Dialysis, Internal Medicine FAQ

Can Kidney Disease Patients Safely Conceive and Have Children?

Can a patient with kidney disease become pregnant? Can kidney patients become pregnant? My daughter underwent dialysis for three years and has had a kidney transplant for fourteen years now. Her creatinine levels fluctuate, currently maintaining around 3 to 4 mg/dL. Is it possibl...

Dr. Wang Weijie Reply:
Dear Ms. Wang, Hello. Women who have successfully undergone kidney transplantation can often regain normal reproductive function, provided that their kidney function is stable, there is no rejection of the transplanted kidney, no proteinuria, no hypertension, and that immunosupp...

Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?

The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....

Dr. Wu Jiyu Reply:
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...

Understanding Diabetic Complications: Dialysis and Its Impact

Complications caused by diabetes? Hello Doctor: My friend is 56 years old and was diagnosed with uremia caused by diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialys...

Dr. Wu Jiyu Reply:
Q: Will vomiting symptoms decrease after starting dialysis due to uremia caused by diabetes? A: Vomiting is one of the symptoms of uremia, and it should improve after starting dialysis. Q: How long can he maintain his life after starting dialysis? A: If he cooperates well ...

Understanding Nighttime Chest Pain: Causes and Solutions

Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...

Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...

Understanding Thigh Pain in Diabetic Patients on Dialysis

Thigh bone pain may be caused by dialysis or diabetes? Hello Doctor: I have had diabetes for 40 years and have been on dialysis for 6 years. Currently, I am troubled by thigh bone pain, which makes walking difficult, and I am unsure of the cause. Rehabilitation and electrical the...

Dr. Lin Shunfa Reply:
1. The text does not describe the dialysis situation, such as whether there were any discomfort symptoms during dialysis, low blood pressure, cramps, etc., so it may not be possible to determine if there is a direct correlation with dialysis. It is recommended that you consult yo...

Understanding Uremia: Can Diabetes-Induced Kidney Failure Be Reversed?

Uremia? Hello Doctor: My friend is 56 years old and has been diagnosed with uremia due to diabetes. If she manages to control her condition well, can she recover? Or is uremia a lifelong affliction? Is it considered a terminal illness? How much longer can she expect to live? What...

Dr. Wu Jiyu Reply:
1. If managed well, can it be cured? If it has progressed to uremia, please face the reality that it is not possible to cure it. The only option is to cooperate well with your physician and choose appropriate renal replacement therapy (hemodialysis, peritoneal dialysis, or kidney...

Understanding Diabetic Uremia: Symptoms, Treatment, and Prognosis

Uremia..? Hello: I would like to ask if it is normal to vomit continuously due to uremia caused by diabetes? The doctor said that if there is no improvement, dialysis will be necessary. Can uremia be cured? Can uremia be fatal?

Dr. Wu Jiyu Reply:
Before answering, I would like to ask a question: Do you or your family member have uremia? Regardless, please ensure that you or your family member (or friend) consult a nephrologist as soon as possible. First, uremia (regardless of whether it is caused by diabetes) can lead to ...

Is Ionized Water Safe for Dialysis Patients with Diabetes?

Is it suitable for dialysis patients to drink ionized water? I would like to ask if my mother, who is a diabetic patient and currently undergoing dialysis, can drink alkaline water. Will it cause electrolyte imbalance or have any adverse effects on her body?

Dr. Wu Jiyu Reply:
You can consider "negative ion water" as regular water, because your mother is undergoing dialysis and has diabetes. Generally speaking, patients on dialysis tend to require the removal of more fluid (as fluid can accumulate easily), so fluid intake needs to be carefull...

Understanding Bilateral Renal Cysts: Concerns and Management Options

Bilateral renal cysts? Hello, Doctor. Around May, I underwent a health check-up due to frequent feelings of dizziness and lack of energy. An abdominal ultrasound revealed "bilateral renal cysts" and a "right lobe liver mass." Initially, my family medicine phys...

Dr. Wu Jiyu Reply:
Dear Tesuia: Based on your description (both kidneys are filled with various sizes of cysts), it is possible that you have "hereditary polycystic kidney disease." Fortunately, your blood test results for kidney function are normal, and the urine protein test is (±) pend...

Impact of Dialysis Timing on Post-Surgery Outcomes in Brain Injury Patients

Dialysis patients A friend underwent brain surgery due to a fall that caused intracranial hemorrhage. The surgery was performed on the same day as dialysis, and later that evening, there was a need for an emergency surgery due to recurrent intracranial bleeding. Is there a connec...

Dr. Wang Weijie Reply:
Dear Ah Hua, Hello, the normal surgical procedure involves dialysis the day before the surgery and again the day after the surgery. In case of an emergency, consultation with both the surgical and nephrology specialists is necessary. According to the latest international guideli...

Best Soups for Managing Edema in Chronic Kidney Disease Patients

Patients with chronic kidney failure should avoid beverages that promote fluid retention? Hello, my mother is 76 years old and currently diagnosed with chronic kidney failure, type 2 diabetes, hyperkalemia, and essential hypertension. We have prepared a fistula for dialysis since...

Dr. Wu Jiyu Reply:
1. There is currently no medical evidence supporting the use of bamboo leaves to make bottle gourd soup, or the use of winter melon or red beans for boiling water. 2. Based on your description, your aunt is likely approaching the need for dialysis. At this stage, controlling flu...

