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What is Peritoneal Dialysis?

Info
Peritoneal Dialysis uses the inside lining of your own abdomen as a natural filter to clean your blood. A surgeon places a soft tube called a catheter in your abdomen. A cleansing fluid called dialysate travels through this tube into your abdomen. Wastes and extra water pass into this dialysate fluid from your blood. After several hours, you remove this fluid from your abdomen through the same tube and start the cleansing process again.
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PSRI
Peritoneal dialysis is a type of dialysis in which a membrane inside the abdomen called "peritoneal membrane" is used for the dialysis. Peritoneum is a thin membrane covering the entire wall of the abdomen and the organs inside it. It has many blood vessels. There are the organs inside it. It has many blood vessels. There are three types of peritoneal dialysis: (1) Continuos Ambulatory Peritoneal Dialysis, also called IPD. Of these, Continuous Ambulatory Peritoneal dialysis is the commonest.
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What is peritoneal dialysis and how does it work?

Adult Renal Dialysis Unit - University Health System
In this type of dialysis, your blood is cleaned inside your body. The doctor will do surgery to place a plastic tube called a catheter into your abdomen (belly) to make an access. During the treatment, your abdominal area (called the peritoneal cavity) is slowly filled with dialysate through the catheter. The blood stays in the arteries and veins that line your peritoneal cavity. Extra fluid and waste products are drawn out of your blood and into the dialysate.
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Which treatment is better, Hemodialysis or Peritoneal Dialysis?

University of Michigan Nephrology: Info for Patients
Neither is better. Several factors, including medical and lifestyle, will influence your decision-making on which treatment option is best for you. Please talk to your nephrologist, social worker, and/or a peer mentor to help you understand the pros and cons of each treatment option.
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What are the different kinds of peritoneal dialysis and how do they work?

Adult Renal Dialysis Unit - University Health System
There are several kinds of peritoneal dialysis but two major ones are: Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cycling Peritoneal Dialysis (CCPD). Continuous Ambulatory Peritoneal Dialysis (CAPD) is the only type of peritoneal dialysis that is done without machines. You do this yourself, usually four or five times a day at home and/or at work. You put a bag of dialysate (about two quarts) into your peritoneal cavity through the catheter.
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What is peritoneal dialysis catheter manipulation?

Hemodialysis Access - Minimally Invasive Surgical Solutions ...
Peritoneal dialysis is performed through a tube passing through the abdominal wall into the abdominal cavity. Occasionally, when this tube becomes blocked or malfunctions, an interventional radiologist can reposition the tube to restore function, without removing or replacing the tube. In this outpatient procedure, a wire is passed through the tube under X-ray guidance and the tube repositioned into a better location within the abdomen.
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Is home dialysis, either peritoneal or hemodialysis, an option for me?

Wisconsin Dialysis, Inc.
Home dialysis candidates are very independent and motivated toward self-care. With that as a basis, home dialysis is an option as long as the patient's medical conditions, family support and physical home environment are appropriate for this therapy.
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How do I know which type of peritoneal dialysis is right for me?

Hemodialysis Access - Minimally Invasive Surgical Solutions ...
The best type of peritoneal dialysis for you depends on a number of factors, including your health history. Your doctor will recommend one of three types of peritoneal dialysis for you. Continuous ambulatory peritoneal dialysis (CAPD) is the most common type of peritoneal dialysis. In CAPD a solution from a plastic bag enters the abdomen through a catheter. After about four to six hours the solution is drained out of the abdomen back into the bag, and replaced with fresh solution.
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Why is Nocturnal Home Haemodialysis (NHHD) different to Automated Peritoneal Dialysis (APD)?

FAQ's
In Australia, about 25% of all dialysis patients are on peritoneal dialysis (PD) and 75% on haemodialysis (HD). My own unit has some 30 PD and 110 HD patients and closely approximates the average national 'split' quite closely. About ? of our PD patients are on automated peritoneal dialysis (APD) using Baxter Home Choice 2 machines while the other ? use continuous ambulatory peritoneal dialysis (CAPD), doing manual through-the-day 'bag exchanges'. Do not, however, confuse the two techniques.
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What is Peritoneal Carcinomatosis?

PMP Awareness - FAQ
The spread of multiple tumors on the surfaces and linings of the abdomen and/or abdominal organs. A primary source of the tumors could be the intestines, colon, stomach, pancreas, appendix, or ovaries.
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For more information about dialysis, see: Which type of dialysis should I have?

Chronic Kidney Disease, SVCMC; New York NY
Kidney transplant is often a better treatment option for kidney failure because it may allow you to live a fairly normal life. But there are some drawbacks: If no one you know can donate a kidney, the wait for a transplant may be long. You will probably need to have dialysis while you wait for a kidney. It may be difficult to find a good match for your blood and tissue types. Sometimes, even when the match is good, the body rejects the new kidney.
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Chronic Kidney Disease
Kidney transplant is often a better treatment option for kidney failure because it may allow you to live a fairly normal life. But there are some drawbacks: If no one you know can donate a kidney, the wait for a transplant may be long. You will probably need to have dialysis while you wait for a kidney. It may be difficult to find a good match for your blood and tissue types. Sometimes, even when the match is good, the body rejects the new kidney.
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Can I travel on dialysis?

