Does anyone have any tricks about what to eat before or after treatment to avoid nausea? I ALWAYS get sick...either during or after, then I'm fine the next day.I am 48 years old and diagnosed with end stage renal disease. I was dianised in mid-May,2004

Hi:
Nausaea, of course, is an issue with almost everyone with kindey failure and on dialysis.
Nausea, relux and other gastro-intestinal disorders are common.
This can be casued by a variety of issues, including iron supplements, calcium and phosphate binders.
Many people taking hemo bring something to eat(sandwich?)and drink(apple juice?) during dialysis. Others can ask the nurse for Gravol or some other mild nausea treatment. This can be administered orally or through the tubing. (I found that through the tubing acted faster.)
If it gets worse, consult your nephrologist.
Best of luck.
Mike

Many people who experience nausia on a regular bases are under dialyzed. For instance daily dialysis and/or nocturnal patients very rarely experience nausia.
Gildasue do you feel like you are getting enough dialysis? If you don't mind sharing, what is your:
Weight
Run length
Do you have any residual kidney finction

Hi:

I was on home hemo for three years and suffered severe nausea regularly.
I agree, though, that in most cases the more dialysis the better. Run times on normal dialysis is three hours a session.
But you bring up interesting points, bp.
Mike

I'd say for a person with no kidney function - they should run five hours minimum if on a three day week schedule. This becomes most important the more a person weighs. I also would say that average run lengths in the US are four hours, again on a three time week schedule.

I visited Singapore last March and was shown their results - they have the best outcomes in the world - three year mortality around 20% - and they run everyone over 4 hours. Plus their average body size is much smaller than you average American.

I believe in the Scribner Dialysis Product method to determin dialysis dose for those with no renal function. Here is a link to a PDF of the article that outlines the Dialysis Product: http://www.eneph.com/pdf/v31n1p13.pdf

The one thing I would add is that in my experience the Dialysis Product should equal one's weight in Kilograms. I believe Dr.
Scribner always thought of Nancy Spaeth (who went through the Life and Death Committee in 1966 and is still around today) when he thought of dialysis patients and Nancy is around 50 kg. If Dr. Scribner's Dialysis Product formula has a flaw it is that Dr. Scribner did not consider how large many patients are these days. However my
experience is that the dialysis product works great if you aim for a dialysis product equal to your dry weight in kilos. This also would
fit Charra's results in Tassin.

This is the formula:
(number of treatments a week) squared, multiplied by (the length of each treatment), equals (the Dialysis Product). So - three, five hour treatments a week would have a dialysis product of 45 [ (3x3)x5=45 ] I
dialyze 5 or 6 times a week for three hours so my Dialysis Product is between 75 and 108 [ (5x5)x3=75; (6x6)x3=108 ] which fits me because my weight is around 82kg.

I wager that if your Dialysis Product is equal to or greater than your dry weight you'll feel good with no nausia.

Bill Peckham - who forgot his password