Tuesday, May 19, 2015

Dialysis: Questions and Answers

If I have kidney disease, how long will it be before I need to start dialysis?

That depends on what stage your CKD is in and how quickly it progresses.

If I have kidney disease, will I need dialysis?

The early stages of CKD can last for many years and you don’t need dialysis. But if your kidneys fail, dialysis or a kidney transplant will be needed to keep you alive.

When should I start dialysis?

National Kidney Foundation (NKF) guidelines recommend you start dialysis when your kidney function drops to 15 percent or less—or if you have severe symptoms caused by your kidney disease, like shortness of breath, fatigue, muscle cramps or nausea and vomiting. Your doctor will help you decide, based on lab tests that measure how much kidney function you have left and on your symptoms.

I can't have a transplant—can I do dialysis for the rest of my life?

Yes, dialysis is something you can do for the rest of your life. And, most people on dialysis enjoy a good quality of life. Some people have been on dialysis for 30 years or more without getting a transplant. How long you can live on dialysis, and how well you do, will depend on a number of things, including how healthy you are, your attitude, your quality of healthcare and how much you take an active role in your care.

Sign up for no-cost Kidney Smart® education class to learn more about kidney disease. Also, check into joining a kidney patient organization or the DaVita.com discussion forums to connect with others like you.

If I start PD, how often will I have to get treatments?

PD is commonly done on a nightly basis using an automated cycler machine while a person sleeps. A patient will typically be connected to the cycler for 8 to 10 hours each night and be free of dialysis during the day. Some people will choose to do manual PD, which usually means doing four to five exchanges per day. Each exchange takes 20 to 30 minutes, and they need to be spread out over the whole day to clean the blood well.

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