Category Archives: Dialysis

I am a 51 yr. old woman. They say I have stage 5 kidney disease. I urinate 1,300 to 1,500no per day. When I started dialysis, I felt better, but now I feel very sick. I’ll get on the machine, blood pressure is at 137/75. An hour or two in, my blood pressure is 179/92. They prescribed more high blood pressure meds. I would always feel like I was on fire inside my body. Legs cramping while sleeping,(Charlie horse), blurred vision, dried mouth, numbness in legs, hand stiffness and when I urinate it hurts. Now I have crackling when I breath. I feel bloated. Muscle pain. Joint pain. Weakness. I tell my team but they say I’m not getting enough dialysis and prescribe more meds. I think they forget that I still urinate normally. Someone has to take under consideration that I still urinate. Please help me. I feel like I’m dying. They said I was suppose to feel better but I am worse. I think we need to reevaluate my situation.

I am unable to make a specific diagnosis based on the information that you provide. I do agree with you, that you need to be re-evaluated.  I suggest that you ask to meet with your nephrologist and you may have … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Medication and Kidney Function, Nephrologist, Symptoms and Side Effects, Treatments

I am in desperate need of some answers or guidance. My sister suffers from kidney disease and has had to have both removed. I have seen her deteriorate so quickly, she has dialysis 4 times per week. I am not able to donate due to medical condition nor is my daughter. Two of my brothers passed away quickly and my other brother is vulnerable to kidney stones. I do not want to lose another sibling and I am desperately seeking any advice at all. I know she is on a waiting list, but does not seem to be moving at all. I believe she has been on dialysis for at least 7-8 years, I am aware of the odds. Please can you advise me in what I can do?

If your sister has no living donors, then she must wait on the transplant list for a cadaver donor to be available.  There is no way to hasten the process.  Kidneys are assigned to patients on the list by time … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney Failure, Kidney-Related Health Questions, Transplantation

Are blood clots, heart attacks, and strokes common side effects of dialysis?

Cardiovascular disease including stroke and heart disease are the most common cause of death in dialysis patients.  I would not call cardiovascular disease a complication of dialysis but rather patients who have kidney disease and are also on dialysis, have … Continue reading

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

I am CKD Stage 4. I have high hypertension. I have toxin coming out in my pores as I itch all the time. The metallic taste is horrible. I have chosen to do peritoneal. I don’t heal very well. So I’m begging my nephrologist to please have that installed. She just ignored me. My gorgeous is 22 and creatinine is 1.8. I stay sick all the time. My MD says she needs to get on the ball. Please any insight. Also other is 208 liver enzymes falling.

Your symptoms are consistent with kidney disease and you may benefit from dialysis.  I suggest that you visit with your nephrologist about whether you could benefit from starting dialysis treatments. For more information on dialysis click here:  

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

My cardiologist said we have not done a nuclear stress test since before I was on dialysis 2011. Is it safe for me to take in the nuclear medicine being I am on dialysis and of course my kidneys don’t work?

A nuclear heart stress test can be safely done in a patient on dialysis.

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

I have a graft access for dialysis, my dialysis center just started using it today. My question is, after dialysis do I have to keep the injection site covered with gauze and tape? Or can I leave it uncovered as long as it’s not bleeding?

You should check with your dialysis center about their recommendations.  I generally ask patients to remove the tapes and bandages within 12 hours after your dialysis session so long as there is no bleeding.  You should carefully monitor your access … Continue reading

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

I am a dietitian working in dialysis. I have found a very tasty high protein ice cream, but it contains erythritol, an sugar alcohol. I’ve read that erythritol causes less GI problems than most sugar alcohols because it is absorbed in the small intestine and excreted in the urine. So I’m assuming it is not safe for our patients.

I have no information about erythritol.  I suggest that you visit with the nephrologist who is supervising your unit.  I have not used or seen this substance used in my practice.  

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney Failure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist

My loved one had surgery for peritoneal dialysis in 2015. He never had dialysis until they requested it in late 2016. His tube was blocked and had to have surgery. Since then we’ve been thru infections and what we feel is negligence from his surgeon doctor. He still is not on dialysis. Last instance is his cap came off and he went to hospital office to see surgeon and put tape around it and said when you go and get started on dialysis in 2 weeks they will replace cap. We’ve been trying to start training but the Center doesn’t want to start because they think he has an infection. But the hospital says he doesn’t. It’s a lot in between. Where do we go?

I am unable to make a specific diagnosis based on the information that you present.  This sounds like a very complicated matter that must be guided by the nephrologist who is caring for your loved one.  I suggest consultation with … Continue reading

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

In Feb. 2016, my albumin readings were 19mg/dl and my creatinine was .99mg/dl, the GFR 61ml/min/1.73M2. Feb 10, 2017 my readings were BUN 25mg/dl, creatinine 1.03mg/dl GFR 58ml/min/1.73. On Feb. 25, 2017 just 15 days later my readings are bun 18mg/dl, creatinine 1.16ml/dl, GFR 50ml/min/1.73. My family physician is taking me off my acid reflux med and ibuprofen. Then retest in 3 mos. Can my totals change so drasticly in such a short period of time? If this is a true deterioration, what time frame am I looking at until dialysis is an issue. Do you have any other suggestions I should do to try to slow down or reverse my progression besides the med changes? How should I calculate my water intake? I have been told it should be half my body weight and does that include other liquids? Scared and confused.

The information that you mention is within the normal variation of laboratory testing.  The serum creatinine can vary from day to day and just be normal laboratory variation.  I suggest that you continue to follow your doctors advice and get … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Chronic Kidney Disease, Dialysis, GFR, Kidney-Related Health Questions, Laboratory Testing, Treatments

Was wondering if renal patients can take Spirulina and how much is a safe amount? FYI I have no renal function have been on dialysis for over 10 yrs now. Right now I’m doing nocturnal.

As far as I am aware, there have been no studies on the use of Spirulina in patients who are on dialysis.  I have no experience with the use of Spirulina in any patient.  Congratulations on using longer duration dialysis. … Continue reading

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