Showing posts with label Dialysis. Show all posts
Showing posts with label Dialysis. Show all posts

Sunday, February 23, 2014

Is Lower Back Pain Indicating Kidney Problem?

Lower back pain is a common signs of kidney disease. When people feel that they have lower back pain, they think it is kidney problem. Is lower back pain indicating kidney problem? The experts in Beijing Yumei Kidney Disease Hospital tell us:


Patients with kidney disease often have lower back pain. For example, when patients have Acute Pyelonephritis, kidney emboli, Obstructive Kidney Disease, rapid enlargement of kidney and suppurative inflammation around kidneys, they will appear violent lower back pain. But not all patients with kidney problem will have this symptom, such as Acute and Chronic Nephritis, Nephrotic Syndrome and so on, they often just have slight discomfort or soreness of waist; few of them appear violent lower back pain. In addition, other disease can also lead to lower back pain, such as lumbar muscle strain, lumbar hyperosteogeny, lumber sprain and women’s pelvic lesions (pelvic inflammation, annexitis and so on). So not all lower back pains are indicating kidney problem. Patients should go to hospital to take examination to confirm the reason.

How to Protect Our Kidneys in Daily Life?

If people want to have a long life, normal kidneys are the key points. But what should we do to protect our kidneys in daily life? The expert will give us some suggestions:

1. The diet should be light and digestive. Don’t eat too much food with high proteins and sodium; appropriately control the salt and protein intake. The recent research indicates that excessive salt is a risk factor for many diseases, especially the cardiovascular and cerebrovascular diseases. It is considered in Traditional Chinese Medicine that in five flavors (sour, sweet, bitter, hot and salty), the salt passes through the kidneys. The proper salt can nourish the kidneys, but excessive salt will injury them. The ideal salt intake is 6 g/d. High protein diet can speed up the kidney damage, especially for elder people.


2. Don't drink much water. The daily urine volume should be about 1500-2000ml. and the plain boiled water is advocated.

3. Quit smoking and drinking

4. Avoid infection. For elder people with kidney insufficiency, once they have infection, they will appear further kidney injury, and even threat life. So elder people should strengthen the daily exercise and prevent all kinds of infection.


5. Have a regular physical examination, especially urine test, kidney function test, because early detection will be helpful for treating all kidney diseases.



6. Try to avoid using or just use less renal toxin drugs. The common renal toxin drugs include: gentamicin, streptomycin and such aminoglycoside antibiotics, anti-tuberculosis rifampin, sulfonamides and contrast medium. People should try to avoid using them. If it must be used, people should be under doctor’s guidance. And people should try to avoid or reduce contacting the renal toxin.

What Factors Will Lead to Lupus Nephritis?

Lupus Nephritis is a kind of serious kidney disease which not only affects body function, but also threat patients’ life. What factors will lead to Lupus Nephritis? The expert in Beijing Yumei Kidney Disease Hospital Dr. Liu Jing Duo gives us some explanation.

He said that the factors include:

1. Heredity: heredity plays a decisive role in Lupus Nephritis onset, and it is the most primary cause. Patients may have family history and relative has a high risk of occurrence.


2. Sex hormone: because this disease affects more female than male, and commonly occurring in lactation period, female hormone is related to Lupus Nephritis. About 50% female patients’ condition is worsening due to pregnancy.


3. Psychological Factors:Psychological stress can trigger the disease being active, and it is also a possible cause which is resulting in Lupus Nephritis. However, stress for individuals’ response is influenced by individual’s quality, personality and stressful life practice’ intense, persistence and frequency.


4. Environmental factors: 1. Infection; 2. Stimulating immune system.


5. Medicine and decayed food may also lead to Lupus Nephritis.


The expert points out: Lupus Nephritis is a serious disease. If detecting it, patients should go to hospital as soon as possible. Otherwise it will threat patients’ life.

Saturday, February 22, 2014

What Factors Will Lead to Lupus Nephritis?

Lupus Nephritis is a kind of serious kidney disease which not only affects body function, but also threat patients’ life. What factors will lead to Lupus Nephritis? The expert in Beijing Yumei Kidney Disease Hospital Dr. Liu Jing Duo gives us some explanation.

He said that the factors include:

1. Heredity: heredity plays a decisive role in Lupus Nephritis onset, and it is the most primary cause. Patients may have family history and relative has a high risk of occurrence.

2. Sex hormone: because this disease affects more female than male, and commonly occurring in lactation period, female hormone is related to Lupus Nephritis. About 50% female patients’ condition is worsening due to pregnancy.

