosphorus Dangerous In Dialysis

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Is it possible 2 avoid dialysis in ckd?

Is it possible 2 avoid dialysis in ckd?

Avoid dialysis: Yes, it is possible to avoid dialysis in stage 2 kidney, but it is not guaranteed. You need to be under the care of a nephrologist to find out what caused your ckd in the first place. Was it due to poorly treated hypertension and/or diabetes? Was it due to some disease of the disease of the kidney's glomeruli? Find a good nephrologist to increase your chances of not having your ckd progress. ...Read more

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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Copper in citamins? Is it dangerous? How much is acceptible?

Copper in citamins? Is it dangerous?  How much is acceptible?

Copper in vitamins: Agree with dr. Huang about the amount of copper needed daily from food. At proper levels it's essential for enzyme function & promotes heart health & bone strength. Taking extra in vitamin form isn't necessary. In fact, excess inorganic copper has been linked to the development of alzheimer's disease. http://tinyurl.com/kgv37wr and http://tinyurl.Com/mcy8pem a copper-free vitamin could be wise. ...Read more

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What causes calcium buildup in ovaries and is it dangerous?

What causes calcium buildup in ovaries and is it dangerous?

Not normal: There should not be calcium in or on the ovaries. Have you had an ultrasound? There are conditions of the ovaries (dermoid cysts) that do contain calcium, but these types of cysts need to be treated with surgery. ...Read more

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Why is low blood pressure so dangerous in regards to septic shock?

Why is low blood pressure so dangerous in regards to septic shock?

Extremely dangerous: If organs are not getting enough blood, they do not work, and worse they are injured to the point of organ death. Blood pressure is a direct reflection of how much blood is flowing to these organs. ...Read more

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What is considered high levels of protein in urine mine tested 555? How dangerous is this number?

What is considered high levels of protein in urine mine tested 555? How dangerous is this number?

Guideline: Protein in the urine measuring more than 30mg is considered abnormal and over 300mg is considered significant and indicative of some degree of kidney pathology. This is best evaluated by a nephrologist(kidney specialist) for diagnosis and treatment. ...Read more

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How dangerous is that having a protein in kidney?

How dangerous is that having a protein in kidney?

Depends...: There are many conditions that can result in protein in the urine. Perhaps the most common condition is a urinary tract infection. Unfortunately, if protein in the urine is diagnosed individually without any other signs of infection, the there needs to be a series of studies to assess for causes. These can be benign or progressive. You would need a nephrologist for this. ...Read more

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If the majority of potassium in the body is in red blood cells and very little in serum why is serum potassium level used to diagnose hypokalemia?

If the majority of potassium in the body is in red blood cells and very little in serum why is serum potassium level used to diagnose hypokalemia?

It's what matters: The serum potassium is in equilibrium with the tissue concentrations, which must be maintained within a very narrow range for the heat to be able to maintain its beat. Your question is a good one and reflects a common misunderstanding. It's not the total body potassium that matters, just the amount that's actually affecting the electrical system outside the heart & brain cells. ...Read more

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Why is albumin used in treating sepsis?

Why is albumin used in treating sepsis?

Not always used: Albumin is one of many medical tools that may be used in the management of sepsis. Albumen will stay inside the capillaries (not leak into the tissues) and help keep blood pressure up when it falls during the illness. ...Read more

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What is calcitriol for? Is this a dangerous drug? Can it cure low IONIZED CALCIUM and HIGH INTACT PTH? Or simple calcium carbonate is ok?

What is calcitriol for? Is this a dangerous drug? Can it cure low IONIZED CALCIUM and HIGH INTACT PTH? Or simple calcium carbonate is ok?

Active vitamin D: Hi. Calcitriol is the active hormone form of vitamin D. If you are vitamin D deficient, it will make up the loss. However, if your kidneys work and you have normal PTH function, you will make your own calcitriol by just taking over the counter vitamin D and letting your own body make the calcitriol. I've seen your case on here. Isn't your doctor explaining ANYTHING to you? They owe you explanation ...Read more

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If high creatinine is bad why would military give members creatinine supplements? Turns out this is cause of ckd, served 24 years

If high creatinine is bad why would military give members creatinine supplements? Turns out this is cause of ckd, served 24 years

High creatinine: Suspect they were not giving creatinine but may creatine? It is not cause of CKD at least I have never heard of taking creatine causing renal disease. Suspect your friend has terms mixed up. This often is a problem in CKD-can't think straight till get on dialysis. ...Read more

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Please explain why is albumin used in sepsis?

Please explain why is albumin used in sepsis?

Albumin: We usually give volume replacement that could be Normal Saline or albumin. ...Read more

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Why is potassium low in seizure patients?

Why is potassium low in seizure patients?

Not always: Potassium is not always low in person who just had a seizure. If potassium level happens to be very low it can potentially trigger a seizure in an epileptic person. ...Read more

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What are dangerous creatinine levels and can it lead to kidney failure?

What are dangerous creatinine levels and can it lead to kidney failure?

Above 1.2: At most labs. It indicate renal abnormality if it's higher. When associated with elevated BUN or low GFR it indicates some type renal failure- see pcp. ...Read more

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Is having too much protein in your urine dangerous?

Is having too much protein in your urine dangerous?

