What Are the Complications of Dialysis?

Dialysis is a kind of treatment at end stage of kidney disease. Although, dialysis can help to effectively clear away internal toxin and rectify the condition of poisoning, a series of complications can come out after long term of dialysis and threaten patients' lives. What are the complications of dialysis? Here are the specific complications of dialysis as follows:

1. Electrolyte disorder and unbalance of acid-base: it represents hyperkalemia, hypokalemia, hyponatremia, hypernatremia, metabolic alkalosis, metabolic acidosis.

2.hypotension: hypotension usually occurs in the first several weeks at the begining of dialysis.

3. Lung infection, hydrothorax, ascites: Uremia patients have a low resistance. After a long term dialysis, the retention of dialysate pushes up musculus diaphragm, which causes the obstacle of aeration and leads to high incidence of hypostatic pneumonia.

4. Cardiovascular complications: it includes tachyarrhythmia, cardiac arrest, etc. This is caused by Hypovolemia, Hyperkalemia, hypocalcemia, hyponatremia, acidosis.

5. Imbalances syndrome


Other chronic complications of dialysis include hyperlipemia, vitamin lose, hypoproteinemia,etc. Dialysis patients often suffer those complications of dialysis and they seek for the way to get rid of dialysis.

Can Kidney Disease Patients Eat Banana?

For patients with kidney disease, they should pay more attention to diet because they should restrict many ingredients of food due to their disease's condition. As Fruit contains various nutrition, people usually take fruit to supplement nutrition. But why can't patients with kidney disease eat banana?

Banana is abundant in nutrition. Every 100g of banana pulp contains 20g of carbohydrate, 1.2g of protein, 0.6g of fat and besides it also contains many kinds of trace elements and vitamins. Vitamin A can promote growth, enhance resistance of disease and is necessary for maintaining normal fertility and vision. Thiamine can help to prevent or treat beriberi, increase appetite, improve digestion and protect nervous system. Riboflavin can promote human body normal growth and development. Besides banana contains much of potassium which can decline blood pressure, so banana is suitable for patients with hypertension.


Kidneys are an important organs discharge sodium,potassium and chloride. In body fluid, sodium is a main electrolyte of extracellular fluid and potassium is a main electrolyte of intracellular fluid. The discharge of sodium,potassium and chloride directly affect the relative balance of those ions, which plays a great role in maintaining normal osmotic pressure of body fluid and keeping balance of the volume of body fluid and acid-base. So kidney disease patients should not eat banana when their potassium is in a high level.

How Can Micro-Chinese Medicine Osmotherapy Treat IgA Nephropathy(Berger Disease)?

IgA Nephropathy(Berger Disease) is a kind of frequent glomerulus disease. It is caused by the immune complex's deposition on mesangium. The typical symptom of IgA Nephropathy(Berger Disease) are Gross hematuria or Microscopic hematuria. The common treatment only can put off the development. Then, how can Micro-Chinese Medicine Osmotherapy treat IgA Nephropathy(Berger Disease)?

Firstly, patients should make clear that the pathological change of IgA Nephropathy(Berger Disease) is the damage of mesangial cell caused by the immune complex's deposition. When the glomerulus are damaged, their filtration function will decline together, representing red blood in urine namely Gross hematuria or Microscopic hematuria. So an effective treatment should not only repair the damaged glomerulus but also treat the symptoms.

Micro-Chinese Medicine Osmotherapy is a treatment of Traditional Chinese Medicine. The technology of Micro-Chinese Medicine Osmotherapy makes the prescriptions super finely shattered to make sure the active ingredients more easy to permeate. Then with the external application of penetrant and osmosis devices, active ingredients of Micro-Chinese Medicine can directly permeate into kidney lesion by blood circulation. Then those active ingredients play the great role in repairing injured kidney through measures such as dilating blood vessels, anti-inflammation, anticoagulation, preventing blood viscosity and degrading extracellular matrixes. In addition, active ingredients can also eliminate immune complex and provid plenty nutrient for repairing the damaged kidney.


