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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Ill Health And Loss Of Appetite Post Dialysis?

hi, my mother-in-law is on dialysis for about one year at the start of dialysis she was in good health but she is getting down and down very low energy level, loss of appetite and extreme weakness that all the time she is on the bed. she has a dialysis twice a week.i am so much worried about her can u please help me out in this regard?
posted on Fri, 14 Mar 2014
Twitter Thu, 5 May 2016 Answered on
Twitter Fri, 6 May 2016 Last reviewed on
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Gastroenterologist,  's  Response
hi
i have understood your concern

probabilities of her problems are
1.insufficient dialysis , may be she needs weekly thrice dialysis
2.anemia secondary to chronic kidney disease
3.vitamin deficiencies , during dialysis water soluble vitamins lost.
4.electrolyte imbalances like hyperphosphatemia, hypo and hypercalcemia.

i can suggest you to check
1. serum sodium,potassium,phosphate and calcium
2.hemoglobin levels

treatment
1.if hemoglobin is less than 8 gms she needs transfusion.
2.supplement her with becosules
3.depending upon serum electrolytes she needs correction
4.depending upon her volume status , acid levels and creatinine she may need weekly 3 times dialysis.
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What Causes Ill Health And Loss Of Appetite Post Dialysis?

hi i have understood your concern probabilities of her problems are 1.insufficient dialysis , may be she needs weekly thrice dialysis 2.anemia secondary to chronic kidney disease 3.vitamin deficiencies , during dialysis water soluble vitamins lost. 4.electrolyte imbalances like hyperphosphatemia, hypo and hypercalcemia. i can suggest you to check 1. serum sodium,potassium,phosphate and calcium 2.hemoglobin levels treatment 1.if hemoglobin is less than 8 gms she needs transfusion. 2.supplement her with becosules 3.depending upon serum electrolytes she needs correction 4.depending upon her volume status , acid levels and creatinine she may need weekly 3 times dialysis.