Category Archives: Dialysis

I need to know how many grams of protein I should aim for DAILY. I am a level 5 Hemodialysis dialysis patient. I HAVE the information in OZ, but want it in grams, Please!

The diet for a hemodialysis patient is usually recommended to be between 1.0 and 1.2 grams of high quality protein per kilogram of body weight.  You should review this with the dietitian who is assigned to you at the dialysis … Continue reading

Posted in Ask the Doctor, Dialysis, Diet/Nutrition, Kidney-Related Health Questions

My son has kidney failure since age 27. He received the gift of life of a kidney transplant two months after starting dialysis. The transplant lasted 3 years and had to be removed as it became infected. He has been on dialysis for the past 5 years and has a difficult time finding a match as he is highly sensitized because of his previous transplant and he had two blood transfusions. His doctor now says he needs a parathyroid surgery due to chronic depression of calcium levels. He is extremely anemia and has terrible pain in his feet that he is unable to walk. My question is whether the surgery will help with anemic and foot pain. No one knows why he developed kidney failure as no one in our family has kidney disease. Blood type O+. Thank you for your assistance.

Parathyroid surgery for dialysis patients has been reported to improve anemia and pain in the extremities (peripheral neuropathy).  It is impossible to anticipate if the surgery will help each and every dialysis patient.  I am unable to provide a prognosis … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Symptoms and Side Effects, Transplantation

Hi, One of my patient has HbsAg + and HCV RNA + . Which hemodialisis machine is appropriate for him?

A patient with both Hepatitis B and Hepatitis C should have a machine only dedicated to himself.  The patient should be isolated to that machine only and no other patient should use that machine unless they are also B positive … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

Hi. Are there any complications associated with hemodialysis and very HIGH platelet count due to past splenectomy?

Platelets are used in the blood clotting systems in your body and having a high platelet count could cause problems for blood clotting in the dialysis tubing or dialysis filter.  Your nurse or dialysis technician should be taking notice of … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I have uremic pruritus, very bad, so bad that my scratching causes the area of itch to bleed. My Doctor has try Gabapin and a few moisturizing lotions but I had a reaction to Gabapin and the lotion does not do much better. I have been on UV-B treatment for 7 months and the itching been going in cycles of scratching for hours and losing a lot of sleep to an hour or so but always waking up to itching. Cool packs help but I don’t have enough cool pack to cover all the area I am itching. When I take the cool packs off the itching comes back. I read in the American Journal Kidney Disease that an iron deficiency may be causing the problem. I am anemic and there has been an increase in Iron Deficiency and an increase in my itching. Any ideas?

I am unable to make a specific diagnosis based on the information that you present.  Chronic uremic pruritus is a very challenging disease to treat.  It sounds like you have tried most recommended treatments.  In some cases, I have sought … Continue reading

Posted in Ask the Doctor, Dialysis, Symptoms and Side Effects, Treatments

My fiance in the Philippines was diagnosed last month with CKD. He went to another nephrologist for second opinion because he doesn’t want to go through dialysis. Will his body be able to take all the toxins. I don’t know how to convince him to go through dialysis. I still have to petition him so he can come here and have close monitoring treatment. Our son is excited to see him soon and I want him to be alive and well by that time happens.

I am unable to make a specific diagnosis based on the information that you present.  I cannot determine the cause of the chronic kidney disease (CKD) or the proper treatment.  I suggest that your fiancé continue to consult with his … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Medication and Kidney Function, Symptoms and Side Effects, Treatments

Doctor, My brother started Dialysis 3 weeks ago. They have told him to keep his liquid intake at 32 oz daily which he has done. But since doing this his legs are swelling up and they are painful to the touch after each treatment. He sweats at work and therefore loses even more fluids. He has been weak and light-headed, has dizzy spells and his heart rate has gone up. To me, he has the symptoms of dehydration. I’ve had it several times, so I know what it feels like. Plus, the only time he gets worse is at dialysis and right after. He has treatments 3 times a week. At first, his sessions were 3 hrs and he was doing better, but recently they have increased them to 4 hours and that’s when all of his symptoms started. During his treatment today his heart rate went so high that they rushed him to the hospital. Can you share your thoughts with me on what could be causing these sudden problems? He is very strict about following his diet, but I think he isn’t drinking enough fluids and with sweating at his job and the treatments it’s dehydrating him even more. Thank you Doctor, I really appreciate your time and anything you can share with me.

If your brother has swelling in his legs, then he has excess fluid in his body.  The goal of dialysis is to remove all of the swelling in his legs and to achieve a normal blood pressure and pulse.  If … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments

I am puzzled. I have exhibited symptoms of CKD and those symptoms have remained consistent at 2.0 for about a year now. I am frightened that my CKD may decline in the near future and I am fearful of having, in that event, to drive from my home at Lake Chapala in Mexico to nearby Guadalajara (about one hour each way) for treatment and At 76 years of age, am unwilling to go through that although I am told that death would be the alternative. No one ever elaborates on the potential suffering and declines experienced by those electing to die rather than go through the torture (as I define it) of onerous treatment on a machine several times a week. Tell me, please, keeping in mind that I am in my mid-70s and come from a family where men rarely live to that age, if I refuse treatment, what may I anticipate in terms of declining health and ultimate demise if I refuse treatment. I do not fear your response.

I am not able to provide a prognosis without performing a complete history and physical examination.  You have the right to make decisions about participating in dialysis treatments or merely leading your life as long as you can and as … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, End of Life Issues, GFR, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Function, Symptoms and Side Effects, Treatments

I was on dialysis 34 years ago then had a kidney transplant. I need a new kidney now and will start dialysis soon. Has it changed in 34 years? I had a difficult time on dialysis. Am I justified in being terrified of dialysis again since I had such a horrid experience with it in the past?

Dialysis is a way to stay alive until an new kidney is available for transplantation. Dialysis is much more efficient and safe than it was 34 years ago, but it remains a treatment that requires time and adherence to medication … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Transplantation, Treatments

I’m writing a non-fiction book,and part of it is about a college student who had been playing college basketball just one year before death. He died a year later in 1972 at age 23, and the official cause of death was Uremia. His obituary said he had been “ill for 6 months before he died” in a New Jersey hospital.It is not known if he used IV drugs, but he did use LSD and unknown green and yellow pills. I assume for him to die, both of his kidneys must have stopped functioning. How could he have died so quickly? Does this mean he died because he refused dialysis? He may have suffered from a mental illness also, possibly Schizophrenia.

I am unable to make a specific diagnosis based on the information that you present.  Kidney disease can be very silent and not apparent until someone is very ill.  It is not uncommon for kidney disease to present at a … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Treatments