It could be: It depends on the reason, for example if you are a diabetic and you are having too much protein in your urine you should see your doctor, it could be a marker of kidney damage. ...Read more

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What is the effect of high albumin in dialysis patient?

Good health: Albumin levels reflect the overall nutritional status of your body and generally patients on dialysis who have Albumin level more than 3.5 tend to have better outcomes when compared to patients with low levels. ...Read more

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My husband has fought conjestive heart failure and low soduim and low potassium , is it safe to be 121 in sodium?

My husband has fought conjestive heart failure and low soduim and low potassium , is it safe to be 121 in sodium?

Not safe: Normal lab reference ranges may vary, but a sodium of 121 is likely low regardless of lab. A low sodium and potassium in setting of CHF is likely due to use of diuretics to help remove fluids from his lungs. His doctors should be able to help normalize his sodium and potassium levels, provided his heart condition can be stabilized and kidneys are functioning normally. ...Read more

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What is the very dangerous level of bilurubin?

What is the very dangerous level of bilurubin?

Depends on age and: type of bilirubin. High bilirubin is most dangerous for newborns and at a level of 20 mg/dL of higher they can get irreversible neurologic damage. In adults it depends more on the cause of elevated bilirubin than bilirubin level per se. http://www.nlm.nih.gov/medlineplus/ency/article/007309.htm ...Read more

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What are the acceptable potassium levels in a patient with chronic kidney disea?

What are the acceptable potassium levels in a patient with chronic kidney disea?

3.5 to 5.0-5.5: Generally, the potassium should be kept within normal limits just as for a person without renal disease. Most labs have a normal range of 3.5 on the low end and may be anywhere from 5 to 5.5 on the high end. Potassium is less well eliminated by patients with kidney disease and generally with advanced kidney disease, the potassium intake must be reduced. ...Read more

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Husbands crp protein result is 96. has mild cirrhosis and acute kidney failure. why is it so high? dangerous? what does it mean?

Husbands crp protein result is 96. has mild cirrhosis and acute kidney failure. why is it so high? dangerous? what does it mean?

Inflammation: CRP and ESR are both non specific biomarkers for inflammation or acute infection. In itself, neither is harmful, but help to monitor response to treatment or identify a problem. ESR and CRP should be interpreted differently: CRP is more sensitive of the acute phase of inflammation than the ESR. Finding the cause and treatment is key. I wish him well. ...Read more

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If dialysis patients take in too much phosphorus, what will happen?

Itching: High phosphorus levels in a dialysis patient can lead to many issues. Usually most patients itch uncontrollably. However over time elevated phosphorus levels can alter bone structure, lead to calcium deposits on heart vessels and cause nerve damage throughout the body. ...Read more

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My husband is on peritoneal dialysis & takes phosphorus binders. Levels are still elevated & now has calcium deposits in fingers. Any advice?

My husband is on peritoneal dialysis & takes phosphorus binders.  Levels are still elevated & now has calcium deposits in fingers. Any advice?

See your doctor: Renal failure and dialysis are extremely complex and every case is different. A discussion with the Nephrologist will provide insight to the realistic goals and expectations of treatment. Best Wishes. ...Read more

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My son, a dialysis patient due to kidney loss has a scheduled cardiac cath tomorrow. How dangerous is this procedure?

My son, a dialysis patient due to kidney loss has a scheduled cardiac cath tomorrow. How dangerous is this procedure?

Fairly low risk: Like any arteriogram (dye study accomplished through direct injection into an artery), the risks are 1. Technical and 2. Linked to the dye (contrast). 1.- the needle goes in an artery + a catheter is snaked into another artery (in this case the coronary arteries) + rarely damages the artery lining. 2. Contrast may cause allergic reaction or harm kidney function - not an issue for your son. ...Read more

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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.

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

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What is dialysis?

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

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How is dialysis performed?

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

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What exactly will dialysis do?

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

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How old is to old for dialysis?

How old is to old for dialysis?

Depends: Age itself is just a number. What is more important is how likely is dialysis going to improve the patient's quality of life. If a patient has a terminal illness or multi-organ failure, some kidney doctors will not recommend dialysis. ...Read more

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Can I have children on dialysis?

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

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What exactly does dialysis mean?

Filter: Dialysis does the work of kidneys, acts like kidney filter. Removes the extra fluid and wastes, toxins that accumulate in the body. ...Read more

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Will dialysis affect my employment?

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

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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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When is it time to to stop dialysis?

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

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How long to one have to do dialysis?

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

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Why do you get cold during dialysis?

Why do you get cold during dialysis?

Out of body: The blood flows in tubes out of the body (~150ml), losing heat during it's path from and back to the body. ...Read more

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How many forms of dialysis are there?

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

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How much time can I live on dialysis?

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

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How will you survive without dialysis?

No dialysis and life: If the person you are talking about has end stage renal disease and needs dialysis and does not commence it, death normally occurs in 2-3 weeks. It is usually due to high potassium levels or fluid overload. ...Read more

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Phosphorus (Definition)

Phosphorus is an essential mineral. It is important in the formation high energy compounds used by the body, maintaining strong bones and teeth, and muscle and nerve functioning. Meats and milk are a good source of phosphorus. Deficiency is very rare as phosphorus is ...Read more