Category Archives: Dialysis

Canadian health care guidelines allows a CKD patient not to have dialysis even if the eGFR is 6. They say CKD patients can live a normal life even at that low number without dialysis or kidney transplant. Does America health care go by this guideline?

I begin dialysis when I think that dialysis will benefit my patient.  This is not based on any number, but rather , will dialysis improve the symptoms of my patient to the point that the patient is willing to undergo … Continue reading

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

I’m a PD patient and my question is that every time I have a drain, I’m in severe pain my lower stomach. Is there something wrong?

In many cases, the pain is related to the catheter being sucked into the peritoneal lining of your abdomen.  In this case, I would slow the flow out of your abdomen until the pain clears.  If the pain persists, then … Continue reading

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

I am age 75, stage 4 ckd, on dialysis. I have lost my sense of taste for a 4 month duration. I have been unsuccessful in finding an answer for this. I am taking metoprolol, simvastatin, 81 mg aspirin, allopurinol, breo & ventolin. I am getting desperate with this taste issue. Thank you.

Taste alterations in dialysis patients are common, but very difficult to treat.  I can only suggest that you review your concerns with your nephrologist and determine if there is a problem with your dialysis treatments that could relieve the problem. … Continue reading

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

Hello, I have had kidney disease since I was child. I am 47 now. I have had a kidney transplant in 2004 which now has begun to decline so I am now on peritoneal dialysis. I also have a condition called HHT also known as hereditary hemorrhagic telangiectasia. I have a lot of GI bleeding and I am very anemic. My question is does having a very low kidney function cause GI bleeding and does peritoneal dialysis also cause GI bleeding from how it cleans your system? I’m just wondering how these 2 conditions contribute to my GI bleeding. I know the HHT also causes bleeding but I’m very curious about the low kidney function and PD. Thank you so much for your help

Kidney failure increases the risk of bleeding.  Kidney failure also decreases your body’s ability to make red blood cells and also results in anemia.  Peritoneal dialysis should not increase the risk of bleeding.  Your disease (HHT) is also responsible for … Continue reading

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

My husband began dialysis in January 2015. It all started when he was rushed to the hospital with an infection that spread throughout his whole body, causing him to have open heart surgery replacing his aortic valve along with end stage renal disease which was just a few of many problems. After two years of dialysis today was his last dialysis treatment. They said his numbers are good and is no longer in need of dialysis. Though I am so happy I am so worried at the same time. Is this possible. We have seen so many miracles in his recovery. They nicknamed him miracle man because of everything he has overcome. Can this be another miracle? Is this possible to regain kidney function where dialysis is no longer needed? I am a firm believer in prayer but I need reassurance that he will be safe coming off dialysis. Any input?

Patients with acute kidney injury may recover kidney function with time.  Recovery at 2 years is very unusual, but still possible.  If there was a 24 hour urine collection and your husband is still making urine, then he may be … Continue reading

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

Hello Dr.Spry, My question is regarding the urea taste and smell. I have been on hemodialysis three times a week since 2006. I get the taste and have the odor on my breath in between treatments. The issue had begun early 2016. My clearance level is at required numbers or above and they put me on a 250 dialysis filter but still no relief. Do you have any advice or suggestions.

These are common complaints for long term hemodialysis patients.  This commonly means that toxic products are building up in your blood between dialysis sessions.  I suggest that you discuss this with your nephrologist.  More frequent dialysis or home dialysis treatments … Continue reading

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

Can CKD patients have ice cream and peanut butter?

Ice cream and peanut butter can be taken in moderation by patients with chronic kidney disease (CKD).  These foods do contain phosphorus and if the blood phosphorus level is high, then they may need to be more limited.  Patients who … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Dialysis, Diet/Nutrition

I am an endocrinologist in Brooklyn. One of my patient with diabetes is now on dialysis and has developed AF. He has been started in warfarin and there is difficulty in maintaining his INR. I read Coumadin has problems in Dialysis patients and I cannot find much information on use of other antiplatelets in patients on Dialysis.

Your question is a good one in that it has no solid answer.  This continues to be an area of controversy.  We know that warfarin (brand name:Coumadin) may decrease the risk of ischemic stroke in patients with chronic atrial fibrillation … Continue reading

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

Hello, I have a concern for my best friend/sister. She is a 45 year old mother with kidney disease that has been monitored for several years. They have allowed her kidney function to go down to 8%. I am afraid that they are going to continue to drag their feet and let her die. She has potential donors, one is possible match but they have done nothing to complete his testing and prepare for her transplant. I know she is so afraid and doesn’t know what to do, me neither. We need a blessing, can you help point us in the right direction?

I cannot make a specific diagnosis based on the information that you present.  Her kidney function is very low and she may benefit from dialysis.  In order to get a kidney transplant, she must first be evaluated by a transplant … Continue reading

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

So my doctor told me to start dialysis but I pee 3 times a day or even more. How is that possible? I really don’t want to do dialysis. I would rather die then live with a machine pumping my blood 3 times a week or even do transplant because it won’t last forever.

You should have further discussions with your nephrologist.  If you feel you cannot be helped with dialysis, then perhaps consider talking with a physician or a professional about palliative care.  In some cases, people do decide to live as long … Continue reading

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