University of Michigan Nephrology: Info for Patients
Yes. Please tell your social worker. We will need at least 30 days notice for Hemodialysis and Peritoneal Dialysis.
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Can I swim on dialysis?

University of Michigan Nephrology: Info for Patients
Possibly. This will depend on several factors. Please discuss your particular situation with your renal team.
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When is Dialysis Needed?

National Kidney Foundation of Michigan: Learn More - Frequen...
You need dialysis when you develop end stage kidney failure-usually by the time you lose about 85 to 90 percent of your kidney function.
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What Does Dialysis Do?

National Kidney Foundation of Michigan: Learn More - Frequen...
Like healthy kidneys, dialysis keeps your body in balance. Dialysis does the following: Removes waste, salt and extra water to prevent them from building up in the body; keeps a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate; helps to control blood pressure.
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What type of dialysis should I have?

Chronic Kidney Disease, SVCMC; New York NY
The cause of chronic kidney disease is not always known. But any condition or disease that damages blood vessels or other structures in the kidneys can lead to kidney disease. The most common causes of chronic kidney disease are: Diabetes. Diabetes causes about 35% of all chronic kidney disease. High blood sugar levels caused by diabetes damage blood vessels in the kidneys. If the blood sugar level remains high, this damage gradually reduces the function of the kidneys.
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Is dialysis uncomfortable?

Adult Renal Dialysis Unit - University Health System
You may have some discomfort when the needles are put into your fistula or graft, but most patients have no other problems. The dialysis treatment itself is painless. However, some patients may have a drop in their blood pressure. If this happens, you may feel sick to your stomach, vomit, have a headache or cramps. With frequent treatments, those problems usually go away. Back to top
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Is dialysis expensive?

Adult Renal Dialysis Unit - University Health System
Yes. Dialysis costs a lot of money. However, the federal government pays 80 percent of all dialysis costs for most patients. Private health insurance or state medical aid also help with the costs. Back to top
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Who needs dialysis?

Thoratec - Patients & Families: Vectra VAG
More than 220,000 Americans receive ongoing dialysis with approximately 87% of those receiving hemodialysis. Events leading up to the need for dialysis include loss of kidneys due to birth defects, injury or diseases such as diabetes and high blood pressure.
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How is Peritoneal Carcinomatosis Treated?

PMP Awareness - FAQ
The treatment for peritoneal carcinamatosis is pretty much the same as that for PMP (see PMP treatment). The approach uses cytoreductive surgery which includes the removal of visible tumor and affected non-essential organs within the abdomen and pelvis. Then the peritoneal cavity is flooded with chemotherapy solution in an attempt to eradicate residual disease. The surgery may or may not be preceded or followed with intravenous chemotherapy
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What is Peritoneal Mesothelioma?

Cancer Sitemap | Advice-Articles.com
How Sweet It Isn't: Cancer Expert Keith Block, MD, Advises Avoiding Artificial Sweetener Aspartame
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What is a peritoneal catheter?

Hemodialysis Access - Minimally Invasive Surgical Solutions ...
Before you can begin peritoneal dialysis, you must have a special tube (catheter) placed in your abdomen so that dialysate solution can flow into and out of your abdominal cavity. If possible, the catheter should be placed at least 10 to 14 days before dialysis starts. Catheters often last for about three years before they need to be replaced.
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What are the symptoms of peritoneal and pleural mesothelioma?

Mesothelioma FAQ: Mesothelioma Treatment, Pleural Mesothelio...
Typically, people do not develop any mesothelioma symptoms until decades after their asbestos exposure. Symptoms of pleural mesothelioma include difficulty breathing, pain in the lower back or at the side of the chest, difficulty swallowing, and fever. Peritoneal mesothelioma symptoms include abdominal pain and gain in weight around the waist. However, both pleural and peritoneal mesothelioma symptoms may also be signs of other diseases or conditions.
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What qualifications do dialysis social workers have?

University of Michigan Nephrology: Info for Patients
We are required to have a Masters Degree in Social Work (MSW) and be licensed by the State of Michigan. It depends. Yes if you have Medicaid. Not likely if you have private health insurance. Please talk with your insurance company or your social worker.
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Will dialysis affect my ability to have a child?

University of Michigan Nephrology: Info for Patients
This is an important discussion to have with your nephrologist and social worker to explore the medical and psychosocial aspects of having a child while on dialysis.
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Will dialysis affect my work? School?

University of Michigan Nephrology: Info for Patients
It could. Your social worker can help in protecting your rights under the Americans with Disabilities Act (ADA). We can also help with education and advocacy around Family Medical Leave Act (FMLA) and vocational rehabilitation.
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