3. Psychological Factors:Psychological stress can trigger the disease being active, and it is also a possible cause which is resulting in Lupus Nephritis. However, stress for individuals’ response is influenced by individual’s quality, personality and stressful life practice’ intense, persistence and frequency.

4. Environmental factors: 1. Infection; 2. Stimulating immune system.

5. Medicine and decayed food may also lead to Lupus Nephritis.




Sunday, February 16, 2014

Chronic Pyelonephritis

Chronic Plyelonephritis is the chronic inflammation caused by bacteria infection of kidneys. The main lesion is to injury renal interstitium, renal pelvis and renal calices. Because the inflammation progression or recurrence results in damaging renal interstitium, renal pelvis and renal calices and forms scarring tissue, which will cause to nephrarctia and renal insufficiency. Commonly patients may only have abdominal pain and (or) low fever, and no noticeable urinary infection: painful urination, frequent urination and urgent urination. Its primary presentations are nocturia increasing and a bit of white blood cells and proteins. Patients who have the history of long-term or recurrent urinary infection will occur to Uremia at the late stage.
Symptoms and Signs
1. Systemic poisoning symptoms: chill, fever, fatigue and poor appetite.
2. Local symptoms: abdominal soreness, abdominal pain and percussion pain between ribs.
3. Bladder irritation signs: frequency, urgency and pain urination, urination difficulty. And the history of urinary tract infection is more than half a year, with no response for antibateria treatment.
Clinical Symptoms:
This disease presents complicatedly and variously in clinical practice. The main presentation is true bacteriuria. There are a bit of white blood cells and proteins in the urine. And bacteriuria may be persistant or intermittent. Patients mostly have recurrent urinary irritation signs. Some patients may neither have systemic symptoms or noticeable urinary irritation signs. Some patients have low fever, abdominal pain, fatigue, frequent urination or pyuria after recurrent tests. Sometimes, patients may just have sallow complexion, tireness, poor appetite. In children, they present loss of appetite, mental fatigue, anemia, maldevelopment, growth retardation or enuresis, uroclepsia.
It can be divided into five types:
1. Recurrence type: it is typical chronic pyelonephritis. Patients usually recurrently occur to urinary irritation signs, with bacteruira. Low fever or medium fever and dull pain between the kidneys are also the symptoms.
2. Long-term low fever type: patients often have no urinary irritation signs, and just have low fever, dizziness, fatigue, losing weight and poor appetite, which is often misdiagnosed by neuronal low fever, tuberculosis, or other chronic infectious disease.
3. Hematuria type: a minority of patients are characterized with recurrent hematuria. And hematuria can relieve without treatment.
4. Asymptomatic bacteriuria: Patients neither have systemic symptoms nor urinary irritation signs, but there are many bacteria, a bit of white blood cells, and occasional cast in the urine. This type is commonly seen in pregnant women and girls.

5. Hypertensive type: patients may have urinary infection history before, but the main clinical presentation is Hypertensive symptoms featuring with dizziness, headache and fatigue, or occasionally high blood pressure, but no urinary irritation signs. So it is easy to be misdiagnosed by idiopathic hypertension. This disease is one of the basic diseases for progressive hypertension. If young man and women have hypertension, it should be considered to chronic pyelonephritis. Patients may complicate with proteinuria and anemia, and GFR is decreasing.

Saturday, November 16, 2013

Describe the procedure of dialysis?

  here are different types on analysis. This info comes from BWH.
  Hemodialysis: an artificial kidney machine, called a dialyzer, filters the blood, and returns the cleaned blood to your body. You are connected to the dialyzer via tubes that are inserted into a vein in your arm, leg, or occasionally, neck. If hemodialysis is being performed as a temporary measure, then the catheter is likely to be inserted through the neck vein. If hemodialysis is going to be done regularly, then an access site called a fistula or shunt may be surgically created in one of your veins.
  Hemodialysis is usually done at a dialysis center or hospital, by trained technicians or nurses, or may be done at home with assistance. Hemodialysis is usually done three times a week and each treatment lasts from two to four hours.

  Peritoneal dialysis: instead of using a machine, this type of dialysis uses the abdominal lining, called the peritoneal membrane, to filter blood. A cleansing solution, called a dialysate, is infused through a tube inserted into your abdomen. Long-term peritoneal dialysis may require the surgical creation of a port in the abdomen through which this dialysate can be infused. Fluid, wastes, and chemicals pass from the tiny blood vessels in the peritoneal membrane into the dialysate, which is then drained after several hours. New dialysate can then be added to repeat the process.

Does anyone know anything about Kidney Dialysis?

