Common "Dialysis" queries answered by top doctors | iCliniq


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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My mother gets severe back pain during dialysis. Please help.

Query: Hello doctor,My mother who is in her early sixties is under dialysis for the past four years. She is getting severe back pain during dialysis and at other times also. Please suggest any medication.  Read Full »

Dr. Y. Siva Roja

Answer: Hello, Welcome to Thank you for your query. You have not mentioned whether the patient is on hemodialysis or peritoneal dialysis. Back pain in peritoneal dialysis is commonly due to increased abdominal pressure which can be managed by reducing dialysate volume under a doctor's superv...  Read Full »

Does temporary dialysis prevent creatinine levels from increasing?

Query: Hi doctor,My 66 year old father suddenly got a high fever and in few days we discovered he has a urinary tract infection. He is a diabetic and on insulin. He is a very disciplined person when it comes to his health. He checked his creatinine levels early this year and it was in the normal range. Aft...  Read Full »

Dr. Sandeep Varma

Answer: Hello, Welcome to I am sorry to hear about your father. He is presently having a severe infection (sepsis) due to the urinary tract infection. There is an acid accumulation in the blood due to the infection. There is worsening of renal function as a result of stress to the body du...  Read Full »

My mother has chronic kidney disease. Can she avoid dialysis?

Query: Hi doctor, My mother is suffering from chronic kidney disease, and her creatinine level is 9.8 mg/dL. She has a history of diabetes for the past 25 years. She is taking Insulin from the beginning. She has hypertension for the past 35 years. Her hemoglobin is about 11.0 gm/dL. Her eyesight has been ...  Read Full »

Dr. Y. Siva Roja

Answer: Hello, Welcome to I have reviewed your query. There are specific indications for dialysis in patients with chronic kidney disease. They include low creatinine clearance, high potassium, patient becoming acidotic, symptoms of uremia (increased urea in the blood), loss of appetite, urem...  Read Full »

How to improve the kidney function of a liver cirrhosis patient?

Query: Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I j...  Read Full »

Dr. Zubin Dev Sharma

Answer: Hello, Welcome to As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical manageme...  Read Full »

I am a 29-year-old female with sharp shooting pain from the left side of my chest to the back of my left shoulder. Should I be concerned?

Query: Hello doctor, I am a-29-year old female on dialysis. I just started having a sharp shooting pain through the left side of my chest to the back side of my left shoulder/ neck. My left arm feels weak and the pain goes away and then comes back. Should I be concerned? Kindly help.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I can understand your concern but need to know more about the symptoms, like precipitating factors, factors that increase pain, etc. This pain does not appear to be cardiac pain or something serious. I suggest you get one ECG (Electrocardiogram) done just to rule out...  Read Full »

My grandfather has kidney failure. What is his survival rate?

Query: Hello doctor, My grandfather suffers from kidney failure and is on dialysis thrice a week. He also has blood pressure problems and is 92 years old. The hemodialysis has been going on for around three years now, can I please understand the survival months he has left, so we as a family get a better ...  Read Full »

Dr. Karthic Kumar

Answer: Hello doctor, Welcome to I understand your concern. Wonderful to hear and appreciate that your grandfather despite being 92 years old, still wanted him to survive and have kept him on dialysis. Now coming from a medical point of view, as long as he is well dialyzed and following the m...  Read Full »

My sister has fluid accumulation despite stomach dialysis. Why?

Query: Hello doctor,My sister has been undergoing stomach dialysis treatment for the past one month. Now, she has developed water in the lungs. Due to that, there is breathlessness, no appetite, no sleep, and water retention in the feet and stomach. The doctor has removed 1 liter of water from the lungs, b...  Read Full »

Dr. Sandeep Varma

Answer: Hello, Welcome to Your sister is undergoing peritoneal (stomach) dialysis. Now, she has fluid retention in her body. This can be either due to a change in her fluid intake habits wherein she has now increased fluid intake; another reason may be that the dialysis technique is not resul...  Read Full »

Why is my urine low and creatinine level high after CABG?

Query: Hello doctor,My father has undergone CABG (bypass surgery of heart) since then he is on the medicine. During this operation, we came to know that he is also hepatitis B antigen positive. Ayurvedic treatment is continuing and things are under control. In last week accidentally he has broken bone of h...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to From what you mentioned, your father has sustained acute kidney failure, the cause is not clear (may be due to bleeding and losing a large amount of blood). Dialysis is required if there is volume overload (lower limb edema and chest congestion), also if there is high pot...  Read Full »

I have variations in my creatinine level. How should I proceed with the treatment?

Query: Hi doctor, I underwent dialysis before six years. My creatinine level is increased from 3 mg/dL to 5 mg/dL, now it ranges between 8 mg/dL to 10 mg/dL. I am taking medications. I do not have swelling, indigestion, or insomnia. Please help.  Read Full »

Dr. Manzoor Ahmad Parry

Answer: Hi, Welcome back to From the reports attached (attachment removed to protect the patient's identity), you have chronic kidney disease. You should start dialysis with AV (arteriovenous fistula). Continue your medications.   Read Full »

My father has reduced kidney function. Does he need permanent dialysis treatment?

Query: Hi doctor, My father has been diagnosed with osteochondrosis of the spine, which has been bothering him for the past eight years. When the disease started, he underwent a complete examination; creatinine was normal. However, he also had a tingling sensation in his fingers. After the blood tests, the...  Read Full »

Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to I have reviewed your father's blood and urine analysis, and based on these tests; I suggest that your father needs dialysis. However, a better assessment can be done if you attach your father's ultrasound report. Thank you.   Read Full »

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