Air in the cavity?

[CatonTheRoof]

Hello again friends

Now, I've been on peritoneal for a year and a month.  Most of the time everything's ok,  thought sometimes I feel some pain after the last drainage that goes on for the whole day.  Is this normal?  I have seen that this specially happens if I sleep in certain positions.     The liquid comes out of good colour nothing bad,  and the bowel movement is also ok.   

[Riki]

drain pain is normal.. I used to get it with every drain, near the end of the drain, and I'd also get a chill while filling, no matter if the dineal was warmed or not

[Joe]

I doesn;t sound like end of drain pain, that would stop as soon as you clamped off and disconnected from your cycler. If you are cramping, it may be that you are pulling too much fluid off. You might try drinking tonic water when this happens and see if it helps. The quinine in the tonic water will help stop the cramping, if that is what it is.

Good luck and let us know how you are doing.

[CatonTheRoof]

It isnt exactly cramps.  It is more like muscle soreness cause by the peritoneal dialysis. Could that be possible?   I find when I sleep in a bad position and it doesnt drain well it hurts next whole day.  It is like if the vacuum power of the machine was pulling the skin of the peritonemum and causing muscle soreness.  Is it possible that this is the reason why I also get back and even shoulder pain when this happens?           Bowel movement as I said is of normal colour, liquid too,  appetite fine too.

[Riki]

That can happen, where the machine is pulling too much.. if you get good drains, you might want to lower the amount that needs to come out before it'll stop... there's a name for that,  but I forget.. I'd talk to the dialysis nurse about it first, thought..

[Whamo]

Drain pain wakes me up sometimes, but it's usually not that bad with me.  It's a morphine drip and a sponge bath compared to the 20 minutes of torture at the end of a bad hemo session. 

[CatonTheRoof]

Today I feel better but still have some pain.  I have an appointment with nephro and nurse tomorrow.  On the mean time I wont dialyze tonight (I still urinate normally)   have skipped sometimes before and labs still come perfected so I don't see an issue with that.

Most of the time I don't have a problem with the dialysis.   But there's some occassions on which if I sleep in a bad position, I can end up with some massive pain next day.    I guesss that it is because of the drain harming the peritoneum wall.   Is it possible that it can break it? O_o


I think you're refering to tidal dialysis Riki?

[lmunchkin]

Its been a while since John did PD, but could it be "air" in the lines?

lmunchkin

[CatonTheRoof]

Yes, there was air two nights ago.  I did the whole process to remove the air from the lines, but I noticed after having connected that the tube had a knot just close to where you connect to the bag.

I wonder now,  could that air cause so much pain?

[MaryD]

I managed to get air into me once.  The pain was in my shoulder region.  It was a dull, but intense and very tiring ache, which lasted for about three days.  I could not get comfortable at all.  Paracetamol did relieve it to a certain extent.  The closest similar pain I could liken it to would be lower back pain.  It's always there and is quite exhausting.  At least with air it only lasts for a few days. 

[CatonTheRoof]

Is this the same condition as called  pneumoperitoneum?   

I guess that isnt so bad if you're saying you well fine after a while.

[Riki]

I think you're refering to tidal dialysis Riki?

No, tidal is something totally different.  When you go on the machine, your prescription has a certain amount that should come out when you drain.  Generally, what goes in should come out, but sometimes you absorb some of it, so the machine is pulling, but there's nothing there to come out.  Since you still pee, you probably remove it that way.  You shouldn't change your prescription on your own.  You should talk to your dus,octor  and/or dialysis nurse to see if they think it should be changed.

Talking about air, Do you stay empty all day, or do you fill at the end?  I find if you drain first when you go on the machine, you don't get as much air, and thus, less pain.

[CatonTheRoof]

Ok!  went to the doctor and laboratories have been great.  It was indeed some air in the cavity