Emergency Measures for Dialysis Patients Facing Acute Pulmonary Edema

Patient with kidney failure dies during emergency dialysis? Hello Dr. Huang: A friend of mine missed their scheduled dialysis on Monday due to work commitments. After finishing work the next day, they felt unwell and went to the hospital for emergency dialysis. Upon arrival, whil...

Dr. Huang Yaoxuan Reply:
1. For patients experiencing dyspnea (most dialysis patients typically present with acute pulmonary edema), if they are nearing respiratory failure, intubation may be considered, along with the use of a ventilator to assist with breathing (this is a theoretical scenario). However...

How Long After Dialysis Do Patients Typically Stop Urinating?

In general, how long after dialysis do patients with kidney failure stop producing urine? If a family member is undergoing dialysis, I would like to ask how long it typically takes for a person to stop urinating after starting dialysis.

Dr. Wu Jiyu Reply:
This issue involves "residual kidney function," and there is no standard answer. 1. If the residual kidney function is only 2 or 3 points at the beginning, the urine output may be less than 200 cc. 2. Generally, peritoneal dialysis tends to preserve more residual kidney...

Understanding Complications After Peritoneal Dialysis Surgery

Postoperative Recovery After Peritoneal Dialysis Surgery Dear Dr. Yang, My father has been undergoing peritoneal dialysis for over a year. Recently, due to some exposure of the dialysis catheter, the doctor recommended a surgical procedure to fix the catheter. We initially thoug...

Dr. Yang Zhongwei Reply:
Hello: Exposed tubing can easily lead to infections, and it should be reconstructed. As for the infections, stroke, ulcers, and intubation you mentioned, I cannot comment on your father's condition since I am not present. I apologize for that! I sincerely wish your father a ...

Is Hospital Dialysis an Option for Patients with Limited Mobility?

Inpatient dialysis? My father has difficulty moving his lower body due to a hip fracture and also requires dialysis. Is it possible to arrange for him to be hospitalized for dialysis to alleviate the discomfort of being moved?

Dr. Yang Zhongwei Reply:
Hello: An acute hip fracture requires hospitalization for evaluation to determine whether surgery is necessary. Therefore, if this is an acute issue, we can collaborate with the orthopedic department for joint treatment. Please bring your father to our hospital for an orthopedic ...

Concerns About Kidney Health: Understanding Atrophy and Function Tests

Concerned about needing dialysis? I underwent an ultrasound examination in 1999, which revealed left kidney atrophy. I have been having regular health check-ups every two years, and my left kidney measures approximately 6 centimeters. I have also had detailed examinations at a ma...

Dr. Yang Zhongwei Reply:
Hello: 1. A person only needs one normal kidney to manage bodily functions, so in your case, even though only the right kidney is functioning normally, your blood test results for kidney function and urinalysis are normal. 2. The presence of foam in the urine without proteinuria ...

Managing Peritoneal Dialysis-Related Peritonitis: A Patient's Journey

Peritoneal dialysis-associated peritonitis Hello Dr. Yang, About six years ago, I started peritoneal dialysis due to chronic kidney failure. The past six years have gone quite smoothly, and I have been very attentive to cleanliness and hygiene. However, at the end of last year,...

Dr. Yang Zhongwei Reply:
Hello: The biggest enemy of peritoneal dialysis (PD) is peritonitis. Generally, it can be resolved with antibiotic infusion treatment; however, there are certain situations where catheter removal and conversion to hemodialysis (HD) are necessary. For instance, in cases of fungal ...

Can You Get HIV or Hepatitis from a Barber's Razor?

Will this lead to an HIV infection? Dear Doctor, when I went to get a haircut, the barber used a razor to shave the sideburns after cutting my hair. Although I did not see any visible bleeding, I am worried about the possibility of infection if the previous customer had HIV or he...

Dr. Xiao Yongxun Reply:
Hello: According to past statistics in our country, prior to the initiation of hepatitis B vaccination, the rate of exposure to hepatitis B infection was approximately 25% to 30% in preschool-aged children; about 50% to 60% in individuals aged 10 to 20 years; around 80% in those ...

Understanding Kidney Health: Tests, Symptoms, and Vitamin Concerns

Kidney problems Hello: 1. What tests should be performed to diagnose all types of kidney diseases? 2. My urine has foam and it takes a long time to dissipate. My parents say they also have foamy urine. Does foamy urine indicate the presence of proteinuria? 3. Is it true that ex...

Dr. Wang Weijie Reply:
The symptoms of primary kidney disease can be detected through urine screening. Urinalysis can reveal signs of kidney damage by checking for proteinuria, hematuria, red blood cells, white blood cells, and ketones. If you have concerns, you can visit relevant hospitals, clinics, o...

Long-Term Medication: Risks, Kidney Health, and Dietary Tips

The medication I am taking? Hello: Thank you for your clarification. I would like to ask the following questions: 1. What is the reason that long-term medication use may lead to dialysis? 2. I am currently taking PROZAC and ZOPICLONE, both of which are medications that need to ...

Dr. Wang Weijie Reply:
1. Long-term medication use may lead to dialysis; what are the reasons for this? The mechanisms by which drugs can impair kidney function include several factors. First, medications can alter the pressure of glomerular perfusion, such as certain antihypertensive drugs or non-ster...

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