  Sssssss's,
  Dialysis is the artificial process of getting rid of waste (diffusion) and unwanted water (ultrafiltration) from the blood. This process is naturally done by our kidneys. Some people, however, may have failed or damaged kidneys which cannot carry out the function properly - they may need dialysis. In other words, dialysis is the artificial replacement for lost kidney function (renal replacement therapy). Dialysis may be used for people who have become ill and have acute kidney failure (temporary loss of kidney function), or for fairly stable patients who have permanently lost kidney function (as in stage 5 chronic kidney disease). There are two main types of dialysis - haemodialysis and peritoneal dialysis. With haemodialysis the blood circulates outside the body of the patient - it goes through a machine that has special filters. The blood comes out of the patient through a catheter (a flexible tube) that is inserted into the vein. The filters do what the kidney's do; they filter out the waste products from the blood. The filtered blood then returns to the patient via another catheter. The patient is, in effect, connected to a kind of artificial kidney. Haemodialysis usually lasts about 3 to 4 hours each week. The duration of each session depends on how well the patient's kidneys work, and how much fluid weight the patient has gained between treatments. During peritoneal dialysis a sterile (dialysate) solution rich in minerals and glucose is run through a tube into the peritoneal cavity, the abdominal body cavity around the intestine, where the peritoneal membrane acts as a semi-permeable membrane. There are two principal types of peritoneal dialysis - Continuous ambulatory peritoneal dialysis (CAPD). This requires no machinery and can be done by the patient or a caregiver. The dialysate is left in the abdomen for up to eight hours. It is then replaced with a fresh solution straight away. This happens every day, about four to five times per day. Continuous cyclic peritoneal dialysis (CCPD). In this method, a machine does the dialysis fluid exchanges. It is generally done during the night while the patient sleeps. This needs to be done every night. Each session lasts from ten to twelve hours. After spending the night attached to the machine, the majority of people keep fluid inside their abdomen during the day. Some patients may require another exchange during the day.
  ALL ANSWERS SHOULD BE THOROUGHLY RESEARCHED, IN ANY FORUM AND ESPECIALLY IN THIS ONE. - MANY ANSWERS ARE FLAWED.
  It is extremely important to obtain an accurate diagnosis before trying to find a cure. Many diseases and conditions share common symptoms.

  The information provided here should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions.

Why is the dialysis tubing semipermiable?

  Dialysis, for general use, is semi permeable, like a fish net. A fish net keeps the fish in it, but is permeable to the water, draining the water. A strainer works the same way. Dialysis however blocks larger molecules (which are still relatively small) while letting smaller molecules pass through it, like water. Water is a very small molecule, only three atoms big - H20.
  That's the general idea. For medical use, as you might be familiar through it in that purpose, is to filter the blood. Wastes in the blood are thankfully made up of much larger molecules than water and everything else good that we want to keep in it. So a dialysis tube filters the blood by filtering larger wastes and bringing back clean blood to the body.

  For non medical uses, it's to keep larger molecules in it, while letting smaller ones out of it.

What is the importance of dialysis?

  Dialysis is used to treat End-Stage Renal Disease (ESRD) - the last stage of kidney failure. Dialysis is usually the last option for treatment prior to kidney transplant, and is often the only option for those for whom kidney transplant is not a viable option. Preserving kidney function is important in prolonging the survival rate in dialysis patients, although as the name of the disease implies, dialysis is usually used in the final stage of kidney disease. However, ESRD can last months or even many years, especially for young people, such as Gary Coleman, the actor who has been treated with dialysis for decades.
  Dialysis is for people who's kidney function is not adequate enough to get rid of the body's waste and excess fluid. If the kidneys can not rid the body of it's waste, than that waste and excess fluid accumulates in the body and that's obviously not good.
  Dialysis filters that waste and excess fluid out of the body by mechanical means. When hooked to a dialysis machine, the waste is removed from the bloodstream along with excess fluid. Dialysis patients are weighted daily because of the excess fluids that accumulate in the body. After a dialysis treatment, patients can lose several pounds of fluids.
  Hemodialysis removes excess fluids and toxins from the body that formerly were filtered by the kidneys. It is done for those in end stage kidney disease, or for some temporarily to allow damaged kidneys to recover.
  Dialysis can be done in several ways, five methods are done by the individual at home they are: Continuous ambulatory peritoneal dialysis (CAPD) - a manual form of peritoneal dialysis, with no machine, Continuous cycling peritoneal dialysis (CCPD) - also known as Automated Peritoneal Dialysis (APD), a form of peritoneal dialysis using a cycler at night, Conventional home hemodialysis - three-times-a-week hemo at home, Daily home hemodialysis - short (2-3 hour) treatments, 5-6 days a week, Nocturnal home hemodialysis - nightly 6-8 hour treatments, 3+ days a week. These methods do not involve removing the blood from your body. Then there is the traditional form where you go to a dialysis facility, and tubes are connected to an atrio-ventricular fistula (shunt) and your blood is taken out, filtered in a machine and returned cleaned. This is done 3 times a week and takes about 4 hours.

