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Dialysis Tips

Why Is Dialysis Required In Case Of Kidney Diseases?

Dr. Akanksha 84% (169 ratings)
MBBS, MD - Internal Medicine
Nephrologist, Noida
Why Is Dialysis Required In Case Of Kidney Diseases?

The kidneys are a pair of bean-shaped organs located on either side of a person’s spine, under the ribs and behind the stomach. The main function of kidneys is to filter the blood through renal arteries directly from the aorta and transfer blood back to the heart via the renal veins.

Interruptions in the functioning of kidneys may arise, when kidney failure takes places, which might occur from chronic problems which gradually lead the kidneys to stop functioning. Dialysis is a treatment procedure for kidney failure, through which excess water, soluble and toxins are removed from the blood. It is an artificial process followed, which would have been originally done by the kidneys. Before going into the details of dialysis, let’s take a look at some of the causes and symptoms of kidney failure.

Symptoms of Kidney Failure
Several symptoms can arise during kidney failure. Possible symptoms are as follows:

  • Amount of urine is reduced
  • Swelling on the ankles, legs and feet of a person, due to fluid retention occurring as a result of kidneys’ inability to remove waste.
  • Suffering from nausea on a persistent basis is a common symptom.

Causes Behind Kidney Failure
There are a number of causes behind the occurrence of kidney failure. They include:

  1. Diabetes mellitus
  2. Hypertension
  3. Small kidney by birth
  4. Diagram of dialysis machine and procedure

Treatment - Dialysis Requirement
Dialysis treatment is one of the primary procedures through which failed kidneys are treated. Dialysis, through the use of a machine, filters and purifies the blood, by taking the toxic substances and excess water out of it. There are two types of dialysis, hemodialysis and peritoneal dialysis. We take a look at both the types through the descriptions below:

  • Hemodialysis: In this type of dialysis, blood gets passed on to the machine, from the patient’s body, through a sterile tube and into a filter, known as a dialysis membrane. This procedure requires a patient to have a specialized vascular tube, which is placed between an artery and a vein in the arm or leg. This is known as Cimino fistula. Then, needles get placed in the fistula and blood passes through the filter, on to the dialysis machine and back to the patient. In case, a patient needs dialysis before a fistula is placed, a large diameter catheter is placed into a large vein in the neck or on the leg to get dialysis done.
  • Peritoneal Dialysis: This type of dialysis uses the patients’ own body tissues inside the belly to act as the filter. The abdominal cavity is lined up with a special membrane known as the peritoneal membrane. Then a paeritoneal dialysis catheter gets placed through the abdominal wall into the abdominal cavity. After that, a special fluid called dialysate is then flushed into the abdominal cavity and help wash around the intestines. The membrane does the work of a filter between the fluid and blood stream. Through the use of different kinds of solutions, excess fluid and waste materials can get removed from the system through this process.
1 person found this helpful

What Is Peritoneal Dialysis And What Are Its Procedure?

Dr. Tauhidul Alam Choudhury 89% (10 ratings)
MD - Medicine, DM - Nephrology, MBBS
Nephrologist, Guwahati
What Is Peritoneal Dialysis And What Are Its Procedure?

No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). These are forms of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.

How does CAPD work?

In CAPD, 3-4 exchanges are done manually by patient caregiver or the patient himself. The fluid usually kept inside the abdomen for 4-8 hours depending on the membrane characteristics. It is an excellent treatment especially if patient has good urine output and has cardiovascular disease. It is also a preferred treatment for remote areas where blood dialysis facility is not available.

How does APD works?

APD is also an effective form of peritoneal dialysis. It also uses the peritoneal catheter and peritoneal cavity just liek CAPD. The blood is also cleansed in the same way. The main difference between the two methods is that with APD a machine is programed to control how much fluid goes in and out and how often this happens.



Procedure followed during Peritoneal Dialysis
All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.

Make sure you perform without giving way for infection and excess fluid and dextrose absorption.

3035 people found this helpful

Peritoneal Dialysis - Understanding The Procedure!

Dr. Yogesh Kumar Chhabra 86% (33 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Peritoneal Dialysis - Understanding The Procedure!

No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.

Procedure followed during Peritoneal Dialysis

All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.

Make sure you perform without giving way for infection and excess fluid and dextrose absorption.

3479 people found this helpful

Kidney Failure And Homeopathy!

Dr. Vishwajeet Singh 94% (2486 ratings)
BHMS
Homeopath, Bahadurgarh
Kidney Failure And Homeopathy!

