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Doctor insights on: Working With A Dialysis Stint In Arm

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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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Should bloodpressure be taken in arm where fistula made for dialysis?

Should bloodpressure be taken in arm where fistula made for dialysis?

No: If you take BP and tighten a cuff above the fistula, clotting can occur and clog the fistula. Distally, there is already a steal of blood flow due to the fistula so you don't want to tighten a cuff there unless there is nowhere else to go. ...Read more

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During dialysis why does the subclavian catheter have darker blood than in patients with a fistula?

During dialysis  why does the subclavian catheter have darker blood than in patients with a fistula?

Venous blood: A subclavian catheter has only venous, deoxygenated blood returning from the body. A fistula contains oxygenated arterial blood coming from the heart. This is the reason for the bright red blood seen in fistulas. ...Read more

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For a dialysis, why is the subclavian catheter has darker blood rather than in patient with fistula?

For a dialysis, why is the subclavian catheter has darker blood rather than in patient with fistula?

Catheter vs fistula: An a-v fistula (avf) is a connection between an artery and a vein, that's why its called an a, for artery, v, for vein, fistula. Arterial blood has more oxygen, making it redder, than venous blood. A subclavian catheter has both blood tubes in the vein, where there is less oxygenated blood, as it does not have any arterial inflow. That's why it has darker blood than an avf. ...Read more

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19yo son has lymph edema in his leg:blockage from catheter used for a heart cath as a newborn. Extreme pain now. Ideas? Waiting for PT authorization.

19yo son has lymph edema in his leg:blockage from catheter used for a heart cath as a newborn. Extreme pain now. Ideas? Waiting for PT authorization.

Treatment: designed to either prevent or reduce the swelling associated with lymphedema may include manual lymph drainage, gentle massage and light exercises, gentle range-of-motion exercises to help stimulate the lymphatic system. Consider compression bandages or garments (e.g., stockings) to help prevent additional fluid from accumulating in the tissue. Elevating the limb may also help. ...Read more

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I donated a kidney about 20 years ago....Ended up with fairly large tear...Repaired with mesh end of june really hurting to breathe in area.Help?

I donated a kidney about 20 years ago....Ended up with fairly large tear...Repaired with mesh  end of june really hurting to breathe in area.Help?

incisional hernia: Did you had a hernia is the incision used to remove your kidney, that was subsequently repaired with mesh? If so, the current symptoms may or may not be related. Okay to get checked by your regular doc. Pain with breathing can be evaluated with a cxr to get started. Be well. ...Read more

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My dad had a stent put in to help pass a kidney stone. A few days later,he had severe pain and developed a fever. Blood work showed he has sepsis. ?

My dad had a stent put in to help pass a kidney stone. A few days later,he had severe pain and developed a fever. Blood work showed he has sepsis. ?

Pyelonephritis.: Seems like the stone caused a kidney infection before it was removed. The blockage of urine flow out of that kidney would have allowed bacteria within the urine to set up shop and cause an infection. But the removal of that stone should help eradicate that infection. ...Read more

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Could putting a stent in my renal arteries help my ed?

Could putting a stent in my renal arteries help my ed?

No: No but if you have blockages in your aorta or iliac arteries this can block blood flow to your perineum and cause ed. A ct angiogram or vascular study with a penile-brachial index can help evaluate this. ...Read more

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What happens if dialysis can't be pumped in through vein in my arm?

What happens if dialysis can't be pumped in through vein in my arm?

Need Catheter: If an av fistula fails in dialysis patients, then they require a dialysis catheter until another long term dialysis access can be established. If all arm veins are too small or scarred, then it is possible to place an av graft (synthetic tube to connect the arterial and venous systems). Av grafts are typically made of gore-tex (ptfe). ...Read more

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Husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?

Husband has chest hemodialysis catheter and went swimming last night without waterproof bandage over exit site. is this ok?

No: Since the site is not waterproof, it is not generally ok. However he might be lucky enough to not have water entering the unsealed area. However if there is any abdominal or chest discomfort, be sure to get him to see his doctor or to an emergency room. ...Read more

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Filter placement for clots:post op after a heart and liver transplant 6yrs ago. A piece of filter has traveled to lung. Dr wants to remove filter.Why?

Filter placement for clots:post op after a heart and liver transplant 6yrs ago. A piece of  filter has traveled to lung. Dr wants to remove filter.Why?

More: Possible that other, larger fragment could move( unusual) may be some other concern with migration, penetration. May need a new one above depending on current status. She needs to ask risks, benefits, options? ...Read more

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I have a brachial artery bypass in my right arm. Is it okay to go target shooting, skeet shooting with my father in law? plan 2 shoot weak hand

I have a brachial artery bypass in my right arm.  Is it okay to go target shooting, skeet shooting with my father in law?  plan 2 shoot weak hand

Clarify with surgeon: Not sure how recently you had procedure. Assuming you are concerned about the butt of the gun on the shoulder area, and positioning of your arms- clarify with your surgeon what you are planning to do (ie gun to left shoulder area and stabilizing barrel with right hand etc) before any activity. ...Read more

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Why is arm with dialysis port swelling?

See your doctor: There are many reasons for this to happen. You really need to have your doctor check this out right away. ...Read more

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Can i swim with a kidney stent?

Can i swim with a kidney stent?

No: It is recommend no heavy lifting or exercising (jogging, swimming, treadmill, biking) until cleared by your doctor. ...Read more

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Does a kidney transplant require staying over night in a hospital?

Does a kidney transplant require staying over night in a hospital?

2 or 3, maybe more: All kidney transplants are not the same. Depending on how fragile or sturdy the patient is, how much the kidney has been injured by the process of moving it from the donor to the recipient (such as temporarily stopping blood flow to it!), and how difficult the operation was, the length of hospital based recovery will be determined. If dialysis is still required, that too must be available at home. ...Read more

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My brother in law is in the hospital with a collapsed lung. They put a tube in his chest and he is going for his second surgery tomorrow. ?

My brother in law is in the hospital with a collapsed lung. They put a tube in his chest and he is going for his second surgery tomorrow. ?

Recurrent problem: The collapsed lung is called a spontaneous pneumothorax if it happens without prior trauma. If he has anatomical blebs in his lung or his doctors feel he is at high risk for recurrence they may do a bleb resection and/or a pleurodesis which is deliberate scarring to force the lung to adhere to the chest wall so it can't collapse again as is prone to happen in some people. ...Read more

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