Dialysis

We have been always told that drinking 8 glasses water everyday is good for our health. However, this is not right for End Stage Renal Disease (ESRD) patients who are on dialysis. You doctor will tell you to keep fluid restriction in dialys

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Fluid Restriction in Dialysis

2014-08-31 01:59

Fluid Restriction in DialysisWe have been always told that drinking 8 glasses water everyday is good for our health. However, this is not right for End Stage Renal Disease (ESRD) patients who are on dialysis. You doctor will tell you to keep fluid restriction in dialysis. Well then, how much fluid you can take? I cannot give you a definite answer, but you can get guidance from this article.

Why does dialysis patients need a fluid restriction?

Dialysis patients often think that dialysis can help the kidneys filter various wastes and toxins so that they do not control the fluid intake. However, in fact, dialysis is far from as effective as healthy kidneys. Why? Healthy kidneys work all the time—24 hours a day, 7 days a week. Most people on hemodialysis get treatments three times a week for about three or more hours at a time. This means, in the days between your dialysis treatments, your body holds on to excess fluid and waste your kidneys cannot remove.

How much fluid can dialysis patients take?

The amount of fluid intake should be carefully counted. Factors such as weight gain between treatments, urine output and swelling are considered. If you are on hemodialysis, your weight is recorded before and after your dialysis session. Your nurse uses weight changes to help determine how much fluid to remove during dialysis. If you are on peritoneal dialysis, your nurse will have you record your weight every day. Sudden weight gain may mean you are drinking too much fluid. Your dietitian will coach you on individual goals for your fluid intake.

In general, patients who take dialysis once a week, fluid they can take is the sum of 100ml and urine amount in 24 hours, but if they have no urine output, they cannot take fluid more than 100ml.

People that take dialysis twice a week can take fluid amount equivalent to the sum of 300ml and urine output in 24 hours, and if they have no urine, they cannot take fluid more than 300ml; For those who take dialysis three times a week, the amount of 500ml plus urine output is the right amount.

Keeping a fluid restriction may be a little difficult for you, but is you can get free help from us. Leaving a message below or emailing to kidney-symptoms@hotmail.com is OK.

As for you own illness conditions, you can get some guidance related to diet, exercise, medicines or some natural remedies. The online consultation service is free. Please remember to leave your email address, or phone number so that we can contact you and help you!
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