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Author Topic: Common issue?  (Read 5666 times)
kit78
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« on: May 25, 2013, 08:39:42 AM »

I started Dialysis last June 2012 and as of a few weeks ago I have been having problems with bad body aches after removing more than 1.5 fluid.  Also for a few months every time I wake up, nap or sleep, my hands hurt really bad for a while.  I do have a problem with my right arm while doing dialysis as it hurts during treatment as well.   

Doctors have no idea what's causing the hand pain. 

Any ideas as to why or ideas that may help correct these painful times?   I already did online search with no helpful reasons or cures.

Thanks and have a super weekend! 

Back to laundry and housework...would be nice to have a helper.  Living alone can have it's issues at times...LOL
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Inherited PKD from my Mother who died at age 52
2001 Transplant - Blessed...only on list for 4 days
2012 Lost Transplant and had Pneumonia
2012 June - started Dialysis
2012 December -  Back on Transplant list
Wildrose
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« Reply #1 on: May 25, 2013, 08:46:34 AM »

What helps me with the body aches is rehydrating with electrolytes. Try some lemon water it might help. I dont know about the hand pain but i get a lot of unexplainable odd pains as well.
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1995 - Diagnosed with 'some kind' of kidney disease during first pregnancy at 16 yrs old due to excess protein in urine
1998 - Biopsy diagnosis of IGA Nephropathy at age 18
2007 - Successful second pregnancy, creatnine of 1.8 something
2009 - Successful third pregnancy creatnine of 2 something
2009-November of 2011 - Somehow went from Creatnine of 2 something to 5.43
November 2011 - Diagnosed with End Stage Renal Disease
3/28/12 - Started Peritoneal Dialysis
5/21/12 - Ended up in hospital for 5 days with PD fluid leaking through hole in diaphragm to right lung
5/25/12 - IJ catheter placed, 5/26/12 - First in center hemo treatment
6/15/12 - Back on PD for three weeks and hemo at same time, 7/7/12 - PD fluid leaked again, off PD and still on hemo, 7/15/12 - on PD again and hemo
7/23/12 - chest xray shows fluid leak again, off PD for one month with possible thoracic surgery in future to fix hole in diaphragm. 5.70 creatnine
8/7/12 - 24 hr urine test shows improved kidney function. 3.47 creatnine - Dr reduced hemodialysis from 3x's to 2xs a week.
kit78
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« Reply #2 on: May 25, 2013, 09:02:46 AM »

Thanks!  I' try the lemon water.  Yes, how strange as the months go by they seem to bring about new issues.   I suppose everyone goes through this.  Its a roller coaster of pain and new problems popping up all the time.
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Inherited PKD from my Mother who died at age 52
2001 Transplant - Blessed...only on list for 4 days
2012 Lost Transplant and had Pneumonia
2012 June - started Dialysis
2012 December -  Back on Transplant list
Angiepkd
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« Reply #3 on: May 25, 2013, 09:04:01 AM »

The body aches could mean too much fluid removal.  Some people cramp all over, rather than just feet and legs.  My hand on the fistula arm hurts sometimes when I wake up.  My docs think I have some nerve damage from my 3 fistula surgeries.  I don't have any pain while on dialysis, and was told by my center to let them know if I do.  I think they said it could be a sign that I have a narrowing of my fistula and they would refer me to the access center for evaluation.  My younger brother developed neuropathy while on D, and was prescribed neurotin sp? for the pain.  He said it felt like pins and needles in his hands and feet.  It really bothered him without the meds.  Not sure if that is a common side effect of dialysis and kidney failure or not.  So sorry I am not more help!  Keep pushing for answers until you find some relief.  A lot of times the docs don't pay much attention to pain issues.  Hope you get it figured out. Maybe google neuropathy and see if the symptoms sound like what you are feeling.  Good luck!
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PKD diagnosis at 17
Cancer May 2011, surgery and no further treatment but placed on 2 year wait for transplant
October 2011 first fistula in left wrist
April 2012 second fistula in upper arm, disconnect of wrist
January 2013, stage 5 ESRD
March 2013 training with NxStage home hemo
April 2013 at home with NxStage
April 2013 fistula revision to reduce flow
May 2013 advised to have double nephrectomy, liver cyst ablation and hernia repair. Awaiting insurance approval to begin transplant testing. Surgery in June.
June 2013 bilateral nephrectomy.
August 2013 finishing testing for transplant, 4 potential donors being tissue typed.
January 2014 husband approved to donate kidney for me
March 4th 2014 received transplant from awesome hubby. Named the new bean FK (fat kidney) lol!  So far we are doing great!
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« Reply #4 on: May 25, 2013, 11:11:07 AM »