  Dialysis does not do as good a job as your kidneys, all types of dialysis require you to monitor your diet, some forms are more restrictive than others, but you usually have to limit your fluid intake, your intake of potassium, phosphorus and sodium. Without dialysis, death will occur within a relatively short period of time.

so i have to undergo dialysis. I was kinda curious about whether I can still get pregnant if I'm on dialysis,and my menstrual cycle is still normal? and if i can't why not?

  Most women on dialysis are unable to get pregnant. This is usually due to their older age as well as the effects of kidney disease on the their sexual desire and hormonal systems. However, some women retain their ability to ovulate and menstruate and thus pregnancy while on dialysis is possible and does occur.
  The pregnancy of a dialysis patient is rarely discovered in the first trimester - the average gestational age is 16 weeks. Irregular menstruation, frequent gastrointestinal and fatigue complaints, and a perception that pregnancy rarely occurs in dialysis patients can all mask pregnancy. Thus, diagnosing pregnancy early in dialysis patients requires a high index of suspicion.
  Unlike women with chronic kidney disease, there isn’t any concern that a pregnancy will lead to kidney disease progression. As a result, most of the risks and concerns deal with the baby and not the mother. Spontaneous miscarriage late in the pregnancy is very common. It has been estimated that over 20% of the pregnancies that make it past the first trimester will end spontaneously. If the pregnancy continues into the third trimester, premature birth is the rule not the exception – 80% of births are premature.

  One of the biggest concerns with the pregnancy of a dialysis patient is that a premature birth leads to permanent organ damage or death. The average gestation age at the time of delivery is about 32 weeks. Survival rates for the baby born to a woman on dialysis is relatively poor (60-80%). Also, there are serous concerns about long term damage to their lungs, eyes, brains and growth because of their premature births and low birth weights.

Wednesday, November 13, 2013

What good method can avoid the dialysis?

  Good blood sugar level control is the best way to delay or avoid all together kidney failure or dialysis. You also have to see your nephrologist to monitor your kidney function. The nephrologist will be able to refer you to dietician and pre-dialysis nurse specialist on how to look after yourself. I always advice people with kidney failure not to drink too much fluid. Limit your fluids to 1-1.5 liters per day. since your kidney is not working properly, the extra fluids you will drink will just retain in your ankles, legs and in some instance the lungs. so limit fluid intake. As much as possible have a low salt, low fat and cholesterol diet. As much as possible avoid taking NSAIDS or non-streroidal anti-inflammatory drugs. This can harm the kidneys. I am also wondering if you are taking metformin? This medication can also harm the kidneys.
  FYI: PKD or polycystic kidney disease is a genetic disease. Ultimately it will lead to kidney failure and needing dialysis in the end. but for diabetes, this can be control with good blood sugar control and early referral to the nephrologist.

Monday, November 11, 2013

Can someone who is doing peritoneal dialysis keep a pet?

It is not totally forbidden at all, these patients need to live their life to keep their sanity and if that having a dog then so be it. People with peritoneal dialysis catheters shouldn't fear their pets, and there is no need for these people to get rid of pets (although they should avoid high-risk pets like reptiles). Pet owners are presumably at somewhat higher risk than non-pet-owners as there has been some cases of pet related infections, but the risk appears to be fairly low. The risk are lower than human related/transmitted infections. In most situations, the positive aspects of pet ownership probably outweigh the risks.
  Further precautions can be done. I would kennel the dog at night, not let the dog sleep with the owner. The dog should not be allowed in the room that the dialysis is done. The cleaning routine before the dialysis should be done thoroughly and not taken lightly. In my research I have found that CATS,RODENTS and REPTILES are higher risk than dogs.

  My dads father had to do thus and he owned a shih tzu which is a non shedding breed of dog, maybe even consider a poodle. Dont allow the dog to lick the the dialysis tube and make sure the patient/owner washes his hand every time before he/she touches the port or any part of the dialysis machine or its components.These are just steps that I have thought of the decrease risk, even though risk is already low.


MORE
http://www.kidneyservicechina.com/for-patient/

What is a renal dialysis?It's an artificial way of removing the toxins where a machine does the work and all you have to do is rest.

