Symptoms caused by ckd

[kickingandscreaming]

PD and HD are totally different routes to dialysis.  PD, short for Peritoneal Dialysis, involves installing a catheter in the belly (actually the peritoneum.  Bags of fluid dialysate are filled and drained from the peritoneum, taking with them the toxins and fluid that need to be cleared. The peritoneal membrane actually serves as the filter. It is done at home by you.There are 2 basic forms of it, but you can look them up--CAPD and APD.  Dietary restrictions are looser with PD because it is performed every day so eating "indiscretions" can be cleared daily.

HD requires access to the blood supply, either through a fistula or a chest catheter (less preferred). Blood is removed from the body by a dialysis machine and filtered of toxins and fluids.  Dietary restrictions are tighter.  And usually there's a fluid restriction.  There is a version of HD that is done in-center at a dialysis clinic and a version that is done at home--Home HD.  In-center HD is generally performed 3 times/wk, is harder on the body and eats up a lot of time--15+hours.

[Shaks24]

I had your exact symptoms at about 20% kidney function. I had pre decided on PD. The vascular surgeon that did my PD Catheter talked me into getting a Fistula placed at the same time for back up in case there were issues with PD. No regrets here going with PD. My advise to you is to start dialysis if you feel like crap. If you do PD it takes the catheter about 4 weeks to heal before you can train and use it. You will feel so much better after getting the toxins out of your system. Do not get caught up on the percent of kidney function you have. If you are suffering, get relief from treatment by starting.

[cassandra]

PD peritoneal Dialysis is using your peritoneum to filter your blood. You'll have a catheter in your tummy so you can fill your peritoneum with D fluid. Diet restrictions: not much.
HD by being connected to a D-machine by needles in your vein. Either through a neck catheter or a fistula. Diet restrictions depending on doing home hemo a lot, or in-centre 3 days a week, but in general pretty severe.

I'd Google a bit about it so you can ask your neph more questions.

[stayingalive]

I don't believe there is too much of a difference but sure there are some.  I think we both have to watch out for the same things.  The only thing I know is that with PD the fluid restriction isn't has bad as with HD.  I still produce some urine also which if I monitor what I take in and what I release I can add a little more fluid.  Its a delicate balancing act tho

[Jean]

Having had many abdominal surgeries, I have already decided to do Hemo. The thing is, PD does not work so perfectly for more than ( I think) 5 years and can do a lot of damage to your body. If you have ever heard about people who have sclerdoma, the disease where your skin hardens. PD, done too long, can do that to your innards. Not a pretty sight. Brian Riddle, who is one of our members is in that situation and he is very young. For many people, PD opens you up to more infections. I wouldnt know.

[kickingandscreaming]

"If you have ever heard about people who have sclerdoma, the disease where your skin hardens. PD, done too long, can do that to your innards. Not a pretty sight. Brian Riddle, who is one of our members is in that situation and he is very young."

I'm hardly an expert.  But this is a bit alarmist, and from a quick googling seems to have it backwards.  Scleroderma can cause ESRD and those people need to find some form of dialysis.  But I didn't find anything that said PD causes Scleroderma.

[PrimeTimer]

My husband is diabetic. He chose not to do PD because of glucose in some PD solutions and he also didn't want the sugary glucose increasing his risk of infection. Just in general diabetics don't always heal as quickly or as well. Of course many diabetics are very successful at PD so I guess it depends on the person. Since starting home hemo 2+ years ago, hubby feels a lot better than he did pre-D.   

[kitkatz]

Often PD has less restrictions fluid wise that HD.  Sometimes the diet is less restrictive, too.