What Causes Cold Sweats, Painful Leg And Arm Spasms After Hemodialysis?

Posted on Tue, 21 Jul 2015

Question: URGENT>>>>>>>H E L P???
I'm afraid to go back to hemo dialysis, as my BP drops to 125/60 from 150/70, experience a cold sweat, severe painful spasm in leg & arm....WHAT CAN I DO OR SAY TO AVOID THIS HAPPENING????
I was told it had to do with an increase to my "DRY" weight????????????

Answered by Dr. Rakesh Madhyastha (48 minutes later)

Brief Answer:
Increasing dry weight

Detailed Answer:
Hello

Thanks for the query

It is common to have fall in blood pressure during dialysis. Your issues are not being caused by the fall in blood pressure but because of severe dehydration.

Here is what you should do

1. Increase your dry weight by a kilogram. This will prevent severe dehydration and fatigue during dialysis which is the main reason for the cramps
2. low calcium levels are known in dialysis patients which can also cause fall in blood pressure and cramps . I suggest you to take calcium supplements
3. I usually give patients l- carnitine in patients who get cramps. It helps them a lot. I suggest the same for you

I hope I was of help, if you have any further queries please get back to me

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar