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Author Topic: Numb feet?  (Read 3490 times)
jojosmommy
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« on: March 18, 2011, 09:13:13 AM »

I've been on dialysis for about 5 1/2 months.  Over the last month or so I've been experiencing numbness in the bottom of my feet.  It's mostly in my left foot, and I do have a DVT in m left leg.  However, since starting dialysis, I've not had hardly any swelling in my leg at all, so I don't think it's related.  Plus I do have numbness in my right foot as well, just not as much.  I'm not diabetic, so thats not a cause.  Has anyone else experienced this?  I'm not even sure if it's something I should bring up to the doctor.  He seems to be pretty passive about most things.
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PKD
Diagnosed Feb. '06
Fistula May '09
Dialysis Sept. '10
Fistulagram- Christmas '10
billybags
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« Reply #1 on: March 18, 2011, 11:41:20 AM »

Hi jojosmommy, first of all welcome to the site  :welcomesign;  I do not know about numbness in  the feet , perhaps some one else will but I would mention it to your doctor and tell him you need answers. Stuff the passive bit.
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greg10
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« Reply #2 on: March 18, 2011, 11:59:02 AM »

Unfortunately this is very common in uremic ESRD patients and it is called peripheral neuropathy.  It is especially acute if the patient has diabetes as well.  It should get better with more dialysis and exercise of the periphery muscles.  There is no real good treatment.  Some will suggest a cream to numb the nerves, but it is generally not effective.  The best treatment is to keep the diabetes under control and to get proper dialysis and good exercise and circulation to the affected area.

http://www.ncbi.nlm.nih.gov/pubmed/6324717

Neurontin (Gabapentin) is also touted sometimes as a treatment, but the effect may be minimal.
http://en.wikipedia.org/wiki/Gabapentin
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Newbie caretaker, so I may not know what I am talking about :)
Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
Henry P Snicklesnorter
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« Reply #3 on: March 18, 2011, 04:17:46 PM »

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« Last Edit: October 22, 2013, 03:23:07 PM by Henry P Snicklesnorter » Logged
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