Dialysis when is it necessary

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Why is dialysis used? What are the different types of dialysis? Are there any risks associated with dialysis? Are there any alternatives to dialysis? How do I prepare for dialysis? What types of dialysis can be performed at home? Thinking about starting dialysis may feel unsettling or even scary.

If you decide to have it, dialysis will become a big part of your life. But you can take good care of yourself with a healthy diet and not smoking to help you get the most benefit from dialysis. What is kidney failure?

As your kidney function gets worse, you may: Feel very tired. Feel nauseated or vomit. Have swelling from fluid building up in your body. Not feel hungry. You may lose weight. Have headaches. Have trouble thinking. Have a metallic taste in your mouth. Have severe itching. Kidney failure can cause serious heart, bone, and brain problems. What is the treatment for kidney failure? You can choose from two types of dialysis : hemodialysis say "HEE-moh-dy-AL-uh-sus" and peritoneal dialysis say "pair-uh-tuh-NEE-uhl dy-AL-uh-sus" : A kidney transplant may be the best choice if you are otherwise healthy.

When do experts recommend starting dialysis? Most people go on dialysis or get a kidney transplant when they have symptoms of kidney failure. Many things to consider Your GFR isn't the only thing you and your doctor will look at in deciding when you should start dialysis. You will also consider: Whether you have swelling, nausea, or other symptoms of kidney failure. Your age. Your health aside from your kidney failure. How you feel—if you have the energy to do your daily activities.

Your ability to make lifestyle changes and to commit time to dialysis. What are the benefits of starting before symptoms are bad? What are the benefits of waiting? What would you need to do to get the most benefit from dialysis? Be careful about what you eat and drink when you're on dialysis. Your doctor will tell you how much fluid, protein, and salt sodium you can have. A dietitian can work with you to help you plan your meals. Exercise to help improve your energy.

Work with your doctor to make sure that you are getting the right amount of exercise. Avoid substances that can harm your kidneys, such as alcohol, any kind of tobacco, or illegal drugs. Tell your doctor about all prescription medicines, over-the-counter medicines, and natural health products that you are taking. Compare your options. Compare Option 1 Start dialysis Wait to have dialysis. Compare Option 2 Start dialysis Wait to have dialysis.

Start dialysis Start dialysis You have surgery to place an access in your blood vessels usually in your lower arm for hemodialysis. For peritoneal dialysis, you will have a catheter placed in your belly. It takes a lot of time—from several times a week to every day, depending on the type of dialysis.

If you have hemodialysis at a centre, you need to be able to get a ride or drive yourself to a centre. But in some cases you may be able to have hemodialysis at home. If you have peritoneal dialysis, it can be done at home, usually while you are asleep. Hemodialysis can also be done at home. Because you can do it every day, you may not have to do it for as long as in-centre hemodialysis. You will need to see your doctor often and have regular blood tests.

You follow a diet that your doctor recommends. You may have to limit fluids you drink and not smoke. It may help you stay out of the hospital from complications of kidney failure. It may help you feel better.

Hemodialysis can cause low blood pressure, muscle cramps, and irregular heartbeats. Peritoneal dialysis can cause an infection peritonitis of the lining of the belly. Some of these side effects can be dangerous. The catheter used for peritoneal dialysis and the access used for hemodialysis may need to be replaced if they become blocked or infected.

Wait to have dialysis Wait to have dialysis You take medicines and follow a diet that your doctor recommends. You may have to limit fluids you drink. You will receive an email when new content is published. Click Here to Manage Email Alerts. We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice slackinc. Back to Healio.

Read more about dialysis. Since chronic kidney failure often happens slowly, sometimes people do not even know how bad they feel, until they start dialysis and begin to feel much better. Learning about the types of dialysis and transplant options will help you make a choice that is best for you. Any type of dialysis will require surgery — usually outpatient — to allow access for your treatments, and this should be done well in advance to allow time for healing.

Dialysis is paid for with your health insurance and Medicare even if you are under age After 30 — 33 months, Medicare pays first and your health plan is secondary. Ask your dialysis or transplant center to help you figure out what your insurance will pay and how much you will be expected to pay out-of-pocket.

You can also call DaVita Guest Services at from 6 a. The chances that your kidneys will get better depend on what caused your kidney failure. Kidney failure is divided into two general categories, acute and chronic. Acute or sudden kidney failure is often temporary. In chronic kidney failure, the kidneys normally do not heal. In acute kidney failure , when kidneys stop functioning due to a sudden stress, kidney function may recover.