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I Hate Dialysis Message Board
Dialysis Discussion
Dialysis: Home Dialysis
Exit site pain
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Topic: Exit site pain (Read 2857 times)
Adam_W
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Me with Baron von Fresenius
Exit site pain
«
on:
June 26, 2008, 06:37:12 PM »
Does anyone know if it is normal to have exit site pain after the first dwell? Yesterday I had a one litre dwell, and my exit site has been sore ever since. Nothing has hit it, and it hasn't been pulled on or anything (we just pulled out the transfer set when we did the fill/dwell, and we didn't do a dressing change). Could it maybe be irritation from the first time my peritoneum was full of fluid? I go in tomorrow for my next training session, and my nurse will look at it. I'm going to be so frustrated if I can't continue training and have to have the catheter fixed or redone. Even more annoying, I'm dialyzing right now and any pain meds I take would just be dialyzed off, so I have to wait another two hours before I can take anything that will work.
Adam
Logged
-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.
"Don't live for dialysis, use dialysis to LIVE"
monrein
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Might as well smile
Re: Exit site pain
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Reply #1 on:
June 26, 2008, 06:42:31 PM »
I don't do PD but I'm glad that you're having it looked at tomorrow.
Logged
Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr. 2009
Second trx doing great so far...all lab values in normal ranges
KICKSTART
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In da House.
Re: Exit site pain
«
Reply #2 on:
June 27, 2008, 02:04:38 AM »
You've not long had your catheter fitted have you ? If you think about it your exit site is going to be tender considering you got a hole in your side ! I have been doing pd for 4 years now and every now and again mine still gets sore , eg.. when i have been bending or moving around alot . As long as there is no discharge coming from it all should be ok , just give your body more time to heal , approx 6-8 weeks after fitting of catheter before everything is back to normal.
Logged
OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
Adam_W
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Re: Exit site pain
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Reply #3 on:
June 27, 2008, 02:29:01 PM »
My nurse looked at it today, and although it was kind of red (irritation), there was no drainage, and the pain went away after the new dressing was applied. I did another 1L fill/dwell/drain, and it went perfect. My nurse wanted me to walk around with the fluid in, but we left the line in place, so my nurse and I were walking around the in-centre treatment area with me hooked up and pushing my IV pole along with me. I got to talk to three in-centre patients about PD, and at least two of them are quite interested in it. So, all in all it was a good day.
Adam
Logged
-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.
"Don't live for dialysis, use dialysis to LIVE"
rookiegirl
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Re: Exit site pain
«
Reply #4 on:
June 27, 2008, 07:16:38 PM »
Adam,
Glad today went well for you. Just like Kickstart said, your catheter is so new and will be tender for a while. My biggest problem in my first few months was not the catheter area but more where they made the incision. Even after 9 months, that area becomes tender off and on.
Logged
2000-Diagnosed IGA Nephropathy
2002-1st biopsy (complications)
2004-2nd biopsy
10/03/07-Tenckhoff Catheter Placement
10/22/07-Started Peritoneal Dialysis
03/2008-Transplant team meeting
04/2008-Transplant workup
05/2008-Active Transplant list
3/20/09-Cadaver Kidney Transplant
4/07/09-Tenckhoff Catheter removed
4/20/09-New kidney biopsy
KICKSTART
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In da House.
Re: Exit site pain
«
Reply #5 on:
June 28, 2008, 04:17:24 AM »
rookiegirl .. yes i still have that problem after 4 years!! especially when ive been busy!
Logged
OH NO!!! I have Furniture Disease as well ! My chest has dropped into my drawers !
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