Sunday, 13 May 2012
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I am an LPN caring for a dialysis patient in a nursing home setting. I am familiar with some of the symptoms of trouble in between dialysis sesswions such as increased confusion. I have a couple of questions. #1. Will a three times a week dialysis patient be able to urinate? #2. Will the bladder continue to give the sensation of having to urinate? What is apt to cause pain in the region of the bladder ( no distention).? Donna Fitzgerald LPN
Hello,

Well dialyzed patients who have been on dialysis for some time, should not get generally get confused between dialysis treatments (related to re-accumulation of toxins).

To answer your questions, many dialysis patients, especially if they have not been on dialysis for long, may continue to make significant amounts of urine. While not all will retain this residual renal function, it would not be unusual for patients to maintain a seemingly normal amount of urinary volume for some time. And so yes, in such cases, patients will continue to fill and distend their bladder. Pain in the bladder region would have the same differential diagnosis as in non-dialysis patients (retention, cystitis etc).

We hope this is helpful.

Jordan

Dr. Jordan Weinstein, MD
Division of Nephrology, St. Michael's Hospital
Assistant Professor of Medicine
University of Toronto
Director, UKidney.com
1 year ago
·
#2224
My father is on dialysis, three times a week for last 9 months. He used to urinate 3-5 times I
24 hours earlier. Since last one day, he is feeling of urination and going to washroom at an interval of 5/10/15 minutes, though the actual urination is negligible.

How this can be explained?
My father is on dialysis, three times a week for last 9 months. He used to urinate 3-5 times I
24 hours earlier. Since last one day, he is feeling of urination and going to washroom at an interval of 5/10/15 minutes, though the actual urination is negligible.

How this can be explained?


Urinary infection and prostatitis can still occur on dialysis and should be excluded as a first step.

Dr. Jordan Weinstein
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