Dialysis patients, what s going on with the gas?

Dialysis patients are unable to breathe at night, which may be due to insufficient dialysis and failure to control diet and water intake during dialysis, resulting in excessive water load in the body and causing heart failure. In addition, a sudden increase in blood pressure may also cause shortness of breath at night.

1. Insufficient dialysis: general hemodialysis needs to be carried out 3 times a week, 4 hours each time, peritoneal dialysis is replaced with 3-4 bags of dialysate every day, each time the abdomen is 5-6 hours, if the dry body weight cannot be maintained during dialysis, it refers to the weight of water under normal balance conditions, such as failure to control food and water intake as required, causing weight gain, excessive water load in the body, causing heart failure, especially acute left heart failure, there will be a situation of not being able to breathe at night, this situation requires urgent intensive dialysis dehydration** ；

2. Sudden increase in blood pressure: Most dialysis patients have hypertension, if the blood pressure is not well controlled, there is a hypertensive crisis or hypertensive emergency at night, and acute heart failure may also occur due to afterload, and then clinical symptoms such as dyspnea, orthopnea, and breathlessness. At this time, blood pressure should be lowered**, diuretics such as furosemide, indapamide, etc., such as furosemide, indapamide, etc., should be used under the guidance of a doctor, and dialysis can also be intensified** if symptoms are not relieved.

Dialysis patients have many comorbidities, so they should undergo dialysis regularly, strictly control their diet, achieve a dynamic balance between the amount of intake and the amount of discharge, measure their weight every day, and keep their dry weight stable. Dialysis patients with complications such as hypertension and anemia should take medication on time, control blood pressure within the normal range, and actively correct anemia.

There are many reasons why patients may lose breath after dialysis, and the most common cause may be related to heart failure. Because many patients have dialysis, their blood pressure is very high, resulting in excessive pressure on the heart, acute heart failure, and they feel difficulty breathing and chest tightness.

In addition, if the patient has allergies during dialysis, it will cause bronchospasm and asthma, which is also the cause of the patient's breathlessness.

Of course, the rare cause is air embolism, which is because in the process of blood return, if the operation is not done properly, the air in the blood tube will enter the human body. In view of these symptoms of patients, they must be hospitalized for observation, oxygen and drugs are symptomatic**, and it is recommended to do electrocardiogram, blood drawing, cardiac enzyme spectrum, etc.

Dialysis patients may be out of breath because of heart failure.

After dialysis, many patients have very high blood pressure, which leads to excessive pressure on the heart, resulting in acute heart failure, difficulty breathing, and chest tightness. During dialysis, if the patient has an allergic reaction, it can also cause bronchospasm and asthma, which is also the reason why the patient cannot breathe.

If the process of blood return is not done properly, air from the blood ducts can enter the body, and for these symptoms, the patient must be hospitalized for observation, oxygen and medication**.

Hemodialysis can filter excess water in the body, patients drink too much water, the kidneys have a reduced ability to drain water, and can only be eliminated by dialysis, but excessive water loss will cause blood pressure fluctuations during dialysis. Therefore, patients should control the amount of water intake, and the key to controlling water intake is to control salt intake, and if salt intake is reduced, the water will be less water; Excessive salt intake, if food is too salty, it can cause thirst, and too much water intake. Therefore, it is recommended that patients limit salt intake, and at the same time eat less foods with high water content such as porridge and noodles, and should mainly eat dry foods.

m***Q 2012-10-05 20:21:16Description of the condition (onset time, main symptoms, hospital, etc.):

Male 49 years old, peritoneal dialysis for 5 months, has not been very good appetite, recently the stomach always has gas pain, always feel that there is gas in the intestines can not come out, sometimes it hurts, a pain is terrible, and then the peritoneal dialysis fluid is not smooth, and then I went to the hospital to say that it is peritonitis, in the hospital peritoneal dialysis is not smooth, the doctor recommended to do hemodialysis first, while taking anti-inflammatory injections, hemodialysis has been done 2 times, now peritoneal dialysis can go in and out, but the stomach still sometimes hurts, peritoneal dialysis is red, and now the back often hurts, One night is either back pain or stomach pain, Dr. Zhang Kun A 2012-10-09 21:29:50Hello, if you have been diagnosed with peritonitis before, and you still have abdominal pain, it is recommended to recheck the peritoneal dialysis routine to determine whether the peritonitis infection has been effectively controlled (you can improve the peritoneal dialysis related examinations), usually peritonitis infection requires intraperitoneal medication**.

In addition, abdominal pain can be caused by gastrointestinal disorders, catheter displacement, and improper air ingress, and abdominal ultrasound or CT is recommended. The doctor solemnly reminds that because the patient cannot be seen face-to-face and cannot fully understand the condition, the doctor's advice is for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor!

Kidney damage occurs when the kidneys are violently attacked. Kidney damage is more common in men than in women. Kidney injury is often accompanied by symptoms such as shock, hemorrhage, and hematuria.

Hello, this situation considers that there may be more fluid in the body. Guidance: Do you usually have infusions, it is recommended to enter less water next time you are on dialysis.

If you usually have infusions, it is recommended to reduce the amount of infusions and wish you good health.

If you insist on dialysis, you can still live for a long time, but it requires a lot of money to ensure it, and basically no one can "stick to dialysis" forever. Some patients can be on dialysis for more than 10 years or even 20 years. Coagulation in the dialysis tubing often begins at the venous strainer, which blocks the pores of the strainer due to the precipitation of fibers in the blood for a variety of reasons, so that the blood gradually coagulates, and in severe cases, it can spread to the entire dialysis tubing.

Analysis: Considered to be a manifestation of poor heart function. There may be problems such as qi stagnation and blood stasis, phlegm and dampness blockage, and cold blockage.

Guidance: Send a copy of the tongue to take a look. You can consider asking a Chinese medicine doctor to take a look and choose traditional Chinese medicine such as Xuefu Zhuyu Soup, Gua Pickle Bai Banxia Soup, Lizhong Soup, etc.

The kidneys are protected by the spine, ribs, abdominal organs and muscles, and are generally not susceptible to injury, but they are only susceptible to injury when they are injured by a violent blow to the kidney area or when the kidney itself is diseased. Kidney injury is more common in young men and is related to factors such as occupational and physical activity. Causes of chest tightness and breathlessness in uremia patients will have a great disadvantage for the patient, for example, the patient will not be able to lie flat when sleeping at night, and the breath holding will be aggravated

1) Uremia patients often have severe anemia. With the occurrence of severe anemia, the patient's hemoglobin can be reduced to 30 to 40 grams, due to the lack of oxygen carrying, the patient's chest tightness and breathlessness can be significantly improved after blood transfusion.

2) In uremic pericarditis, especially when cardiac tamponade occurs, chest tightness and breathlessness are aggravated, and it is basically impossible to lie flat at night, and pericarditis can disappear after dialysis.

3) When uremia patients have lung infection, on the one hand, the function of lung ventilation is limited, and on the other hand, heart failure can be induced, and the combination of these two factors can cause chest tightness and breathlessness. The patient's infection can be detected by blood count, temperature, upper respiratory symptoms, and chest x-ray. After active anti-infection, chest tightness and breathlessness can be significantly improved.

4) Heart failure, especially acute heart failure, occurs acutely and the level of chest tightness and breathlessness occurs acutely and is severe. The common predisposing factor is lung infection, and too much infusion can also be induced, so active treatment of these factors and cardiac measures can alleviate chest tightness and breathlessness.