When the injured kidney is well repaired, the filtration together with other kinds of renal function will be greatly improved. Consequently, symptoms of IgA Nephropathy(Berger Disease) such as Gross hematuria or Microscopic hematuria will disappear automatically. So Micro-Chinese Medicine Osmotherapy is another kind of treatment for IgA Nephropathy(Berger Disease). Besides, the external applications of this treatment make this treatment more safe, convenient without oral side effects.

The complications of diabetic nephropathy

Diabetic Nephropathy is a serious complex of Diabetes, which may easily develop into Uremia or Renal Failure if not well controlled. It is very important to know the symptoms of Diabetic Nephropathy, which can help patients to seek for treatment timely and won't delay the condition for treatment. Then, what are the symptoms of Diabetic Nephropathy?

1. Edema: patients at the early stage of Diabetic Nephropathy usually have no symptom of edema. A few patients can have slight edema before the decline of plasma protein. When 24-hour protein in urine is more than 3 grams, obvious edema can occur. Besides, obvious edema is only common for patients with rapid progress of Diabetic Nephropathy.

2.Anemia: patients with obvious azotemia can be accompanied with slight or moderate anemia, which can not be corrected with chalybeate. It is caused by defect in erythropoiesis, which is related with long-term restriction of protein intake and azotemia.

3. Hypertension: hypertension is a common symptom of Diabetic Nephropathy. Hypertension can promote the progress of Diabetic Nephropathy or even make it get worse.


4.Proteinuria: MALB can occur when glomerular filtration pressure increases or charge changes on filtration membrane, which is selectivity proteinuria without the increase of globulin and it can persist several years. With the increased enlarging filtration pore of glomerular basement membrane, macromolecular substances can gothrough it, representing nonselective clinical proteinuria. With the condition not well controlled it can lead to serious proteinuria and if the protein in urine is more than 3 grams each day, it may be a sign of bad prognosis. The condition of proteinuria can represent progressive development.

What Should Diabetic Nephropathy Patients Do?

Questions: I have Diabetes for 14 years, and now I have high creatinine and BUN, I like drinking and smoking, what should I do? At present, my illness condition is table, what will happen in the future?

Answer: 1. Do you quit smoking and drinking? I know this is very difficult for you, but this is the only reason which will aggravate illness condition that you can avoid.

2. I am very happy that your illness condition is stable at present, and this is very good for further treatment. At present, your BUN and creatinine is higher than the normal level. That means your kidney function is disordered. And maybe you have Anemia, high blood pressure, all these are caused by the damage of kidney.

3. The name of your disease is Diabetic Nephropathy. The clinical symptoms of Diabetes are featured by high blood sugar, patients present the symptoms like diuresis(a lot urine), eat more, drink more, become thin etc. If Diabetes (blood sugar) can’t be controlled well, it will give rise to the pathological damage in kidney,eyes, foot and other parts, which can’t be cured. After Diabetes occurrence, you present the symtpoms of kidney disease. Please notice that, Diabetic Nephropathy is very easy to cause heart disease. Therefore, the main task of your treatment is to treat the root of disease, repair the damaged cells, regenerate new cells to replace the necrotic/dead cells, rebuild the normal function of kidney.

4. As I told you before, Micro-Chinese Medicine can repair the damage islet β cells and renal cells, Immunotherapys can generate new cells to replace the dead/necrotic cells(both islet β cells and renal cells), thus rebuilding the normal function of kidney, and rebuilding the insulin function.

5.The fruit which Diabetes patients can’t eat:

Every 100g fruit contains more than 20g sugar, like red dates, hill haw, dried dates, candied dates, dried dates, raisin, dried apricot, longan etc. Patients should avoid eating preserved fruit and high-sugar fruit like persimmon, Hami melon, yellow peach etc. Every 100g fruit contains 11-20g sugar like banana, pomegranate, muskmelon, tangerine, apple, pear, leechee, mango etc.

The fruit which Diabetes patients can eat:

Every 100g fruit contains less than 10 g sugar, like green cucumber, watermelon, orange, pomelo, peach, plum, pineapple, strawberry, cherry etc.


