Category Archives: Dialysis

Good health to you doctor! It’s been 2 months since I go through hemodialysis procedures on the Artis machines. Upon admission to the hospital, urea 26, creatinine 1300. There were no external factors of chronic renal failure. After the procedure of hemodialysis, the legs and feet began to swell for the 5th time. Can you please tell me how to make a hemodialysis program correctly? To me 52 years, the dry weight of 89 kg, body height of 188 cm.

I am unable to recommend dialysis treatment without performing a complete history and physical examination.  I suggest that you discuss your concerns with your nephrologist.  If you still have swelling in your legs and feet, then perhaps more fluid must … Continue reading

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

When my kidney transplant failed recently after 22 yrs, I lost a lot of muscle mass within a few days. I am on now on dialysis. If I try to gain my muscle mass back by eating high protein diet and exercising, how can I tell if the weight gain is due to fluid or due to muscle mass gain?

This is a complex question and involves many variables.  In general, your nephrologist or nephrology nurse must evaluate your blood pressure, your weight gain between dialysis sessions, the amount of swelling that you have, and examine your heart and lungs. … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Nephrologist, Symptoms and Side Effects

My kidney function is 22%. Doctors say dialysis if it drops below 10%. What can I do to prevent function from dropping further?

I am unable to make a specific diagnosis as to the cause of your chronic kidney disease (CKD).  I suggest that you continue to consult with your physician about your disease.  The treatment of CKD involves delaying the progression of … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Laboratory Testing, Treatments

I just turned 60. Past 4 months I have gained 60 lbs, no change in diet, do not even have appetite. I have lost control of my bladder almost totally past three weeks. My legs and my whole body feels nothing but fluid filled. Three months ago all labs perfect. I am freaked out, registered nurse for 30 years. Is this kidney started up or possible complications from failed spinal surgery in 2012? I am at lost, my doctor says “Lose weight”, gee whiz, great advice. Any ideas? Thanks. My mom is stage 3b right now. She refuses dialysis and she is 86. Any thoughts would be great.

I am unable to provide a specific diagnosis without performing a complete history and physical examination.  Your symptoms sound more like neurological disease than kidney disease.  

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition, Kidney-Related Health Questions, Laboratory Testing, Symptoms and Side Effects, Urological Issues

I have a catheter. I have had it for 15 months (it was placed after I had a triple heart bypass). My problem is that my veins in my arm are to small for a fistula. My Doctor put one in my arm. It didn’t work and there were so much pain in my arm and I lost circulation in the arm. The Doctor went back in and closed it off and started circulation again. The veins in my right leg were used for the bypass. My question is can the catheter be moved from side to side in my chest. The one that being used is one that can stay for 2 yrs. I have an appointment with another vascular Doctor in July.

The best vascular access for long term hemodialysis is a fistula.  A fistula is associated with the best life expectancy compared to any other option that might be available. If you are eligible for a kidney transplant, that would be … Continue reading

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

I had amputation on right leg (below knee). Having pain (cramps) mostly on right. also have P A D.. pain goes away soon i get off machine. note: pain exists when filtering is off.

I am unable to provide a specific diagnosis based on the information that you provide.  Phantom pain into lost legs is very common after amputation of the leg.  This is very difficult to treat.  I suggest that you consult with … Continue reading

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

Hello! I am currently undergoing hemodialysis due to ESRD secondary to Polycystic Kidney Disease, and I have been diagnosed as having an infection which is MRSA. I’m receiving antibiotics via an IV line in my right forearm. My left arm has my A/V fistula which is about 2 1/4 yrs post op for creating the fistula. Since having the surgery, I have constantly been told to not let anyone use my left alarm for routine blood draw or to have my BP taken. Today, the Infectious Disease doctors informed me that the Vancomycin will be given after dialysis, or during the last hour, using the fistula as the access port for the medicine. I am very concerned that the medicine, Vancomycin, will negatively affect my fistula which I was told to guard as if it were a pile of gold. So, I hope you can help me, as I really do not want anything going thru my fistula, especially an antibiotic which I was told is pretty nasty stuff. Do you know of any studies or anything that has been written in reference to Vancomycin via A/V fistula for MRSA treatment? I have tried, unsuccessfully, to find anything written about the use of the fistula for antibiotic therapy.

Vancomycin is the most common antibiotic to be used to treat methicillin resistant Staph Aureus (MRSA).  It is an antibiotic that can be given through your dialysis needles at the end of dialysis so that it does not require another … Continue reading

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

Can you give a hemodialysis patient doxycycline?

Doxycycline can be used in dialysis patients in the appropriate doses.  I have commonly used this drug to treat infections in dialysis patients.

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

Sir, My mother’s serum creatinine level is 9.61mg/dl and serum urea level is 217 mg/dl. Her potassium and sodium level is 4.83 and 136.00 mEq/L, respectively. Her treatment is going on from India. We can not afford dialysis in present time. How can these levels be reduced by medicine, and what should be the diet eg. which fruit she should take? Her age is 46 years.

There are no medications that can improve kidney function, once that function has been lost due to chronic kidney disease (CKD).  I can only suggest that your mother consult with the physicians who are caring for her.  At her age, … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Kidney-Related Health Questions, Transplantation, Treatments

Dr. Spry, what do you think about these alternatives to dialysis: Wearing an artificial kidney? Wearing an artificial kidney makes it easier for people to wear and move around with without having to use a dialysis center or dialysis machines. Xenotransplantation? Xenotransplantation uses animal organs in place of human organs like kidneys. Bionic kidneys? A Bionic Kidney is a bio-hybrid device that is moved by the heart which filters wastes and toxins rom the bloodstream and balances sodium and potassium and regulates blood pressure. And a bionic kidney replaces the need for dialysis. What do you think of these dialysis alternatives?

All of these areas that you mention are active in clinical research at the present time. The only one in actual human testing at the present time is the wearable artificial kidney (WAK).  As far as I know, less than … Continue reading

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