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Dialysis Tips

Peritoneal Dialysis - Understanding The Steps!

MBBS, DM - Nephrology, DNB Nephrology, MRCP - Nephrology
Nephrologist, Hyderabad
Peritoneal Dialysis - Understanding The Steps!

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.

1 person found this helpful

Haemodialysis - 4 Things To Follow While Undergoing It!

Dr. Hasit Patel 94% (94 ratings)
MBBS,MD(medicine), MD- Medicine, DNB- Nephrology
Nephrologist, Ahmedabad
Haemodialysis - 4 Things To Follow While Undergoing It!

Kidney is the most vital organ in the body as it eliminates the waste material from our blood. When kidneys fails to carry out its work effectively the waste materials gets accumulated in the blood and end up with many serious disease condition that affects the other vital structures in our body.

 The function of the kidney is carried out artificially by an external device called dialyser to purify the blood and remove the waste products from it. This procedure is called as dialysis. There are two types of dialysis they are haemodialysis and peritoneal dialysis. In Haemodialysis, the waste products are removed from the blood and there by the fluid and electrolyte balance is maintained.

Things a person should follow if they are undergoing haemodialysis:

  1. Love your heart: Patients undergoing dialysis are at more risk of getting cardiac problems. So it is best advised to follow few of the following measures to take care of their heart
    • Keep your blood pressure and cholesterol levels under control
    • Quit smoking
    • Reduce stress
    • Have healthy low fat and heart friendly diet
    • Get regular physical activity but avoid excessive strainers activity that may require extra effort from your heart
    • Maintain a healthy weight
  2. Diet: Dialysis not only removes the waste matters from your blood but sometimes also the essential electrolytes and nutrients. Proteinpotassiumsodium and phosphorus are the major things that are to be noted.
    • Encourage the patient to take high quality protein rich foods like meat, fish, milk, egg and chicken which is essential to improve your muscle strength and immunity.
    • Have a check of your sodium level and take sodium rich foods accordingly, as excess sodium may increase the fluid intake.
  3. Limit your fluid intake: Use ice cubes instead of water or use small cups of water. Make sure you measure every sip of water you take.
  4. Don't Overeat: Slow down while eating and stop eating when you feel full. don’t over load your stomach.

When Is Kidney Dialysis Is Required?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD, DNB (Nephrology)
Nephrologist, Delhi
When Is Kidney Dialysis Is Required?

Kidneys are a pair of organs that are located on either side of the spine, each about a size of a fist. The kidneys help in purifying blood by removing toxins, waste materials and excess fluids from the human body. Disorders and dysfunctions of the kidney can lead to severe and often fatal consequences. When the kidneys stop functioning as they are supposed to, dialysis is performed to resume normal functioning in the body.

Dialysis is a type of treatment, which filters and purifies the blood with the aid of a machine. It is an artificial way of purifying blood. There are two types of dialysis, namely hemodialysis and peritoneal dialysis. Hemodialysis, the most common form of dialysis, which involves using a manmade kidney called a hemodialyzer, which removes toxins and waste materials from blood.

Peritoneal Dialysis, on the other hand, is a type of treatment which involves implanting a catheter in the stomach. During the procedure, a fluid called dialysate flows into the abdomen that absorbs all the waste material, which is consequently drained out of the body.

You may need a dialysis if:

  • Your kidneys are dysfunctional
  • When waste materials and toxins start to accumulate in the body
  • In an event of an injury or accident to the kidney such as internal lacerations (wound caused by the tearing of a tissue)
  • If the creatinine (a type of a chemical waste product) level falls to 10-12 cc/minute
  • In an event where the kidneys aren't able to work properly leading to accumulation of toxins, irregular amounts of chemicals in the body and other dysfunctions


Weakening of the abdominal muscles and weight gain are some of the risks involved in dialysis. Dialysis is a temporary treatment and serves to function till the time the actual kidneys get repaired. In chronic cases of kidney disease, kidney transplant may perhaps be the last resort.

1945 people found this helpful

Why Is Dialysis Required In Case Of Kidney Diseases?

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.
2070 people found this helpful

What Is Peritoneal Dialysis And What Are Its Procedure?

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.

3036 people found this helpful

Peritoneal Dialysis - Understanding The Procedure!

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!

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!

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

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

2 people found this helpful

Peritoneal Dialysis - Know The Step By Step Procedure!

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
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