As you know the kidney failure is a very common problem nowadays. The cases are increasing day by day and treatment is very costly, you know the transplantation, dialysis or clpd is very costly. So we should know about the kidney failure. Kidney failure is when we say the urea creatinine is high, urine is less in amount. There is swelling, loss of appetite. All these things are there then we say you are suffering from kidney failure.

There are few causes of kidney failure which are very important to know, for example,

One is diabetes. One of the top most causes of kidney failure is if you are having diabetes then chances of kidney failure are there. So you will have to control it.

The second is hypertension.

Third is painkillers, the painkillers are also very important cause so we are having a habit of self-medication. We go the chemist and we take medicines, that is also an important cause of kidney failure.

Other causes as we know there are stones, cysts and other obstructions in the passage of urine from the kidney to the urethra to the bladder and to outside.

So these are the few important causes of kidney failure.

Homeopathy works marvelously by increasing immunity of the person and thus revive kidneys naturally

 

5 people found this helpful

Risk Factors Of Dialysis!

Dt. Neha Suryawanshi 91% (14814 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Risk Factors Of Dialysis!

Risk Factors Of Dialysis!

Best Kidney Hospital in India

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Best Kidney Hospital in India

Kidney problems are growing at an alarming rate in India with more than 200,000 kidney failures being reported annually. It becomes very important to take care of your kidneys, as the improper functioning of kidneys can lead to serious health problems or even death.

Regular health check-ups especially if you have kind of metabolic disorders becomes very important as metabolic disorders increase your risk of kidney disorder and failure. Treatment for kidney disorders especially kidney failures can be very expensive.

Here is the list of top kidney hospitals in India.

1. S L Raheja Fortis Hospital, Mahim West, Mumbai

S.L.Raheja Hospital at Mahim is a well-established name in healthcare and medical world. The center has the best doctors and well-equipped infrastructure to provide all kind of solution to healthcare problems. It is also known for nephrology  & urology service. They have the latest labs and advanced technologies that offer best diagnosis and treatments.

Consultation fees: ₹500 - ₹3000

2. Fortis Hospital, Mulund West, Mumbai

Fortis Hospital is a 300 bedded multispeciality hospital that offers a wide variety of OPD as well as IPD services. The center is well equipped with the latest healthcare technologies to deal with the diagnosis and treatment of all conditions affecting the kidneys & urology. They are also known for some of the best doctors on board.

Consultation fees: ₹800 - ₹1500

3. Medanta Mediclinic Defence Colony, New Delhi

Medenta clinics are known for world-class technology and specialised team of doctors.  They are known for their treatment to ensure that the health of patients' kidney improves and to delay deterioration. They are also known for the best in the class dialysis center and surgical treatments in case the situation gets worse.

Consultation fees: ₹800- ₹2000

4. Narayana Hospital, DLF phase 3, Gurgaon

Dr. Sudeep Singh Sachdev is associated with Narayana hospital. He is one of the famous nephrologists in Gurugram. With years of experience in treating various types of kidney and urinary disorders. He specialises in urinary tract infections, hemodialysis, peritoneal dialysis, and kidney transplantations. He firmly believes that the devotion and care by a doctor can bring healing, comfort and most importantly hope in the lives of his patients.

Consultation fees: ₹1000

5. Aditya Birla Memorial Hospital, Chinchwad, Pune

Aditya Birla Memorial Hospital is a multi speciality hospital with a dedicated division  of nephrology and renal transplant to deal with any kind of kidney disorders or failures. They provide comprehensive services with IPD, OPD and daycare facility for a dialysis patient. The department and team is well equipped and experienced to perform any kind of surgery or transplant. They have a good success rate in kidney transplant.

Consultation fees: ₹1000

6. Apollo Hospital, Sarita Vihar, New Delhi

Dr. Ashok Sarin, who is associated with Apollo Hospital,  and he has more than 46 years of experience. He has completed his fellowship from the UK. He is associated with many reputed medical societies and has won many prestigious awards in his field. He specialises in urinary tract infections, hemodialysis, peritoneal dialysis, and kidney transplantations.

Consultation fees: ₹1200

7. Max Multi Speciality Centre, Pitampura, New Delhi

Dr. Yogesh Kumar Chhabra is one of the best Nephrologists in Shalimar Bagh, Delhi. With more than 13 years of experience.  He is associated with Max hospital and is known for success rate in kidney transplant and dialysis.

