New Chest Pains at end of Dialysis session

[smcd23]

It's been long time no posting (I should go do a re-intro and I will in a moment)

So, Tony is still doing in center hemo and using the chest catheter they put in when he had his transplant fail nearly 3 years ago. The past few weeks he has come home a few times, maybe every other session, and complained of chest pains and gone and laid down on the couch and is down for the count. He came home tonight and said it happened on his drive home. Last week on Friday he came home and said it happened during the flush back when they filled the lines with saline and he thinks heparin.

He said tonight they only took off about 2 kilos and all of his other vitals were fine.

Anyone have any idea what may be causing this? I searched old posts and didn't seem to find an answer that really fits. He just had his EKG and a stress echo in March as part of his transplant evaluation workup and everything with his heart checked out fine. Before I call and complain to the Social Worker (he says he has told the nurses, as he suspects its related to the heparin they give him but "they don't care") I wanted to see if anyone else has ever experienced this or has any idea what may be causing it.

And I will go do a new/updated intro as I realize it's been awhile.

Thanks all!
-Shauna

[jeannea]

I guess the problem is "chest pains" is so many different things. Try to get him to write down specifics. When did it start? (during rinseback, 10 min after end of treatment, next day, etc.) What exactly is happening? (pain is constant, pain is sharp or dull or achy, pain is every few heart beats, etc.) How long does it last? (feels better after eating or sleeping, feels better just before next treatment, etc.) Then he can hopefully get help.

The chest catheter could I suppose make it feel different when a medicine like heparin is added. He may be getting some weird feeling because they are tunneled to the heart if I remember correctly.