In short, there are three primary paths for managing end-stage renal disease, and the right choice depends on your specific medical history and lifestyle.
- Dialysis replaces kidney function. This treatment uses a machine or an abdominal lining to filter waste from your blood when your kidneys cannot.
- Transplants offer a cure. A surgeon places a healthy kidney from a donor into your body to take over filtration duties.
- Conservative management prioritizes comfort. This approach focuses on symptom relief and quality of life without using dialysis or transplantation.
Navigating a diagnosis of end-stage renal disease is difficult, but finding comprehensive kidney failure treatment in Brockton, MA, is the first step toward managing your health. Your kidneys act as the filtration system for your body. When they stop working, you face life-altering decisions regarding your care.
You likely have many questions about how your daily life will change. It is vital to understand that you have options.
This guide explores the various treatments available to you. We will help you understand the differences between dialysis, transplantation, and supportive care.
What Does Kidney Failure Mean?
Kidney failure, also known as end-stage renal disease (ESRD), occurs when your kidneys function at less than 15 percent of their normal capacity. At this stage, they can no longer filter waste products and excess fluid from your blood effectively.
Without medical intervention, toxins build up in the body. This accumulation can lead to severe symptoms such as nausea, vomiting, and extreme fatigue.
Securing kidney failure treatment in Brockton, MA, is essential for survival at this stage. Your nephrologist will review your blood tests and glomerular filtration rate (GFR) to determine the severity of your condition.
Is Dialysis the Right Choice for You?
Dialysis is the most common treatment for kidney failure. It artificially removes waste, salt, and extra water to prevent them from building up in the body.
There are two main types of dialysis. Patients usually have the choice between hemodialysis and peritoneal dialysis.
Hemodialysis
In hemodialysis, an artificial kidney (hemodialyzer) is used to remove waste, extra chemicals, and fluid from your blood. To get your blood into the artificial kidney, the doctor needs to make an access, or entrance, into your blood vessels.
This is usually done by minor surgery to your arm or leg. You can undergo this treatment at a dialysis center or in your own home with proper training.
Many patients prefer the structure of visiting a center three times a week. Others prefer the independence of home hemodialysis.
Peritoneal Dialysis
Peritoneal dialysis cleans your blood inside your body. The doctor will place a plastic tube called a catheter into your abdomen (belly) to make an access.
During the treatment, your abdominal area is slowly filled with dialysate through the catheter. The blood stays in the arteries and veins that line your peritoneal cavity.
Extra fluid and waste products are drawn out of your blood and into the dialysate. There are two major kinds of peritoneal dialysis: Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dialysis (APD).
If you are considering dialysis, discuss with your doctor which modality fits your lifestyle best.
Is a Kidney Transplant an Option?
A kidney transplant is often considered the best treatment option for many people with kidney failure because it can increase their chances of living a longer, healthier life. A transplant involves surgery to place a healthy kidney from a donor into your body.
A transplant can come from a living donor or a deceased donor. You do not need to be on dialysis to get a transplant, but you do need to match specific health criteria.
Living Donor Transplants
A living donor is usually a family member or friend. However, strangers can also donate a kidney.
Living kidney donation usually offers the best outcomes. The kidney often lasts longer and functions better immediately after surgery.
Deceased Donor Transplants
If you do not have a living donor, you can be placed on a waiting list for a deceased donor kidney. The wait time can vary greatly depending on your location and blood type.
While waiting for a transplant, you will likely need to continue your kidney failure treatment. It is important to maintain your health during this waiting period.
You will need to take anti-rejection medications (immunosuppressants) for as long as you have the transplanted kidney. These drugs help prevent your immune system from attacking the new organ.
What Is Conservative Management?
Conservative management is a choice to treat kidney failure without dialysis or a transplant. The focus is on quality of life and symptom control.
This approach involves preserving kidney function for as long as possible. It utilizes medications to manage anemia, maintain healthy bones, and control blood pressure.
You will work closely with a healthcare team to manage diet and fluid intake. This path is often chosen by patients with other serious health conditions or those who are elderly.
Choosing conservative management does not mean you are giving up. It means you are choosing a kidney failure treatment that aligns with your values and desire for comfort.
Frequently Asked Questions About Kidney Failure Treatment in Brockton, MA
Here are answers to common questions about kidney failure treatment.
Can My Kidneys Recover from Failure?
Acute kidney failure can sometimes be reversed if the underlying cause is treated quickly. However, chronic kidney failure is usually permanent.
Once the damage reaches end-stage, you will need kidney failure treatment for the rest of your life.
How Do I Choose Between Dialysis and Transplant?
This is a personal decision you should make with your nephrologist and family. Transplants generally offer better freedom and long-term health, but surgery has risks. Dialysis requires a strict schedule but avoids major surgery.
Is Dialysis Painful?
Dialysis itself is not painful. However, some patients may experience a drop in blood pressure. This can lead to nausea, vomiting, stomach cramps, or headaches.
Can I Travel if I Am on Dialysis?
Yes, you can travel. If you are on hemodialysis, you must arrange treatments at a center near your destination. Centers for dialysis can help coordinate care with other facilities if you plan to travel.
What Lifestyle Changes Are Required?
Regardless of the treatment you choose, you will likely need to change your diet. This usually involves limiting sodium, potassium, and phosphorus. You may also need to limit your fluid intake.
Finding Kidney Failure Treatment in Brockton, MA
Choosing the right path for your health is a significant decision. Whether you opt for a transplant, conservative care, or are looking for dialysis, you need a team you can trust.
Associates in Nephrology provides compassionate, comprehensive care for patients with kidney disease. Our team helps you navigate the complexities of kidney failure treatment in Brockton, MA.
We understand that every patient is unique. We work with you to develop a personalized care plan that fits your medical needs and lifestyle goals.
If you or a loved one is facing kidney failure, do not face it alone. Contact Associates in Nephrology today at (508) 587-0700 or use our online appointment request form to schedule a consultation and learn more about your options.
