I have kidney stage 5 failure (ESRD). What are my treatment options?

  • If you have severe form of kidney failure you can be managed by long-term dialysis or kidney transplantation.

  • Kidney transplantation is the preferred treatment of choice for you as it provides better quality and quantity of life.

  • You may require dialysis for some period before getting ready for transplantation or undergo transplantation without any dialysis treatment.

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What are the advantages and disadvantages of hemodialysis

  • Advantages of Hemodialysis include - it is an outpatient treatment done 3 times a week and dialysis staff will perform dialysis.

  • Disadvantages include - fluctuation in weight between dialysis, dialysis access issues (infections, clotting), dietary restrictions (fluid, salt, potassium and protein), travel restrictions and restricted mobility.

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What are the advantages and disadvantages or peritoneal dialysis?

  • Advantages are - dialysis can be done at home, continuous dialysis for the entire week as opposed to three times a week, minimal fluctuation in body weight, no restrictions in travel and patient can be seen by the doctor once a month.

  • Disadvantages include - patient has to be in charge of dialysis and dialysis has to be done on a daily basis.

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What is home dialysis?

  • Home dialysis is when patients do their dialysis treatment at home.

  • This could either be peritoneal dialysis at home or home hemodialysis.

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What is nocturnal dialysis?

Patients can undergo 8-10 hours of dialysis at nighttime 3 times a week at a dialysis center. This is usually done at a dialysis center.

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