Hemodialysis Treatment & Peritoneal Dialysis
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Hemodialysis
What is hemodialysis?
Hemodialysis is a medical procedure used to treat kidney failure by filtering waste, excess fluids, and toxins from the blood. During the process, blood is passed through a machine called a dialyzer, which acts as an artificial kidney. Hemodialysis is usually needed when the kidneys cannot perform these vital functions effectively on their own.
When to Start Dialysis
Dialysis typically begins when kidney function drops to 10-15% or when symptoms of kidney failure severely affect your health. In chronic kidney disease, your healthcare provider will monitor your condition and discuss dialysis as kidney function declines. In cases of acute kidney failure, dialysis may be needed immediately if the kidneys suddenly stop working. Early consultation with your doctor helps determine the right time to start dialysis.
How does hemodialysis work?
Dialysis typically starts when chronic kidney disease progresses to the point where kidney function drops to 10% to 15%. At this stage, the kidneys can no longer effectively support the body’s needs. Your healthcare provider will discuss dialysis options with you well in advance to prepare for this transition. Dialysis may also be necessary if your kidneys suddenly fail due to acute renal failure, which can occur unexpectedly. Starting dialysis is crucial to managing your health when your kidneys can no longer function adequately.
When to Call Your Doctor?
You should call your doctor if you notice any of the following after hemodialysis: bleeding from your vascular access site, signs of infection like redness or swelling, a fever over 100.5°F (38°C), or if the arm with your catheter swells or feels cold. Also, contact your doctor if symptoms like itching, nausea, or confusion are severe or persist beyond two days.
Peritoneal Dialysis
What is Peritoneal dialysis?
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen (the peritoneum) as a filter to remove waste and excess fluid from the blood. A special solution is introduced into the abdominal cavity through a catheter, and after a period, it is drained along with the waste products. This method can be done at home.
How will I know if PD is working well?
You’ll know if peritoneal dialysis (PD) is working well if your symptoms improve, such as reduced fatigue and nausea. If you’re feeling well overall, your dialysis is likely effective. Regular blood and fluid tests will also show if waste is being removed efficiently. Over time, your doctor might adjust your PD prescription, especially if your urine output declines, to ensure it continues to meet your needs.
What problems can happen on PD?
Problems with peritoneal dialysis (PD) can include psychological issues like anxiety or depression, infections such as peritonitis, and problems with the PD tube, like blockages or poor drainage. Physical discomfort, including pain, itching, or cramps, is also common. About one-third of patients face frequent or severe complications, which can make PD challenging, while others experience fewer issues or manage them effectively.
Consult A Doctor
Dr. Sourav Sadhukhan is a dedicated nephrologist specializing in kidney care and innovative treatments.