Category Archives: Kidney Failure

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 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

My Mother is CKD Stage-V patient and is on dialysis for the last 2 & half years. She takes very less quantity of food and on medication as per the Doctor’s advice. She is on dialysis weekly twice and over a period of 2 & half years, her weight reduced from 74 Kgs. to 55 Kgs. Recently, I observed that she is frequently experiencing lose motion problem. Day time (lunch) she takes only one / two cups of rice with 1 cup of vegetables & a small cup of buttermilk. In the night (dinner) if she feels well, then she takes 1 or two chapati or Idli (2 Nos.) with chutny or 1 or two Dosas with less oil. In case she is not feeling well due to lose motions, only she takes one Idli with sugar, oral satchets & butter milk. My concern about my mother is — would you please advise suitable diet and remedial course of action / medicine for lose motions. My Mother’s age is 69 years. She is under Doctor’s advise. But for lose motion problem, he didn’t say any thing or giving any medicine. Kindly help me in this regard.

I am not able to provide medical advice without performing a complete history and physical examination.  Your mother is having loose bowel motions (diarrhea) but I cannot make a specific diagnosis.  Hence, it is best that you address your concerns … Continue reading

Posted in Ask the Doctor, Kidney Failure, Symptoms and Side Effects

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

I use Ultrafiltration Profile 2 and Sodium Modeling. I have used this for 8+ years and now a nurse is telling me it is not meant to be used for every treatment. Is this true and where can I read about it. Another nurse told me to use this profile because dialysis was causing my blood pressure to go extremely high and the UF Profile corrected this. (I gain 1- 3 kilos between treatments) My other question is that I went through a period that even though my dialysis machine showed I was on UF Profile 2 it did not act as it did in the past for about 6 months and then suddenly started to work as it had before. I asked the biomedical person can the programed UF Profile be altered and he said no. I had read that sodium can be added to the dialysate (hypertonic solution) but a nurse recently told me this is not used anymore. Do you know what would cause the UF Profile 2 to work, not work and work again.

I am not familiar with the term “Ultrafiltration Profile 2”.  I assume that this must be a setting on your dialysis machine that allows for a variable amount of fluid removal over time.  I suggest that you discuss your concerns … Continue reading

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