Do you know your "Dry Weight"?  Dry Weight is your body weight minus any extra fluid.  So, if they are getting all your fluid off.... so your ankles are skinny...then maybe you have gained some body weight and they are taking off a little too much fluid.  But, if they are taking off a little too much fluid your blood pressure would be crashing or dropping too.

Maybe if you are just achy take a Tylenol.  For out and out cramping I drink Tonic water which contains Quinine.  You can look up Quinine and find it is a natural muscle relaxer.

               :waving;

 
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geoffcamp
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« Reply #5 on: May 25, 2013, 06:16:32 PM »

I'm not sure if you have a fistula or graft but I've had about 6 attempts in each arm and I have pain like that in my hands. I'm told its nerve damage from the surgeries.  As far as aches and general pain I can pretty much assure you that that is completely normal for anyone who has been in dialysis for awhile. Between the awful chairs and sitting in the same position for lengthy periods of time along with the fluid removal process itself its bound to be an issue. I try to exercise and that helps a lot but the best thing for me has been stretching. Every morning and afternoon I take 20-30 minutes just to stretch out. I use one of those yoga balls and since I started a few years ago the change is amazing!  Good luck I hope you find a way to cope with your pain issues. G.
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Geoffrey Campbell
Diagnosed with ESRD at 26
Transplanted in 1999 rejected 2001
In center hemodialysis since late 2001 3X a week 4 hours late evening 3rd shift
kit78
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« Reply #6 on: May 28, 2013, 06:35:35 AM »

Thanks for all your answers.   I'm at the the tail end of taking a Steroid Pac and wow, my hands have improved.  That's not why I was taking it, but nice benefit.  Maybe that might lead them in the right direction. 

Not sure why these docs get paid when I am the one doing most of the diagnosing myself.  What a racket!
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Inherited PKD from my Mother who died at age 52
2001 Transplant - Blessed...only on list for 4 days
2012 Lost Transplant and had Pneumonia
2012 June - started Dialysis
2012 December -  Back on Transplant list
Grumpy-1
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« Reply #7 on: May 28, 2013, 06:23:59 PM »

The body aches could mean too much fluid removal.  Some people cramp all over, rather than just feet and legs.  My hand on the fistula arm hurts sometimes when I wake up.  My docs think I have some nerve damage from my 3 fistula surgeries.  I don't have any pain while on dialysis, and was told by my center to let them know if I do.  I think they said it could be a sign that I have a narrowing of my fistula and they would refer me to the access center for evaluation.  My younger brother developed neuropathy while on D, and was prescribed neurotin sp? for the pain.  He said it felt like pins and needles in his hands and feet.  It really bothered him without the meds.  Not sure if that is a common side effect of dialysis and kidney failure or not.  So sorry I am not more help!  Keep pushing for answers until you find some relief.  A lot of times the docs don't pay much attention to pain issues.  Hope you get it figured out. Maybe google neuropathy and see if the symptoms sound like what you are feeling.  Good luck!


I think that neuropathy is a result of kidney failure verse the dialysis. Or maybe a combination of both.  I too have neuropathy in my legs, feet and parts of my hands.  It wasn't there before kidney failure and dialysis.  So far, from what I can find out, there is no cure only relief of sorts.  Grump[y
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skg
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« Reply #8 on: May 28, 2013, 06:39:50 PM »

FWIW, my neuropathy is due to diabetes rather than kidney problems, I think.

At first, it seemed sort of an inevitable, gradual worsening. However, much tighter blood sugar control has led to some improvement - it hasn't gone away, but it's nowhere near as bad. This is in my feet.

I have a curious, temporary problem with my hands if I'm not careful to sleep with my wrists straight which is similar - pins&needles and/or numbness which lasted for hours.This was happening years before the diabetes or anything else. But, I just had to learn how to sleep while keeping my wrists straight and it doesn't bother me at all.

