Beyond the Myths_ Understanding the Realities of Dialysis

Dialysis is a life-saving treatment for individuals with chronic kidney disease (CKD) or kidney failure, providing an essential function by removing waste and excess fluids from the blood.

Despite its critical role, many misconceptions surround dialysis, often causing unnecessary fear or confusion.

 In this blog, we aim to demystify and clear the misconceptions around dialysis, offering a clear understanding of what it involves, addressing common myths, and providing practical insights into the realities of living with dialysis.

What is Dialysis process?

Dialysis is a medical treatment that replicates some functions of the kidneys when they are no longer able to perform adequately. It is typically required when a person’s kidney function drops to 10-15% of normal.

When is dialysis required?

Dialysis is required when a person’s kidneys are no longer able to effectively filter waste, excess fluids, and toxins from the blood, typically due to chronic kidney disease (CKD) or acute kidney failure. It becomes necessary when kidney function drops to around 10-15% of normal, often indicated by symptoms such as severe fatigue, swelling, nausea, or difficulty breathing.

What creatinine levels need dialysis?

Dialysis is typically considered when creatinine levels are significantly elevated, usually starting from 5.0 mg/dL or higher. However, it should be noted that the decision to start dialysis is not based solely on creatinine levels. It also depends on other factors, such as overall kidney function, symptoms of kidney failure (like fatigue, fluid retention, or difficulty breathing), and the patient’s overall health. Doctors assess these factors together to determine the appropriate timing for dialysis.

Is dialysis painful and invasive?

Some fear that dialysis is a painful process. While the procedure involves needles or catheters, advancements in medical technology and techniques have made the experience much more comfortable. Pain management and numbing creams are available, and most patients adapt to the sensation over time. Moreover, dialysis can be customised to the patient’s lifestyle and comfort, particularly with options like home dialysis.

Can you eat or drink normally while on dialysis?

Dietary restrictions are a normal reality for dialysis patients, but they are not as prohibitive as many think. The restrictions are mainly to prevent complications like fluid overload or elevated potassium levels, which the kidneys cannot regulate effectively. With the guidance of a renal dietitian, patients can still enjoy a varied and satisfying diet, including many of their favourite foods in moderation.

Can dialysis patients travel?

Travel is possible for dialysis patients, though it requires more planning. Many dialysis centres worldwide accept transient patients, allowing individuals to continue their treatment while travelling. Peritoneal dialysis offers even greater flexibility, as it can be performed in a variety of settings with proper hygiene and equipment. Planning ahead and working with healthcare providers can ensure that travel remains a part of life for dialysis patients.

Is Dialysis Only for the Elderly?

While kidney disease is more common in older adults, dialysis is not exclusive to the elderly. It is a treatment for anyone with severe kidney disease, regardless of age. In fact, younger patients often do well with dialysis and can maintain a good quality of life, including managing work, education, and social activities.

The Realities of Living with Dialysis

Coming into terms to living with dialysis can be hard, but it can be managed if you are committed to making it a regular part of your life.

Dialysis requires regular treatment sessions—typically three times a week for hemodialysis, each lasting about four hours. Peritoneal dialysis often requires daily exchanges. This new routine can be challenging at first, but most patients find ways to integrate it into their lives. Support from healthcare providers, family, and friends plays a crucial role in this adjustment period, so make sure to support your loved ones in any way possible, be it driving them to appointments or showering with love and care.

A person undergoing dialysis might need help as they undergo a major period of adjustments in their lives.

 Physical and Emotional Adjustments

Dialysis can bring about physical changes, such as fatigue, changes in skin tone, or weight fluctuations. It’s essential to communicate openly with healthcare providers about any symptoms to manage them effectively. Emotionally, the diagnosis and treatment can be overwhelming, leading to feelings of anxiety or depression. Support groups, counselling, and open communication with loved ones can help manage these emotions.

 Financial Considerations

Dialysis can be expensive, but insurance and government programs often cover a significant portion of the costs. Patients should work closely with social workers or financial advisors within their treatment centres to understand their benefits and explore all available financial aid options.

Long-Term Health Management

Beyond regular dialysis, patients must manage their overall health vigilantly. This includes controlling blood pressure, managing diabetes (if present), and adhering to dietary and fluid restrictions. Regular check-ups and monitoring for other health issues, such as cardiovascular disease, are critical, as dialysis patients are at higher risk for these conditions.

Dialysis, while a significant medical treatment, is not the limiting factor it is often perceived to be. With advancements in medical care and patient support, individuals on dialysis can lead fulfilling, active lives. 

If you’re seeking any services related to dialysis, please reach out to us. As one of the best dialysis hospitals in Chennai, we seek to provide a comfortable and comprehensive care to all our dialysis patients.