Hi everybody

[DrBasti]

I am a dialysis doctor. If you need anything to ask please feel free

[kadimba]

Hi, I started heamodialisys 7 days ago, i am just concerned that my bp is very high after dialisys, sometime 203/110. what can I do to bring it down?

[StephenA in reply to kadimba]

I have the same problem. Leaves me with a headache. Has Dr Basti suggested anything? I started on PD and had a far better life than I do on hemo. I've been dialysing for 13 years so far - 3 on hemo and hate it. Wish I could go back to PD and get my life back!

[kadimba in reply to StephenA]

I did Pd 5 years ago for 9 months, then got a transplant.

I prefer pd as my bp was controlled and I wasn't as puffy as I am on hd. I am now taking my bp tablet after the session, its help to bring it down

[OldqueenBalham]

Have you a cure for during and post cramp in hands and feet?

[kadimba in reply to OldqueenBalham]

I have cramp during and after. And my feet are still swollen after 3 hours on the machines.

[StephenA]

I seriously need a nephrologist who really understands dialysis. I also have high blood pressure at the end of a hemo session - even gives me headaches. I have Amloc to control BP but BP still high.

What do you know about nutrients (Vitamins, amino acids etc) taken out by hemodialysis? How do you supplement for this to maintain nutrition?

Thanks!

[LutherPDX in reply to StephenA]

Generally hemodialysis removes the B vitamins. You also lose some protein during a treatment. Here in the US it is standard recommendation to take a supplement with I’ll be vitamins, and a small amount of vitamin C to help absorption.

[hk1234]

describe the effect that renal dialysis will have on patient medication

[LutherPDX in reply to hk1234]

Are you asking for yourself? It depends a lot upon if you were doing hemodialysis, or peritoneal dialysis. There are also variables as to how long your treatments are, and how much fluid is removed. We are not you have to look at the medication individually, and determine if it is dialyzed out during treatment, or not . It’s more science thing because they have to look at molecule size, and how the medication is metabolized. Most dialysis nurses have access to a chart or application and I can tell if the medication is removed by Dialysis. Not all medications have been tested or observed in either type of dialysis.

[Eddie2149]

Hi

I am a male 71 years old and have been in hemo dialysis for 6 months...3 times a week and weekend off.

My spvt/v was 1.82 a month ago and the latest "report card" is 1.75.

I have noticed that my dialyzer machine light turns to yellow for about 2 hours and does not change to green.

Should I be worried that my spvt/v number is slowly decreasing and more toxins are staying in my blood. Please advise. Thank you.