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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Albumin Levels While On Hemodialysis?

thanks. I am in fifth decade of hemodialysis. broke hip 2012, had bad cdif after they gave me cephalexin ost surgery, albumin dropped from 4.8 to 4 and 3.9. about 3 months ago alb. dropped to 3.6 then 3.3. they gave me novasource renal, 3 per wk., alb back to 3.6. I also have sec. amyloidosis. any ideas such as poisonng maybe by dialyzer sterilants not cleaned out damaging liver? sorry, I cant pay now as I am between credit cards - had to cancel and request new one - and have not received new card. maybe I can revisit you later, thanks.
Thu, 12 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As far as i know, hemodialysis doesn't cause decrease in albumin level. As you had mentioned that you are suffering from amyloidosis, then it can be the culprit if it has affected your liver. The cause for this should be find out by taking proper history, examination and investigations. And you should talk about this with your nephrologist who is doing dialysis and also with hepatologist or gastroenterologist.

Hope I have answered your query.
Let me know if I can assist you further.
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What Causes Low Albumin Levels While On Hemodialysis?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As far as i know, hemodialysis doesn t cause decrease in albumin level. As you had mentioned that you are suffering from amyloidosis, then it can be the culprit if it has affected your liver. The cause for this should be find out by taking proper history, examination and investigations. And you should talk about this with your nephrologist who is doing dialysis and also with hepatologist or gastroenterologist. Hope I have answered your query. Let me know if I can assist you further.