Consultation fees: ₹600

8. Noble Medicare, Janakpuri, New Delhi

Dr. Sanjiv Saxena is a very renowned and successful Nephrology/Renal specialist with years of experience. He is associated with many clinics & hospitals like PSRI and Noble Medicare. He holds an expertise in kidney dialysis treatment, kidney transplant treatment and planning, kidney stones treatment, lithotripsy process and many more. Years of experience and with the kind of knowledge and information he is well known for his right diagnosis and treatment at the right time.

Consultation fees: ₹1000

9. Moolchand Hospital, Lajpat Nagar, New Delhi

Dr. Ramesh Hotchandani holds an experience of more than 37 years in nephro practice. He is associated with clinics like Hots Medicare & hospital like Moolchand hospital.

Consultation fees:  ₹1000

1 person found this helpful

Peritoneal Dialysis - Know The Step By Step Procedure!

Dr. Sudeep Singh Sachdev 88% (10 ratings)
MBBS, DM - Nephrology, MD-General Medicine
Nephrologist, Delhi
Peritoneal Dialysis - Know The Step By Step Procedure!

No Blood, No needle, No visit to hospital, you can do yourself at home with water. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one week before performing the procedure.

The catheter has numerous holes in order to facilitate the transformation of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.

There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can perform after a short training period and this can be done anywhere in clean private place like hotels, home and even in office.


Procedure followed during Peritoneal Dialysis
All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheters and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.

Make sure you perform without giving way for infection and excess fluid and dextrose absorption. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2918 people found this helpful

Undergoing Dialysis - What Should Be Your Diet?

Dr. Yogesh Kumar Chhabra 86% (33 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Undergoing Dialysis - What Should Be Your Diet?

Every organ is important for the human body to perform its functions normally. Kidneys too are vital and are responsible for removing the excess fluid and toxins from the body. If the kidney is not functioning properly, then the patient is advised to undergo dialysis treatment. In some cases, the patient is advised to undergo a transplant. However, in any case, the patient has to follow a healthy diet, for the treatment and the medicines to work positively.

Suitable diet during dialysis
Most of the patients are not aware of the diet prescribed for dialysis. Though it is always advised to consult a dietician before following any diet for the condition, it is also advisable to gain some knowledge about what the dietician might suggest, so that one is not clueless about the treatment. In a majority of the cases, food containing potassium, phosphorus, low-fat cholesterol, and sodium is included in the diet of these patients. However, these are prescribed in a limited amount and vary from patient to patient.

  1. Sodium: The sodium level of the dialysis patients needs to be controlled; and this can be done by eating food items that have a low sodium content, not more than 2,000 mg. Hence, the quantity of snacks, pudding, and chips are to be reduced in the diet chart.
  2. Potassium: The level of potassium also needs to be kept in check to avoid further deterioration of the kidney. Bread, certain vegetables, and grains contain a high amount of potassium. Moreover, various salt substitutes contain potassium chloride instead of sodium chloride. Large intake of these foods may affect the kidney permanently. Hence, these are majorly excluded from the diet. The patients are advised to include tomatoes and bananas in their diet, though not on a daily basis.
  3. Phosphorus: The patient is advised to avoid foods with high phosphorus. This includes milk and dairy products and grains. However, while on dialysis, meat is important as it gives enough protein despite being high on phosphorus. But, an abundance of meat in the diet may affect adversely. Hence, this is advised, but kept in control.
  4. Cholesterol: To keep cholesterol amount in check during dialysis, the patient needs to cut down on fruits and vegetables and specific fat diets, while eating a sufficient amount of fish.
  5. Protein: High protein food is necessary for a patient with a kidney disease. Meat is an excellent source of protein. Along with that, poultry, fish, and eggs are important, as well. Hence, all this is included in the diet.
  6. Fluids: Dialysis helps in removing the excessive waste fluids from the kidney. But, to keep the body hydrated, the patient is allowed liquid intake, but only up to a certain limit.

It is necessary to maintain a proper diet during dialysis, as it quickens the treatment as well as helps the patient recover quickly.

3994 people found this helpful

Depression In Case Of Dialysis Patients - How Can It Be Managed?

MBBS, DM - Nephrology, DNB Nephrology, MRCP - Nephrology
Nephrologist, Hyderabad
Depression In Case Of Dialysis Patients - How Can It Be Managed?

A diseased kidney is one that has lost its ability to carry out the filtration process in a proper manner. This process of filtration usually sends the waste and toxins out of the body in a routine manner. In such cases, a kidney disease manifests which requires a number of treatment measures. Dialysis is something that enters the treatment plan at a later stage as chronic early stage kidney disease can remain in the patient’s body for many years. When the kidney function comes down to 15%, then most doctors recommend the start of dialysis which is basically a process that removes the excess waste and fluid from the blood. This can be a process that will leave the patient fatigued and in a mental state that is not exactly stable and positive at all times. It is common to see dialysis patients battling depression due to the chronic nature of the treatment as well as the low chances of recovery.

