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Dialysis Discussion => Dialysis: Home Dialysis => Topic started by: kickingandscreaming on February 23, 2016, 04:36:20 PM

Title: CAPD- Why do I swell at night?
Post by: kickingandscreaming on February 23, 2016, 04:36:20 PM
I have been on PD for about a month.  At first I didn't have any fluid retention and managed with 3 yellows and 1 green.  I do still pee.  Lately, I have been noticing my feet and calves are swollen.  My calves (which are already muscular) are really pumped.  I don't know when to be alarmed by swelling.  And when I need to reach for a red bag.  It's not interfering with my breathing, and it only happens at night and is gone in the morning.  I'm not a super UFer.  And lately, I've had to use more greens and even the occasional red.  During the month that I did HD, I hardly had any fluid to remove. I don't drink a lot, certainly not as much as I pee.

I'm worried about it and don't quite understand it.  Any advice is welcome
Title: Re: CAPD- Why do I swell at night?
Post by: Charlie B53 on February 24, 2016, 07:36:11 AM

I am slightly confused in that you said it only happens at night and is gone in the morning.

Do you mean that the swelling occurs throughout the day and during the night it reduces and is gone in the morning?

Excess water and damage of the 'check valves' in the veins of the lower legs and/or some blood pressure issues can inhibit the return flow of blood UP from the legs.  This can cause an amount of 'seepage' from the veins and fluid accumulates in the flesh as the ???? searching for the word,, the lymphatic system is over-whelmed and unable to absorb and remove all the excess 'seepage'.

During the night while laying flat the return pressure is more 'normalized' and the lymphatic system manages to catch up.

For many this may be a sign that some sort of support hose may be required to 'squeeze' the lower leg.  This helps to reduce that swelling.

You need to see a vascular specialist and discuss this. As far as I know, most of the tighter support hose are prescription only.