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Do All Peritoneal Dialysis Patients Have Weight Gain and Bloating

Provided by Expert Yang Hongtao on : 2014-01-06 09:04

Do All Peritoneal Dialysis Patients Have Weight Gain and BloatingAs one kidney replacement therapy, peritoneal dialysis (PD) has been accepted all over the world. Communicating with peritoneal dialysis patients, you will find weight gain and bloating are their common complaints. If you are faced by the same problem, follow me to find out the cause and corresponding treatment.

Why do peritoneal dialysis patients have weight gain and bloating?

Most often, peritoneal dialysis patients’ weight gain and bloating results from two conditions: one is the characteristic of dialysis membrane, and the other is the characteristic of dialyzate.

Different from hemodialysis, the peritoneal dialysis membrane is peritoneum. The dialysis filters not only waste products and toxins but also extra fluid from the bloodstream. When dialyzer drains extra fluid from the blood into peritoneum, the discharged fluid is more than that originally placed in the peritoneum. This can lead to bloating, thus resulting in weight gain.

Besides, a high concentration of dextrose, one type of sugar, in dialysate is another cause. The body absorbs some dextrose during peritoneal dialysis. These extra calories can cause extra pounds as well as weight gain.

How to manage weight gain and bloating for peritoneal dialysis patients?

Several methods can help these patients solve this problem.

1. Balance the nutritional needs: Since peritoneal dialysate can supply some sugar for the body, the sugar intake should reduce. Talking to online dietitians at kidney healthy web, so they can guide you to minimize weight gain by monitoring the amount of calories to take in.

2. Take sufficient peritoneal dialysis: This can guarantee the dialyzer to filter extra fluid out of the body sufficiently, so less fluid can retain in the blood.

3. Restrict the fluid intake: Compared with hemodialysis, peritoneal dialysis doesn’t restrict the fluid intake strictly, but it can cause discomforts during dialysis treatment if patients drink a large amount of fluid between dialysis sessions.

The above methods can help manage these patients’ weight gain and bloating largely. However, if you want to get rid of these problems or even peritoneal dialysis, some treatments that can improve your kidney function and repair damaged kidneys should also be taken.


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