Dialysis is one life-sustaining therapy for ESRD patients. However, no matter whether they are on hemodialysis or peritoneal dialysis, high blood pressure, or hypertension, may be one of their biggest concerns. Why does blood pressure increases during dialysis treatment? How to manage it?
Causes of high blood pressure during dialysis
Dialysis is created for replacing diseases kidneys to filter out extra fluid, waste products and toxins, even though it isn’t as effective as healthy kidneys. It is reported that about 60% of hemodialysis patients experience high blood pressure, so do 30% of peritoneal dialysis patients. Why do different types of dialysis treatments make patients at different risks of hypertension? With hemodialysis, patients usually accept treatments 3 times every week. During dialysis sessions, excess fluid builds up in the body, causing weight gain. Too much fluid builds up in the blood vessels that can lead blood pressure to be highest in the several hours before hemodialysis treatment.
Peritoneal dialysis is taken nearly every day, so the incidence of high blood pressure during peritoneal dialysis is much lower than hemodialysis. However, excess fluid in the body is still one leading cause of high blood pressure.
Treatments of high blood pressure during dialysis
If uncontrolled effectively, high blood pressure may raise the risk of some serious complications, such as heart attacks, strokes, cardiovascular diseases, etc. Some treatment options may be helpful for dealing with this problem.
- Manage the intake of fluid and sodium: Both fluid and sodium retention can worsen hypertension, so these patients should always determine the correct amount of fluid and sodium intake.
- Choose right anti-hypertensive drugs: Diuretics, ACEi, ARB, beta blockers, calcium channel blockers, alpha blockers, etc, are all common medications to lower high blood pressure. With online doctor’s help, find out which one or combination is best for you.
- Medicated bath: This natural remedy can help expand blood vessels all over the body. Also, it has an effect of regulating blood circulation. Therefore, this home remedy can be used as an auxiliary treatment method to reduce hypertension.
In addition, some kidney repairing treatments are able to improve ESRD patients’ kidney function. Once their kidney function increases to 15% and maintains stable, they can get rid of both hemodialysis and peritoneal dialysis. If you still have urine output, take action now.