Understanding Dialysis Treatment

A Comprehensive Guide for Patients with Kidney Disease

Internal Medicine

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Last updated: Mar 24, 2025

What is Dialysis?

Dialysis is a life-sustaining medical treatment that artificially performs the function of healthy kidneys when they fail. It removes waste products, excess fluid, and maintains safe levels of chemicals in your blood.

Types of Dialysis

1. Hemodialysis

  • Blood is filtered through an artificial kidney machine
  • Usually performed 3 times per week
  • Each session lasts 3-4 hours
  • Requires surgical creation of vascular access

2. Peritoneal Dialysis

  • Uses the lining of your abdomen to filter blood
  • Can be performed at home
  • Occurs daily/nightly
  • Requires surgical placement of catheter

What to Expect

Before Starting Dialysis

  • Complete medical evaluation
  • Vascular access surgery
  • Training (for peritoneal dialysis)
  • Dietary modifications

During Treatment

  • Regular monitoring of vital signs
  • Blood tests to check treatment effectiveness
  • Possible adjustments to medications
  • Duration depends on type of dialysis

Living with Dialysis

Diet and Lifestyle Changes

  • Restricted fluid intake
  • Modified protein intake
  • Controlled potassium and phosphorus consumption
  • Regular exercise as approved by your doctor

Potential Complications

  • Low blood pressure
  • Muscle cramps
  • Infection risk
  • Anemia

Support and Resources

  • Dialysis care team
  • Support groups
  • Dietary counseling
  • Transportation services

When to Seek Immediate Help

  • Fever or chills
  • Severe pain
  • Bleeding from access site
  • Difficulty breathing

Long-term Outlook

  • Regular treatment adherence is crucial
  • Possibility of kidney transplantation
  • Ongoing monitoring and adjustments
  • Quality of life maintenance

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