Dialysis

Dialysis is a preferable treatment for kidney failure patients with a GFR (glomerular filtration rate) of less than 15. In this procedure, toxins, wastes, and excessive electrolytes are removed from the blood. The types include hemodialysis, peritoneal dialysis, and continous renal replacement therapy (CRRT).

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What are the preventive measures to be taken to prevent blood clots during dialysis?

Query: Hi doctor, I am a retired person aged 69 years. I am a CKD patient on dialysis for the last three years. Recently, the fistula on my left hand has been blocked. Through venogram, it is seen that it could not work anymore. Due to the blood clots, the flow has been distributed; hence permacath was pl...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. Following is my opinion for your asked question. Actually, during dialysis, it is common to form a blood clot, and the reason behind this is a disturbance of blood flow during dialysis. Therefore, Heparin or some other anticoagulant can be given before and during dialys...  Read Full »

Why is half of my daughter's face not moving after a seizure attack?

Query: Hi doctor, My daughter has been diagnosed with end-stage renal failure and is on dialysis. Her blood pressure was very high last week and she had seizures. Now, she is in the hospital, but I do not think she is being cared properly. I think she has had a mini-stroke and half of her face is not movi...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. We are here to help you. I understand your pain. The facial deviation could be a stroke. An MRI brain is indicated to be sure about stroke. The line of management remains the use of antibiotics for infection, anti-hypertensives for blood pressure control and dialysis as...  Read Full »

Does high creatinine level indicate renal failure?

Query: Hi doctor, My grandma is 80 years old, and she has a high creatinine level in the blood. She lost her appetite and feels so nauseous. She is sleeping most of the day. Doctors have cleaned her blood a few times. I want to help my grandma because I do not trust medicine in my country. Any guidance he...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Thanks for consulting with us. An 80 years old female with renal failure on dialysis. I understand your concern. Kidney tissue can be affected by different factors, which can lead to renal failure. Some elements which are related to obstruction can be reversed. Still,...  Read Full »

Can you please explain my father's test results?

Query: Hi doctor, My father is 78 years old. He generally maintains good health except being diabetic for the last two years. However, since last once month his WBC, urea and creatinine values are abnormally high indicating kidney malfunctioning. He has lost 4 to 6 kg in the last three months and his appe...  Read Full »


Dr. Prakash H Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Diabetes appears to be in good control. However, due to renal disease, blood pressure must be high. He is on multiple medications for blood pressure for no...  Read Full »

My FIL's right hand is partially amputated. What are the other options for AV fistula placement?

Query: Hello doctor, This query is for my father in law aged. He is 58 years old and is diabetic and currently under medication for BP also. He has a history of two major heart attacks. In the last five years, he did not have any major heart issues. Recently due to extensive amount of medications taken f...  Read Full »


Dr. Abhinav Gupta

Answer: Hi, Welcome to icliniq.com. There are three main types of AVF (arteriovenous fistula). The radiocephalic fistula is a forearm fistula created by anastomosing the side of a radial artery to the end of a cephalic vein. It is also referred to as the Brescia-Cimino fistula. The brachiocephalic fistul...  Read Full »

How to treat chronic kidney disease along with UTI?

Query: Hello doctor, I have chronic kidney disease and wanted to know about the treatment. Before they consulted doctors for nearly six months for prostate that is urine infection they were told it is urine infection and were under medication and taking painkillers. More but recently, they come across t...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. Have you done any KFT (kidney function test) before? From the reports (attachment removed to protect patient identity) and diagnosis, it seems you have underlying kidney disease which got aggravated by urinary tract infection. You have received appropriate antibioti...  Read Full »

My diabetic father is having diabetes. Should he get dialysis?

Query: Hello doctor, My father is 59 years old and suffering from diabetes for the last 15 years within control limit of sugar. Recently, he got attach with a brain hemorrhage on the right side, and he stopped to talk and his right side hand and leg become inactive. Slowly with medication and physiotherap...  Read Full »


Dr. Muhammad M. Hanif Md.

Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case and can well understand your genuine health concerns. No, this is not a permanent procedure for every patient. It depends on the status of kidney functions and roughly we can predict from creatinine levels (just to make it clear...  Read Full »

Inspite of undergoing dialysis for kidney failure, my creatinine and BUN levels are higher. Why?

Query: Hello doctor, I am on dialysis for kidney failure and I have noticed a fluctuation in my monthly blood work for the creatinine and BUN levels. At the beginning of the year, my creatinine was 11 and it has decreased every month to 7. I was also making more urine as I went along. All of a sudden, las...  Read Full »


Dr. Hariharan V

Answer: Hello, Welcome to icliniq.com. I have worked as a chief in a hemodialysis center for 20 months. Once the kidneys have failed and the patient is hooked up on dialysis, the creatinine value is always high. At this time we do not care about the creatinine values because once we start dialysis on a p...  Read Full »

How can blood pressure be maintained during dialysis?

Query: Hello doctor, My father 70 years old, is just recovering from a septic shock and amputation. He has had is leg amputated below the knee. He had an infected wound on his foot and fell into a septic shock. 1. He has kidney failure and needs dialysis. His blood pressure dips too low during dialysis...  Read Full »


Dr. Pankaj Jawandhiya

Answer: Hello, Welcome to icliniq.com. There are number of ways to try to avoid fall in blood pressure. 1. Do not take blood pressure medicines prior to dialysis. 2. Avoid eating during dialysis. 3. May be tell doctor to reduce his fluid removal on HD. 4. Reducing the dialysate temperature by 0.5 celc...  Read Full »

Why is there headache after dialysis?

Query: Hello doctor, My dad has been on dialysis for 2 years and has only recently been getting pounding headaches 1 hour into dialysis. He says they are pretty painful and it only occurs in his forehead and just to the right of the forehead. It does not make him sensitive to light, sound or any vision ch...  Read Full »


Dr. Lalit Bansal

Answer: Hi, Welcome to icliniq.com. Having headache one hour into dialysis suggest either it could be related to transient increase in blood pressure or changes in electrolytes during this interval. Is his BP monitored during dialysis and where do they stand. One way to get around is by slowing the dialysis...  Read Full »

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