So in both cases, some things improved it but in neither case has it gone away.

cheers,
skg
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gothiclovemonkey
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« Reply #9 on: May 29, 2013, 08:53:07 AM »

Ive been having pain in my hands and feet, but they have concluded i may have RA, or something of the type... (i go in aug to find out for sure)
Last year, I had severe swelling in my fistula arm, and pain along with it (like when the foot falls asleep) and they gave me a stent, seemed to help the swelling but i still have some pain, especially during treatments.
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amanda100wilson
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« Reply #10 on: May 29, 2013, 09:45:03 AM »

Has anyone considered carpal tunnel syndrome for th pain in your hands?  It can be especially bad upon waking.  I get it, and it makes my hands feel swollen and clumsy with or without pins and needles.  It is probablt a separate issue from your other symptoms which spund as if your body is too dry.
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
cassandra
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« Reply #11 on: June 02, 2013, 07:41:08 AM »

I agree with the previous mails above that it sounds that you are too dry Kit78.
And Amanda,(you probably already have) but have you tried natural remedies already?
10 natural ways to cure CTS is quite comprehensive.

Love to All, Cas
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
2020 start Gambro AK96

       still on waitinglist, still ok I think
Grumpy-1
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« Reply #12 on: June 02, 2013, 03:06:42 PM »

I could agree that CTS could be the cause of hand pains, but the feet are quite away from my wrists...  :rofl;
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cassandra
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« Reply #13 on: June 03, 2013, 12:42:47 PM »

Okay Grumpy,bets and feet/ankle pain are caused by the same thing  ;D. . I found 'zinc, and/ or B6 supplements' in several sites as beneficial. Which might explain why I don't suffer from it yet, tough wood. I might have it, but luckily no pain yet.

Good luck all, love Cas
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
2020 start Gambro AK96

       still on waitinglist, still ok I think
nsdq
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« Reply #14 on: June 03, 2013, 07:13:06 PM »

Here are my 2 cents:

Some symptoms are sometimes not related to the real causes. We need to try and *battle* to keep our bodies in the well being as we can. I fully understand I cannot keep my body like a perfect person: any one does really exist?  ??? I think it's only in the lab.

For muscle and finger cramps, I managed them by taking a Calcium Supplement (Caltrate 600mg) 3 times  a day, either during meals or after meal immediately (earlier I was not taking it routinely).
I also take cinacalcet 30mg 1 tablet each 3 days (because I've read it has some bad adverse effects). I also eat Dates fruits (1 to 3 per day), although it's high in potassium.
I think you may want to check the blood work for the bone issues: Calcium, Phosphorus, Vitamin D, and PTH (Parathyroid)

Next, comes in the potassium and magnesium, as some would work for triggering the balances of the bones, muscles, nerves, etc.  Try 1-2 date fruit per day.

Where does exactly the pain in your fistulated hand, and is't forearm or back on the top?

-- nsdq
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amanda100wilson
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« Reply #15 on: June 04, 2013, 06:42:12 AM »

nsdq, you need to be very careful about taking supplements unless your doctor know that you are doing so, particularly ones that contain magnesium, which can build up very quickly.  the same with taking calcium.  Unless it is prescribed,  taking calcium can lead to a high calcium level and calcium deposition insoft tissues and blood vessels.  You need to be very careful about self-diagnosis and self-medicating.  how do you know that the muscle and finger cramps are not related to kidney failure or a side effect of it?
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ESRD 22 years
  -PD for 18 months
  -Transplant 10 years
  -PD for 8 years
  -NxStage since October 2011
Healthy people may look upon me as weak because of my illness, but my illness has given me strength that they can't begin to imagine.

Always look on the bright side of life...
Wat76
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« Reply #16 on: June 04, 2013, 01:06:05 PM »

Hi Kit 78,

Do you have PKD as well.  Did your Mom have any other issues? Just curious, some people live a long time with PKD if they do not have any other issues, your Mother was young.  Would like to know.  Thanks.
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nsdq
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« Reply #17 on: June 09, 2013, 07:32:02 PM »

nsdq, you need to be very careful about taking supplements unless your doctor know that you are doing so, particularly ones that contain magnesium, which can build up very quickly.  the same with taking calcium.  Unless it is prescribed,  taking calcium can lead to a high calcium level and calcium deposition insoft tissues and blood vessels.  You need to be very careful about self-diagnosis and self-medicating.  how do you know that the muscle and finger cramps are not related to kidney failure or a side effect of it?

