Category Archives: Dialysis

My father had a kidney transplantation before 10 years when his both kidneys went out failure. Now same condition is present. His kidney works very little. He doesn’t eat food or other things. His weight gone down from 60 kg to 38 kg in 6-7 months. What should I do?

Your father must consult with a nephrologist to determine the cause of the failure in the kidney transplant and if dialysis is necessary. If function in the kidney transplant cannot be recovered, then a return to dialysis with possible re-transplantation … Continue reading

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

I am extremely sensitive to sodium. Is there a solution for Hemodialysis that does not contain sodium?

Sodium is a natural chemical in your blood at all times and dialysis without sodium is not possible. The dialysis solution must contain sodium in order to be effective. All forms of dialysis must use sodium to maintain the balance … Continue reading

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

Hello sir, My dad is suffering from kidney disease. We came to know about it by the KFT Test, and in the result Urea-144 Creatinine-13 Sodium-129. Then our doctor advised to do dialysis and we did it 5 times. Now Urea is 75 and creatinine is 5.2. So I would like to ask you, what should we do to bring these levels to normal range? And what treatment should we take?

Your father appears to have very advanced kidney disease. I am unable to make any other specific diagnosis based on the information that you present. It may be necessary for your father to be permanently on dialysis or seek a … Continue reading

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

My husband has FSGS and his last labs showed GFR of 7 and his BUN was 96. Creatinine was 8.3. Although he has no swelling and no shortness of breath or nausea, they have put in a fistula. We have been to the class and decided on Home PD at night while he sleeps. He is very tired when he comes home now and has leg cramps and itchy skin. Even though they are putting in accesses to prepare for dialysis, with these numbers, how much longer do you think his kidneys will last?

The decision to start dialysis is not usually based on any particular number or laboratory test. It relies on a discussion between your husband and a nephrologist about his symptoms. If his symptoms are such that he wants to go … Continue reading

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

Is Puf bad for your heart. My mother-in-law has end stage renal failure since September of last year. She also has fluid going to her lungs, so she goes to dialysis Monday, Wednesday and Friday and then Saturday they do the puf. I am concerned that doing this can damage other organs in her body. Do you know if she can continue doing it to keep the fluid out of her lungs? Thank you.

I am not familiar with the abbreviation (acronym) “PUF”. From your description, I suspect this is some type of ultrafiltration treatment (pure ultrafiltration). Ultrafiltration means that the dialysis machine is set up to remove fluid only and not perform any … Continue reading

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

My husband has started hemodialysis. His urine output has decreased. What will this mean as far as his health?

As fluid is removed on dialysis, urine output may decline. This is likely a normal finding for someone starting hemodialysis treatments.

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

Can I take a one week vacation without dialysis?

Skipping dialysis treatments is associated with an increased risk of death. I do not recommend that you skip any dialysis treatments.

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

My dad currently had received 3 rounds of dialysis. He has a temporary line via the groin area. During the first round, they somehow inserted the tubing into the artery and it caused a severe blood pooling on top of the thigh. He is experiencing a lot of pain. Between the second and third round of dialysis, he received 2 units of blood due to low hemoglobin of 7. Now that 3 rounds has completed, the swelling of feet, legs, have all become even worse than before the dialysis. Now there is very little urine output. Originally, we were hoping my dad will feel better after the dialysis. But it seemed the dialysis has produced more retention of fluid than before. Can you help me in understanding why the dialysis can not get rid of the excess water?

I cannot offer a specific diagnosis based on the information that you present. The bleeding and blood loss that you describe may have something to do with the swelling that you describe. The dialysis catheter in the leg could also … Continue reading

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

Hi Sir, Recently my father right side kidney was removed due to renal mass cancer. The mass size greather than 7. That’s why doctor suggested to remove kidney, but the left side kidney smaller than right side kidney, It has some bubbles doctors told me. He landed On dialysis weekly twice is necessary. But recently he checked creatinine i.e 6.06. Before operation it was around 3 to 3.50, but after operation it has raised. The left side kidney is working little. Could you please suggest me is there any alternative solution instead of dialysis to work the left side kidney?

If the only remaining kidney is small and functioning poorly, then dialysis or transplantation would be the only alternatives. If time passes and the remaining kidney does not show improved function, then treatment with long term dialysis is the only … Continue reading

Posted in Ask the Doctor, Dialysis, Kidney-Related Health Questions, Nephrectomy / One kidney, Transplantation

My 37 yr old daughter has type I diabetes and has stage 5 kidney disease. She is on the transplant list and has been told to start peritoneal dialysis. She wants to delay the surgery process of inserting the tubes for two weeks which means her dialysis won’t start for 4 weeks. Is this a bad decision? Her only symptoms right now are edema. No problems with appetite or nausea.

I am unable to provide medical advice without performing a complete history and physical examination. The decision to start dialysis is generally one that involves both the patient and the nephrologist caring for the patient. The goal of dialysis is … Continue reading

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