The kidneys are used to filter all of the fluid that passes from your gut into your bladder. They serve various functions including regulating the amount of water you retain to avoid dehydration.
  Their primary function is to filter nutrients and extra fluid and dispose of the toxins and other unnecessary elements. Elements which, over time, would accumulate in your body and make you very ill.
  Since you have one kidney, it is working far harder than normal and these check-ups are to make sure that it is functioning normally. In the case of a kidney donor, both the patient and the donor will be monitored to make sure that each kidney continues to function normally.
  You can imagine that since your single kidney is working twice as hard, it really needs to have a break every so often to reduce the risk of it failing completely.
  This is where dialysis is used.
  Basically you are admitted as an out-patient or day patient - you normally do not have to stay overnight. You are hooked up to a machine that gently cycles your blood through a filtration system in much the same way that your kidney filters things.
  I'm sure that you are already on a restricted list of things that you can eat or drink.
  It's an artificial way of removing the toxins where a machine does the work and all you have to do is rest.
  Dialysis is commonly used for patients who are already in renal failure but doctors have discovered that preventative dialysis can take the strain off a kidney and allow it to rest in an attempt to prevent renal failure.

  Your best bet is to talk to your doctor or renal specialist and ask these questions. Ask them to explain it in easy terms if it seems all too medical and scientific. They should show you the machine as well so you know what to expect.


More related


Benefits of having a kidney transplant compared to dialysis?

There are many health risks connected to dialysis. The access sites for the dialysis are a frequent cause of infection and hospitalization. Frequently, heart problems occur with dialysis. It's extremely restrictive as far as diet goes; there are many foods you must avoid, and also there is usually a fluid restriction. As someone else said, you'll spend fours a day plus travel time at dialysis. At the best, it's boring; at the worst, it's horrible.
  A successful transplant gives you your life back. You are no longer restricted because you aren't on dialysis. For the most part, your diet is no longer restricted (in my case, I am still low sodium, which is pretty normal and no big deal). You could possibly have some side effects from the medication (I don't). But overall, you feel so much better after a transplant, compared to dialysis. It's healthier for you and you have a better quality of life.
  Aside from the obvious health benefits, kidney transplants bring about massive improvements in quality of life.

  In most countries its personal dialysis machines for every one who would need one simply isnt possible, as a result many people have to travel to their regional hospital once every 3 days or so, as you can imagine with most decent hospitals being located in the city this can place a huge burden on people who live in the country. For example in Ireland, St Vincent's hospital (located in dublin) serves people from as far away as wexford, that's roughly a 2hr drive. Additionally once the patient get there he has to go through the process of dialysis itself which depending on the machine can take up to 5-8hrs. This essentially means that these patients are essentially losing one day in four just to go for dialysis. If such a patient could recieve a kideny transplant it would basically give them back an entire day.

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http://www.kidneyservicechina.com/media/

I Am Going To Undergo Dialysis Soon. What Am I Facing?

I used to go to a clinic for dialysis. One thing I would suggest to you before you ever go on dialysis is that you arrange to visit the clinic beforehand, so that you will know what to expect. Of course you may choose another option besides dialysis in a clinic.
  I had to have 2 surgeries beforehand, in order to create an access for the dialysis needles, because my first access did not "mature". However, don't assume that will happen to you.
  I went on dialysis at age 45 (I had type 1 diabetes). I went 3 times a week, for about 4 hours a day. I was a pretty compliant patient and I did well on dialysis. I (mostly) stuck to the diet. (I had to avoid things like dark sodas, potatos, and tomatos, for examples). I personally did not have any fluid limits, but patients usually do. I never skipped dialysis sessions.
  My main problem on dialysis was I was bored. Each chair has their own TV, but I don't love TV. Take a lot of things with you to do. Now is a good time to start a class in something that interests you, because you can study while on dialysis. I balanced checkbooks, read magazines, listened to books on CD. One thing I wished I had done more of was gotten to know the patients around me. Take a blanket with you, because you will get cold. If the needle insertion is painful, ask your dr. for a prescription or sample of a cream called EMLA; you put it on your access site before you go to dialysis and it numbs your arm. Don't wear good clothes because you might get blood on them.
  It really won't be terrible, especially if you educate yourself, follow the doctor's orders, and it helps if you have a great dialysis staff. I know that I did.

  I got in pretty good physical shape while I was on dialysis; I could walk 2 miles a day and ran up a small hill as part of my walk. You are fairly young, and I think you will do well. I hope you have the option of being evaluated for a transplant. II got a kidney and pancreas transplant in 2005 and all has been great since then. I have put some sites below


http://www.kidneyservicechina.com/