Peritoneal Dialysis

Peritoneal dialysis is a type of dialysis used for treating kidney failure. Peritoneal dialysis uses the lining of your abdomen to remove waste products and excess fluids from the blood. The lining of the abdomen is called the peritoneum. This procedure uses a different method to filter waste fluids from the blood. This type of dialysis can be performed at home or at work.

Why Do I Need Peritoneal Dialysis?

Kidneys are responsible for purifying and removing waste fluids from your blood. If your kidneys are not functioning well, then dialysis is used.

Peritoneal dialysis is suitable for patients who:

  • Do not want to disrupt their daily activities
  • Wants to travel easily
  • Cannot resist changes in fluid balance related to hemodialysis

Peritoneal dialysis has several benefits over hemodialysis such as the following:

  • Flexibility in lifestyle and independence
  • No need to follow too much restricted diet
  • Kidney function lasts for a longer time than hemodialysis

How to Prepare for Peritoneal Dialysis?

To perform peritoneal dialysis, your doctor performs an operation to insert the catheter into the abdomen to perform dialysis. An anesthesia will be given to insert a catheter. The catheter tube is inserted near the bellybutton and you need to wait for a month to start peritoneal dialysis. This gives time for your catheter to heal. Your doctor will give you instructions on how to use peritoneal dialysis equipment.

How Does Peritoneal Dialysis Work?

When the procedure begins, dialysis solution is sent from the bag into your abdomen through the catheter tube. Once the bag becomes empty, it is disconnected and the catheter is closed with a cap so that you can continue your normal activities. The dialysis solution in your belly filters waste fluids and chemicals from your blood. The solution remains in your stomach for around 4 to 6 hours.

After 4 to 6 hours, waste is drained out of the belly into a sterile collection bag. The used solution can be thrown into the toilet. You need to again start the process by filling the bag with a fresh dialysis solution. The wastes are absorbed quickly when the solution is fresh. Hence, the used solution should be removed and your belly should be filled with fresh solution to absorb more waste fluids. This process of filling the belly and draining is called the exchange process. It needs to be repeated at least 4 or 5 times a day.

To ensure you get the best possible results, peritoneal dialysis should be repeated as mentioned by your doctor. You should also follow a proper diet to enhance the results of the dialysis process. The diet plan is based on your weight, health condition, and the functioning of your kidneys. You also need to use medications during the dialysis process to keep your blood pressure in control, to promote the production of red blood cells and to prevent the formation of phosphorous in your blood.

Types of Peritoneal Dialysis

Peritoneal dialysis is of two types namely:

Continuous ambulatory peritoneal dialysis (CAPD): In this method, the dialysis solution remains in your body for a prescribed time and then the fluid is drained off. It is done by hand and you need to do these exchanges 3 to 5 times a day. The exchange should also be repeated at night with longer dwell time.

Automated peritoneal dialysis or Continuous cycling peritoneal dialysis (CCPD): This process uses a machine called automated cycler to handle several exchanges at night when you sleep. The machine automatically fills your belly with a solution and is drained into a sterile bag once the scheduled time is over. To perform CCPD, a machine remains attached to you for around 12 hours at night.

Your doctor will determine the right one for you by considering various factors such as health condition, and your lifestyle.

Does Dialysis Solution in the Abdomen Cause Any Discomfort?

Dialysis solution in your abdomen will not cause any discomfort. You may have a feeling of fullness and it is normal. Your belly might get enlarged a bit as it is filled with a solution. You will not have any pain and you feel normal through your stomach is filled with the dialysis solution.

Want to Undergo Peritoneal Dialysis? Meet Nephrologists at Renown Kidney Clinic

If you or your loved one is suffering from kidney failure, Renown Kidney Clinic is your right stop. The clinic has a group of nephrologists who have performed peritoneal dialysis for several patients in Hyderabad. The nephrologists collaborate with other hospitals to perform dialysis for the patients. Before deciding on peritoneal dialysis, they will discuss with you if this process is suitable for you. To know more, call us today.