What s the deal with headaches after dialysis 30

Headache after dialysis Consider the following reasons: high blood pressure, after dialysis of some antihypertensive drug ingredients, it causes high blood pressure! Low blood pressure rarely causes headaches and can cause weakness or dizziness rather than pain. The other is dialysis imbalance syndrome.

1.Dialysis patients have unstable blood pressure, which is generally high, which may be caused by high blood pressure, and it is recommended to take antihypertensive drugs as prescribed.

2.Patients with high creatinine, dialysis blood flow is too fast, toxins are removed too quickly (dialysis is generally 4 hours at a time in China), dialysis imbalance syndrome, as if people are on the plateau before dialysis, and people will feel uncomfortable if they are on the plain after dialysis.

3.Low blood pressure, sugar will be filtered during dialysis, and the body's blood sugar will be lowered, and low blood pressure will also cause headaches.

4.Psychological factors or poor rest.

It may be a problem of low blood pressure, you can measure it and see if it is low, you should not take blood pressure medication before each dialysis.

If your blood pressure is normal, you should consider the following possible medications, which you should look at one by one the instructions of the medicines you are taking;

The emergency solution is to eat a little headache powder. Don't eat too much, though.

Temporary discomfort is normal, on the one hand, it is related to blood pressure, but it may also be a psychological factor.

Sometimes it's psychological, just sleep and rest.

Hello, how high is the patient's creatinine now, and how long has he been on dialysis?

Headaches occur in 5% of dialysis, and most of the causes are unknown, but the common causes are:

1. Imbalance syndrome.

Dialysis-related syndromes with predominantly neurological symptoms occur in the middle or late stages of dialysis or shortly after dialysis. Adequate and reasonable induction of dialysis is an important measure to reduce imbalance syndrome.

2. High blood pressure.

Headaches caused by increased blood pressure during dialysis. The incidence is not high, but the cause is unclear and stubborn and difficult to manage. Sublingual alternating administration of Kaibotong and heartache is effective for mild to moderate hypertension.

Nitroprusside or phentolamine can be used for refractory hypertension, or sedatives such as diazepam 10 mg intramuscularly. For severe hypertension, if the blood pressure cannot be lowered after treatment, dialysis should be discontinued, and the blood pressure will gradually return to normal after the discontinuation.

3. Hard water syndrome.

It is due to acute hypercalcemia or hypermagnesemia that occurs when dialysis with hard water. The clinical manifestations are severe headache, nausea, vomiting, general warmth, itching and redness, dyspnea, precordial pressure, slow pulse, mild hypertension, and even convulsions. A hard water test is routinely done before dialysis, and if symptoms develop, dialysis should not be performed.

If it occurs after dialysis, there is no need to treat it, because hypercalcemia resolves within 24 to 48 hours.

4. Intracranial hemorrhage.

Dialysis patients often have hypertension and cerebral arteriosclerosis, and there is a corresponding increase in intracranial hemorrhage, and sudden increases in blood pressure, overdose of anticoagulants, or minor trauma may be the cause of bleeding. Cerebrovascular accident in patients with polycystic kidney disease, which may result from a ruptured cerebral aneurysm. Treatment: Dialysis was stopped, protamine was given, and temporary peritoneal dialysis was performed to control severe hypertension.

In addition, patients with subdural hematoma and cerebral embolism can have headache, and attention should be paid to differentiating them.

5. Hemolysis. Acute hemolysis can be caused by high dialysate temperature (40), malfunction of the machine's dialysate monitoring device, and accidental transfusion of atypic blood. The clinical manifestations are pain and discomfort along the puncture vein, blood pressure drop, headache, low back pain, precordial pain, cerebral convulsions, purple urine, etc., and dialysis should be stopped immediately. After hemolysis, the blood in the dialyzer and the tube should not be transfused back into the body, and fresh blood should be transfused.

Take care to correct hyperkalemia.

6. Acetate intolerance.

For patients who are intolerant to acetate, dialysis with sodium bicarbonate dialysate can be switched.

There are many causes of headaches, one is kidney dysfunction, high blood potassium, high uric acid, and high creatinine. The second is hypertension and cerebral vasospasm, and the third is the symptoms of vascular neuropathic headache, treatment, one is active ** uremia, and the other is to control blood pressure within the normal range

This situation is also the dialysis syndrome, there is a situation accompanied by anemia, there is guidance that you can check the blood routine, and you also need to pay attention to protein intake, followed by the symptoms**.

Many hemodialysis patients have headache symptoms, why is this, the causes of hemodialysis headache are: 1. High blood pressure can cause headache due to increased blood pressure during dialysis. Sublingual administration of *ding, Kaibotong and so on are effective for moderate hypertension, for refractory hypertension can be used nitroprusside intravenous infusion, severe hypertension after treatment of blood pressure can not be reduced, dialysis should be terminated, after the termination of blood pressure can gradually return to normal, later can be changed to hemofiltration or hemodiafiltration;

2. Intracranial hemorrhage.

Dialysis patients often have hypertension and cerebral arteriosclerosis, and the number of cases of intracranial hemorrhage increases due to the use of heparin during dialysis, and a sudden increase in blood pressure, excessive use of anticoagulants, or minor trauma may be the cause of bleeding. Cerebrovascular accidents in patients with polycystic kidney disease are most likely due to a ruptured cerebral aneurysm. In addition, patients with subdural hematoma and cerebral embolism can have headache, and attention should be paid to identification and timely imaging examinations such as head CT.

3. Imbalance syndrome.

It tends to occur in patients who have just started dialysis** and is a dialysis-related syndrome with predominantly neurological symptoms that develops during or shortly after dialysis. Fair induction dialysis is an important measure to reduce imbalance syndrome; Improving the sodium concentration of the dialysate, or dropping hypertonic glucose solution and normal saline during the dialysis process are all effective methods;

4. Other reasons.

Headaches can also occur during dialysis, acetate intolerance, and hard water syndrome. Correspondent: Zhao Yanjun, Jinzhou Hospital of Traditional Chinese Medicine (Jinzhou Disan Hospital).

Some patients have headaches in the late stage of dialysis or after dialysis, which is mostly caused by imbalance syndrome and hypertension, often occurring in dialysis patients in the induction period, excessive weight gain and patients who cannot come to dialysis on time, this is due to the uniform distribution of urea in the blood before dialysis, because the urea outside the dialysis cell is generally removed faster than the urea in the cell, resulting in unbalanced urea concentration, the intracellular osmotic pressure is higher than that of the extracellular, and the extracellular water enters the cell causing cell edema, and the patient may have headache, nausea, fatigue, Irritability, increased blood pressure, and in severe cases, mental disorders and lethargy. In most patients, it resolves with sleep.

Prevention: Mainly control blood pressure between dialysis sessions, dialysis on time, and limit salt consumption.

Some patients have headaches in the late stage of dialysis or after dialysis, which is mostly caused by imbalance syndrome and hypertension, often occurs in dialysis patients in the induction period, excessive weight gain and patients who cannot come to dialysis on time, this is due to the uniform distribution of urea in the blood before dialysis, because the urea outside the dialysis cells are generally removed faster than the urea in the cells, resulting in unbalanced urea concentration, the intracellular osmotic pressure is higher than that of the extracellular, and the extracellular water enters the cells to cause cell edema. Fatigue, irritability, increased blood pressure, and in severe cases, mental disorders and lethargy. Most patients are relieved by sleep tolerance.

Cave prevention: mainly to control blood pressure between dialysis sessions, dialysis on time, and salt restriction.

The answer is supplemented. Hehe.

What do you think. It's okay.