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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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 icliniq.com. 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 »

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 icliniq.com.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 »

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. Af...  Read Full »


Dr. Sandeep Varma

Answer: Hello, Welcome to icliniq.com. 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 due to...  Read Full »

Can you please suggest how to improve my father's urine output after a brain stroke?

Query: Hello doctor,My 70 years old father had a brain stroke, and he has been operated thrice since then, including VP shunt. He is diabetic, and his condition has not improved yet. He is in the ICU, and his urine output has decreased to 10 ml per hour. They performed dialysis two days back, but there is ...  Read Full »


Dr. Prathap

Answer: Hi, Welcome to icliniq.com. It is an acute renal failure with underlying chronic diabetic kidney disease. It is very common in patients with diabetic kidney disease to go to acute failure. The prognosis is usually bad, and the choice of treatment is dialysis. Consult your treating nephrologist and...  Read Full »

Is it safe for my mother to have plasma treatment after kidney dialysis?

Query: Hi doctor,My mother is admitted to the hospital and is being treated for granulomatosis with polyangiitis. Now, it is the second week after the doctor gave her a course of steroids for the first three days. They gave two kidney dialysis before her kidney biopsy, of which the result came back with 20...  Read Full »


Dr. Rajesh Gulati

Answer: Hi,Welcome to icliniq.com.I understand your concern. Your mother is already getting the best treatment. You need not worry as plasma exchange sometimes gives excellent results. The black spots on the tongue are side effects of tablet Cyclophosphamide.Kindly revert in case of further queries.Thank yo...  Read Full »

Please suggest a few measures to reduce creatinine levels and sugar levels.

Query: Hi doctor, My mother-in-law is 56 year old. For the past 10 years she is having diabetes. Since 5-6 months, her sugar levels are very high. She is using insulin Actrapid 20 units. Three years back, she was diagnosed with breast cancer. Underwent operation, chemotherapy, radiation therapy and cancer ...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Your mother-in-law has been diagnosed with acute pyelonephritis that is there is infection in the kidneys. Her random blood sugar is also increased, which suggests that insulin dose should be increased. But, that depends on the treating doctor after assessing all her par...  Read Full »

I am suffering from chronic kidney disease stage five. Do I have to proceed with dialysis immediately?

Query: Hello doctor, I am a 43-year-old male. I often feel tired, confused, and nauseous. I have back pain, headaches, and indigestion often.I am feeling sick from PKD. I am suffering from renal failure with GFR of 13. I am currently not under any medication. I need an ESRD diagnosis. Kindly help. Attach...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect patient's identity). The reports suggest chronic kidney disease (CKD) stage five due to polycystic kidney disease (PKD). The stage of CKD is such that you need to prepare for renal replacement therapy....  Read Full »

A 56-year-old female patient was diagnosed with kidney failure, and she is unable to move. Why?

Query: Hi doctor, A 56-year-old female patient was diagnosed with kidney failure. The last dialysis was almost two months ago. The patient said she wanted to stop dialysis because it did not help her, and the catheter caused her pain. Therefore, it was removed (despite the doctor’s protestations) ab...  Read Full »


Dr. Manzoor Ahmad Parry

Answer: Hello, Welcome to icliniq.com. I saw your query, The patient has kidney failure with very high urea and creatinine. She needs dialysis for the same. Regarding her weakness, kindly show me her MRI report.  Read Full »

What is the treatment for focal segmental glomerulosclerosis in a 12-year-old?

Query: Hello doctor, My 12 year old son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicar...  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. Please furnish the following medical information, so that I will be able to give you further advice. What is the cause of focal segmental glomerulosclerosis (FSGS)?Has dialysis been done? What is his urine output?What does his antinuclear antibody (ANA) profile say?Ha...  Read Full »

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. Goswami Parth Rajendragiri

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 »

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