how would someone that doesn't have fluid gain handle pd?

[sullidog]

Just wondering,
I urinate so good that they don't pull anything, in fact they have to give me fluid because the machine still pulls some fluid, I was just wondering if I ever went to pd would I have a hard time handling it because of this? Would I have to drink even more to keep me hydrated?

[Atooraya]

I don't retain water, urinate a fair amount and am on pd. I have to constantly watch dehydration.  Occasionally, I get cramps in my legs. That's my signal to drink more water. In addition, at nights when im hooked up to the machine, I keep a glass of water and saltines close to me.
Hope this helps you.

[lmunchkin]

Yes, some fluid would keep you hydrated.  The fact that you may be at your dry weight means you may not have much fluid to take off, but you still have toxins that build up in you that need to be pulled off!  Just use all #1.5 so as not to drain you dryer, but will ease out those toxins!

Hope this helps!

lmunchkin     

P.S. I would do a couple of manual exchanges to keep from drying out so much.  That way you are not on machine all nite where it pulls it automatically!

[Marina]

If  there's  no  edema,  B/P  is  within  normal   (the  way to  find out  what's  normal  for you  is  to   take your  B/P  every  morning),   weight  is  ok.   then  a  1.5%  dialysate is  used,    as  lmunchkin   mentioned.          1.5  dialysate  removes  a  smaller  amount  of  fluid,  so  cramps  are  not  very  common  with it,  unless you're  extremely  dehydrated  already.

[lmunchkin]

Marina, Im getting my PD & HD a little confused, but PD users can remove the toxins too, right?  I know in hemo it is fluids and toxins, but not exactly sure about the PD since it is in an actual membrane.  Do you or anyone else know if no fluid to remove (like HD) that toxins are removed during PD?

I had said that it was but really I do not know that for fact.  Don't want to mislead anyone. Since toxins build up in the blood stream, you would think it would come out through the millions of vessels in the peritoneium cavity!!!!

lmunchkin   

[Quickfeet]

pd pulls off fluid and toxins.  also like hd, it pulls other things off, such as protein.

[lmunchkin]

Yes indeed it does pull off Protien.  I remember them pushing protien to have good dialysis on PD.  Not so bad with hemo, but still need the protein.

lmunchkin

[*kana*]

Just drink more and you will be fine.   You actually have the best problem there is while being on dialysis.  You get to drink as much as you want, eat most everything and STILL PEEEE!
Can you tell I have pee envy?   
Hang in there!

[Joe]

*kana*'s advice is good. I still have a fair amount of kidney function and am doing PD. I drink a fair amount of fluids during the day and keep a glass of water by the bedside at night while I'm on the cycler. So far, it's working ok for me.

[brandywine]

Just drink more and you will be fine.   You actually have the best problem there is while being on dialysis.  You get to drink as much as you want, eat most everything and STILL PEEEE!
Can you tell I have pee envy?   
Hang in there!

Pee envy...

[bleija]

i still pee the normal amount, just its almost clear, PD works for me, i mean i still pull fluid with pd, but i have never had a fluid balance problem, except when i had an infection( infection makes ur membrane highly penetrable and u can pull offf too much very easily and get extremey dehydrated, i remember one time i had to go in and get almost 2000mL of saline bc i couldnt move w/o cramping, and i was using 1.5s) but as long as u dnt have an infection, pd only takes off what u have to spare, and it gives u liberty to drink as much as u want, especially if u still pee