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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dehydration After Peritoneal Dialysis?

My husband is on peritoneal dialysis and he has most of the symptoms for dehydration, has no muscles, he is just skin and bones. But dialysis doctors apparently do not believe there is such a thing as dehydration in a person doing dialysis. He recently went through and still is going through a long bout with diarehea. It has lasted over a five weeks, but the dialysis dr. isn t concerned about it, and the primary care dr. refers him back to the dialysis dr. He is 5/8 and is down to 130 lbs. which the dialysis drs. say is a good dry weight for him... He is slipping away and no one cares. What do I do? Even the ER bows down to the dialysis drs...
Thu, 27 Aug 2015
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your husband has got CKD(chronic kidney disease), for which, he's was on PD(peritoneal dialysis), after an initial HD(hemo-dialysis).
What you should know is that, with kidney failure, the bones do become weak, and protein loss occurs in urine(proteinuria), causing muscle weakness.
PD does cause frequency of stools and dehydration. His electrolytes will need to checked, with urea and creatinine. You may send a copy of his reports to me, for an expert opinion. Dr.Matthew Mangat.
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What Causes Dehydration After Peritoneal Dialysis?

Hello and welcome to HCM. As an Urologist, i can fully understand your concern. Your husband has got CKD(chronic kidney disease), for which, he s was on PD(peritoneal dialysis), after an initial HD(hemo-dialysis). What you should know is that, with kidney failure, the bones do become weak, and protein loss occurs in urine(proteinuria), causing muscle weakness. PD does cause frequency of stools and dehydration. His electrolytes will need to checked, with urea and creatinine. You may send a copy of his reports to me, for an expert opinion. Dr.Matthew Mangat.