Can you start dialysis if you don't have excess fluid?

[Ken Shelmerdine]

Jenna was still able to urinate so she never did have excess fluid. We always had to fight to keep her dry weight close to what she actually weighed because they would try taking off fluid unnecessarily, causing her to feel really bad. Dialysis for her was started because she was sleeping all the time, couldn't keep food down and her creatinine went from 6 to 10 in 3 days.

Karol
I know exactly what you mean. Since I began haemo I am becoming neurotic about not eating too much before I go to dialysis because they automatically seem to assume that even the slightest increase in body weight is fluid retention. I have the same converstion with them every time I've gone slightly over my dry weight. I tell them that it's a normal increase in body weight and even if it is fluid I will pass it in an hour or so. Sometimes they insist on taking 300 mls because it will be replaced by washback saline but when they do that I have to get out of the chair at the end of dialysis in slow motion because I feel so light headed.
If they didn't do this so what! I get 300mls fluid excess which I would very soon void anyway. Don't they get it or something.  I have now insisted, toxin removal only and NO UF!

[paddbear0000]

My original post turned out to be useless at this point. I am definitely retaining fluids now. They took 2.6 kilos off yesterday without any problems. My wedding ring is already tight today. And I'm lucky if I'm peeing twice a day.

[2_DallasCowboys]

Hi,

PBear, this mite sound dumb but perhaps you are
peeing less because of dialysis, and also because you
are drinking less

Carol, my husband pees like a horse still - and his dry
wt is constantly being adjusted.  He is a Big Guy 
and I don't understand what the problem is with the
fluid thing - he urinates just as much as he did before
the damn kidney failure.

Anne

[paddbear0000]

I've had decreasing urination for a while now, even before I started dialysis. And I'm definitely not drinking less. They haven't even discussed fluid restrictions with me.

[RichardMEL]

lucky you! I do know some people on hemo with no fluid restrictions and OK urination, so that's really great for them. Mostly though as soon as you start the output levels fall a lot and thus leads to fluid retention.

And yes, you use the same measures for eGFR here.

[kitkatz]

My urine output has dropped over the years so I have had to adjust fluid intake.  Checks and balance is all it is.  A pain the the butt is what I call it all.