So, let us find out how dialysis patients can cope with depression.

  1. Professional Help: Depression is said to be like a common cold when it comes to mental diseases. The state of a person’s body can very well affect the balance in his or her mind and lead to depression. Starting from pressing circumstances to hormonal changes as well as chronic ailments, depression can affect people due to a number of reasons. Dialysis patients who are undergoing depression must consult a professional specialist like a psychiatrist who will help the patient understand and cope with the situation with the use of therapy based counselling.
  2. Medication: The patient can also be given medication that will prevent the build up of unnecessary stress by blocking the production of those hormones that result in a negative state of mind. This medication must be prescribed after speaking the patient’s nephrologist about what kind of medication will suit the patient specifically.
  3. Psychotherapy: Long term psychotherapy is also known as talk therapy that can help the psychiatrist or clinical psychologist in talking the patient through the problems. Besides giving the patient the scope and platform to air out the problems and reach solutions regarding normal day to day functioning despite the troubles, this kind of therapy also aims at equipping the patient with a better perspective and improved attitude.

While going through this kind of therapy and medication, it is important to keep a team of nephrologists and psychiatrists in the loop so that the patient may reach out at any time in order to avail help in the most trying situations. This will give a blanket of security to the patient as well. In case you have a concern or query you can always consult an expert & get answers to your questions!

1730 people found this helpful

Dialysis Can Be Stopped By Homeopathy!

Dr. Bhagyalakshmi 86% (35 ratings)
BHMS
Homeopath, Bangalore
Dialysis Can Be Stopped By Homeopathy!

Dialysis refers to the medical procedure that removes toxins, solutes, and excess water from the blood in patients whose kidneys cannot perform the blood filtration process naturally. Dialysis is advised to those patients who have been diagnosed with chronic kidney failure (CKF) or chronic kidney disease. In such cases, the kidneys of the patient lose their ability to expel the body’s waste in the form of urine, which is a case of kidney failure. The condition of kidney failure is fatal in nature and this is why dialysis (artificial urine removal) is prescribed but it is highly uncomfortable to the patient and is also costly. This is why patients do not want to get dependent on dialysis and look for other remedies as once one gets on dialysis, there is no looking back. There is no allopathic medicine that can cure kidney failure and restore its normal functions.

A kidney transplant is the only option but if one takes recourse to homeopathy, a cure is possible. Homeopathy does not offer a replacement for dialysis but it does have medicines that can restore the damaged kidneys to the normal state.

How?
Well, homeopathic medicines work in three ways – they control the conditions that cause damage to the kidneys and thus, prevent further damage to the kidneys, they remove the root cause of renal failure, and they strengthen the immune system of the patient, helping the organs of the body to perform normal functions without any problem. Homeopathic medicines have worked in many patients and when the treatment is done under watchful and expert eyes, the patient can start experiencing relief within a few weeks. After some months, the patient can get rid of their kidney problem completely and lead a normal life. Homeopathic medicines have many advantages over dialysis and allopathic treatment, including the following:

  1. Homeopathic treatment course has a shorter duration in comparison to allopathy that can stretch for the lifetime of the patient. The former takes two to five years, depending on the severity of kidney failure, to cure the patient.
  2. Homeopathy does not have any side effects but dialysis and kidney transplant are painful for the patient and also take a toll on the body. Though transplant is a popular remedy, it may not be successful and is not advisable for all patients with renal failure.
  3. Homeopathy is cost-effective whereas dialysis is expensive.
  4. Homeopathy aids those patients who have a high rejection percentage of a new kidney (who are looking to get kidney transplant). If such patients take homeopathic medicines, then this percentage can come down.
  5. Homeopathy works in a holistic manner. It also treats the tumors and cysts of the kidney, which allopathy does not. The former also takes care of disorders and diseases associated with renal failure such as diabetes and hypertension, an advantage that is missing in the case of latter.

Some homeopathy remedies that are known to cure kidney failure include Aconyte, Apocynum, Belladonna, Digitalis, Kali chloricum, and Phosphorous. These medicines can be taken on a normal basis by patients but it is recommended to consult an expert homeopathic practitioner for the treatment of renal failure. Such a practitioner can diagnose and treat the problem accurately and in lesser time.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4984 people found this helpful
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