Please drink less carbonated beverage like Coca-cola, Pepsi, Sprite etc, because one bottle of carbonated beverage contains about 40 g sugar.

Can Patients with Membranous Nephropathy Get Pregancy?

Question: My wife is 35 years old, suffer since 2003 of precence in urine of proteinuria and hematuria.

In 2005 she had twin pregnancy (gone in good end) and she suffered arterial hypertension and had a gestosi with anasarcatico framework.

She has not practiced examinations and specific therapies until Jan 2008 when she practiced corticosteroid therapy local and systemic for generalized itching.
March 2008 she noticed edemas slopes.

I send you documentation about general information and renal biopsy, the final diagnosis was ’Nephrotic syndrome secondary to Membranous Nephropathy .

At present the disease she suffering are: foam in urine, hypertension, swelling legs, face, body.

The treatment at present is:medicine for hypertension and ’Lasix’ for swelling.
No have heart disease, no high blood pressure, no vomiting, no discomfort.

total protein: 5.0(6.5-8.2), albumin:3.0(3.6-5.2),Urea Acid:6.7(2.4-5.7).RBC：3.79(4.0-5.4)HB:10.7(12-16), TUPR:3968(<150). We want have a baby, what should we do?

Answer:

1. When I analyse your wife’s physical examination reports, I feel very pity about her disease. Actually, she should have treatment in 2003, because she present proteinuria and microscopic hematuria at that year. The clinical symptoms of kidney disease always lag behind the pathological damage, that means if the patient present the symptoms like foam in urine,hematuria,backpain,high blood pressure etc, that means her kidneys have already damaged. Therefore, if the patient is in the stage of CKD3( Chronic Kidney Disease 3), he should receive CKD 4 treatment to protect his kidneys and delay the development of kidney disease.

2. I don’t suggest your wife get pregancy if her disease can’t be controlled well. Because the damaged kidneys will not only increase the burden of the mother, but also for the fetus. What’s more, she has received corticosteroid therapy, which is a kinds of hormone medicines, has a lot of side-effect. If she still take this medicines, which is not easy for her to get pregancy.

In the attachement, there are the side-effect of hormones medicines.

3. What is the meaning of anasarcatico framework? Are you sure the spelling is right?

4. I have analysed your wife’s physical examination reports, I can undersand most of the reports, but only the renal biopsy reports I can’t not understand. Most of the words are Italian, we don’t have intalian patient at present, so we can’t understand.

Can you translate the renal biopsy into English? I only need the main information like how many glomeruli get damaged, dead/necrotic, sclerosis etc.


I suggest your wife do a renal function test, I need to know her GFR(Glomerular Filtration Rate).

How Can Diabetic Nephropathy Patients Well Control Everyday Water Intake?

For patients with Diabetes, if they have no symptoms of Heart Failure or Renal Insufficiency, etc chronic complex, they should not restrict water intake. That is because the condition of hyperglycemia can lead to osmotic diuresis, which causes excess lose of water. If patients don't supplement enough water, it can cause dehydration. As a result, it increases blood viscosity, leads to blood circulation's disturbance and thrombopoiesis. Besides, it increases the risk of Cardiac Cerebral And Vascular Diseases. Further more, dehydration can also damage nerve fibre, which promotes diabetic neuropathy or makes diabetic neuropathy get worse.

However, for patients with Diabetic Nephropathy, they should properly restrict the water intake. When their renal function are at the compensatory stage, if urine volume is normal and there are no symptoms of edema on faces or legs, heart failure performance such as dyspnea, patients should not strictly restrict water intake. But once patients' renal function is at the discompensation stage and there are symptoms of edema on faces or legs, heart failure, they should watch out and control the water intake less than 1000ml each day. Besides, they should calculate 24 hours' urine volume and control the intake of water less than urine volume, which is good for detumescence.


Attentions: when it is hot or patients have a fever, they can control the water intake 700ml more than the quantity of urine volume, which supplements water loss of breath and sweat, avoid dehydration. In a word, patients should well control the water intake which should be consistent with the quantities of urine volume. Moreover, the water intake includes all liquid including porridge and soup.