Thank you Amanda for your advise. I'm neither self-diagnosing nor self-medicating.
I started taking the calcium supplement as a neph-prescription, where my phosphorus blood level was high; at first the problem was, since it's a *supplement*, not taking it on a regular basis, with (or immediately after) a meal, two/three times a day.

Of course, muscle and finger cramps are mostly due to the lack of kidney functions, or any other related/influenced major medical condition. Once I started taking the Calcium supplement, eating the dates fruits, I no longer have any muscle neither finger cramps, except during some dialysis sessions. Besides, one-to-three, small-to-medium-sized pieces of dates once daily won't hurt: dates is rich of nutrition and minerals (refer to http://www.livestrong.com/health and see yourself about the *health benefits of dates*).

Due to some stomach upset and diarrhea I've got after taking cinacalcet, I asked my neph, and he wondered about the diarrhea, and left my questions unanswered, just he didn't say anything else ("just take it after dinner, before you go to bed"); and that's all.

--
nsdq

 
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Zach
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« Reply #18 on: June 09, 2013, 10:14:42 PM »


Besides, one-to-three, small-to-medium-sized pieces of dates once daily won't hurt: dates is rich of nutrition and minerals (refer to http://www.livestrong.com/health and see yourself about the *health benefits of dates*).

--
nsdq

Actually, the date fruit may present a potassium problem to people on dialysis.

The common date (Deglet noor) at about 7 grams is not a problem, it has 47 mg of potassium.
http://ndb.nal.usda.gov/ndb/foods/show/2217?fg=&man=&lfacet=&format=&count=&max=25&offset=&sort=&qlookup=Dates

But the larger Medjool dates at 24 grams have about 167 mg of potassium each.
http://ndb.nal.usda.gov/ndb/foods/show/2435?fg=&man=&lfacet=&format=&count=&max=25&offset=&sort=&qlookup=Dates

 8)
« Last Edit: June 09, 2013, 10:15:47 PM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
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kit78
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« Reply #19 on: June 12, 2013, 02:12:07 PM »

Thanks everyone for your ideas.  My Mom did have PKD but died in 1985 at the age of 52.  Yes we all have it but oddly enough my 2 kids do not thank God..  The other grand kids do have it. Strange huh?
My hand hurts while on dialysis all over. Hard to make a fist until I keep moving it around.  Since on the steroid pac, my hands have stopped hurting when I wake up, so far anyway.  I do not have carpal tunnel.
When I had my thyroid out I was taking calcium but no longer on.  I do get Vitamin D shots at Dialysis. 
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Inherited PKD from my Mother who died at age 52
2001 Transplant - Blessed...only on list for 4 days
2012 Lost Transplant and had Pneumonia
2012 June - started Dialysis
2012 December -  Back on Transplant list
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« Reply #20 on: June 12, 2013, 05:09:18 PM »

Kit78
What did you mom die of? just curious. since my mom died at 52 (in 2000), and her father (my grand father) died at 52 (in 1973). Both had PKD both died from a brain aneurysm, complications of PKD at least in my family.   
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After a hard fight to not start I started dialysis 9/13
started on PD
hoping for home hemo starting to build a fistula 1/14
cause PKD diagnosed age 14

Wife to Ed (who started dialysis 1/12 and got his kidney 10/13)
Mother to Gehlan 18, Alison 16, Jonathan 12, and Evalynn 7. All still at home.
www.donate2benefit.webs.com
kit78
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« Reply #21 on: June 15, 2013, 11:44:24 AM »

Sydnee, right above you  I posted she died of PKD..........
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Inherited PKD from my Mother who died at age 52
2001 Transplant - Blessed...only on list for 4 days
2012 Lost Transplant and had Pneumonia
2012 June - started Dialysis
2012 December -  Back on Transplant list
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« Reply #22 on: June 15, 2013, 01:43:25 PM »

I wasn't sure I read that. So  Kidney failure? the aneurysm was from PKD so I thought I would ask.
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After a hard fight to not start I started dialysis 9/13
started on PD
hoping for home hemo starting to build a fistula 1/14
cause PKD diagnosed age 14

Wife to Ed (who started dialysis 1/12 and got his kidney 10/13)
Mother to Gehlan 18, Alison 16, Jonathan 12, and Evalynn 7. All still at home.
www.donate2benefit.webs.com
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