It can be performed in a hospital, dialysis center, or at home.
If left untreated, it’s a life-threatening condition.
Deciding if and when to go on dialysis is a huge, life-changing decision.
Illustration by Michela Buttignol for Verywell Health
Very sick CKD patients with stage 5 kidney failure may also receive dialysis in the intensive care unit.
Deciding Not to Go on Dialysis
For some people, the burdens of dialysis outweigh its benefits.
Everyone has a choice when deciding to go on dialysis or not to go on dialysis.
Some people choose not to do it.
After Starting Dialysis: What Happens?
Although there are commonalities, responses to dialysis are varied and heterogeneous.
Every person’s experience will be unique.
Typically, dialysis will take place three times per week.
It’s common to feel wiped out after the dialysis session.
Consider this when planning your transportation to and from the dialysis center.
You might be too tired or light-headed to drive immediately after the session.
Feeling lousy after treatment is sometimes referred to as a “dialysis hangover.”
Increasingly, people who have the physical and cognitive capacity to self-administer peritoneal dialysis at home choose this option.
Logistically, not having to drive to a dialysis center makes home PD much more convenient and saves time.
People can be on dialysis for many years.
How to Manage Dialysis-Related Effects
Every person will experience slightly different dialysis-related side effects.
Others don’t feel cold during ICHD.
Itchy skin is another side effect experienced by many.
The causes ofitching in dialysis patientsare complex, and it can be tricky to treat.
Maintaining a healthy skin barrier with asuitable moisturizermay help alleviate pruritus.
In some instances, the use ofantihistaminesprovide relief.
Renal social workers also act as administrative assistants who can help with financial and insurance-related issues.
Summary
The kidneys filter and clean blood.
If the kidneys stop working, dialysis performs these functions.
Although dialysis can extend someone’s life for many years, it isn’t easy.
Some people choose not to have dialysis if they’re older or don’t qualify for a kidney transplant.
There are different types of dialysis and ways to receive treatment.
If someone has advanced chronic kidney disease, it’s wise to start making dialysis decisions before kidney failure.
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