7 Tips to Keep Your Fluid Down on Dialysis
As any dialysis patient will tell you, keeping your fluid gain between dialysis sessions in check is not only important to your long term health, it is a major factor in your immediate well-being.
Keeping fluid level gains as low as possible between dialysis treatments will minimize the risk of congestive heart failure, pulmonary oedema, and hypertension. Cramps, headaches and breathing difficulties are short term side-effects of fluid overload, and whilst not as dangerous as the long term effects, these should be heeded as a pointer to fluid overload in dialysis patients.
Whilst every dialysis patient has their own special method of keeping their fluid levels in check, I thought it might be pertinent to explain some of the methods that I have found (relatively) successful.
1. Buy a bag of ice. I have a large chest freezer in my kitchen, I buy a 5kg (approx 11lb) bag of ice chips from the service (gas) station, place it in the freezer, and suck on ice chips throughout the day. Make sure the freezer is in a convenient place, so you can reach it quickly to grab a few small pieces of ice, so you can avoid the temptation to fill a glass with ice. (In which case you might as well have that mug of coffee you wanted in the first place!)
2. Get a GOOD set of digital scales. I have a set which measures with an accuracy of 200grams (don't we all wish we could afford the scales at the dialysis unit which measure to 50grams?!?), which is accurate enough to get a good idea of where you are at with your fluid gain. Work out the difference between your dialysis centre scales, and your home scales, so you can get an accurate reflection of your fluid gain. I weigh myself first thing when I get up in the morning (you'd be surprised how much weight you lose over a warm night!), as soon as I get home from work, and whenever I have a drink.
This method is great in two ways: 1)You never (well, rarely, anyway!) get a nasty surprise when you arrive at dialysis and jump on the scales. And 2) You don't get the opposite surprise of getting to dialysis with only 1kg of fluid on, thinking: "Damn, I wish I'd drank more!" (I often find myself in the ridiculous situation of forcing myself to have another cup of coffee before I leave for dialysis, as there's no bank for fluid, once you've had that dialysis, the opportunity to have that drink is gone forever!)
3. Save up your drinks if you're going to need them. If you know you are going to an event where the temptation to drink more fluid that you should will be strong, save up your drinks beforehand. For example - if you get off dialysis at lunchtime on Wednesday (meaning that you go back to dialysis on Friday Morning), and you have a function to attend on Thursday night, try to drink as little as possible between Wednesday lunchtime and Thursday evening, telling yourself that your reward will be the fact that you will be able to drink (nearly) as much as a "normal" person at the function.
4. Keep yourself busy! Any dialysis patient will tell you that when they're busy, they're not thinking about drinking. It could be a gentle walk, send an email to a friend, jump on the phone, or play with your kids. It doesn't matter, as long as it keeps your mind occupied.
5. Frozen water. Freeze a bottle of water, containing the amount you have allowed yourself to drink that day, and drink it as it defrosts. This has the benefit of the drink being ice-cold, as well. The down-side of this is that if your bottle melts too quickly, you could find yourself at 3pm, with all your water gone!
6. Spray bottle. Get yourself a spray bottle, and fill it with water (maybe with a little lemon juice or mint flavouring), and spray it into your mouth when you feel the urge to have a drink. Whilst this won't completely sate your desire for fluids, it may help you wait a little longer before indulging!
7. Mints and toothpaste. Try sucking a strong mint, or even brushing your teeth. The feeling of a clean, fresh mouth will often lessen the desire to blow your fluid limit. (This method will make you nicer to kiss, too!)
I hope that these suggestion will help you in the dialysis patient's eternal quest to keep their fluid gain under control. But remember, life is for living too, and we, as dialysis patients more than most need to adhere to this edict. So whilst keeping your fluid gain under control is important for both your immediate and long term health, remember that if you've blown your fluid this time, there is always next time, so keep trying!
About the author: Stuart Drew is a 34 year old dialysis patient from Adelaide, Australia. He has a wilfe, a son (with another on the way), and two miniature schnauzers. He is a part time web geek, and runs the website http://www.therenalunit.com - a news service for all issues relating to kidney disease and dialysis. He can be contacted at mailto:firstname.lastname@example.org
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It just seemed too absurd to be true, but there it was in the August 2, 2004 edition of Newsweek I picked up the other day: "According to HealthGrades, the health-care-rating organization that conducted the study, needless deaths averaged 195,000 a year in 2000, 2001, and 2002. 'That's the equivalent of 390 jumbo jets full of people dying each year,' says Dr.
Tomorrow Well Have Rabbit Feet; Cloning
I am not sure where I'm at with this subject of cloning, it sounds a bit cheesy to me; you know the old saying: something smells in Denmark. It kind of reads like this in my mind, confused mind, or maybe not so confused, maybe the world is wrong and I am right, any how it goes like this: let's kill an infant, why not, we do a million of them abortions a year that way, anyhow; now that we've legalized this, let's use some of it for fish bate.
Overview of FDA Recalled Drug - BEXTRA
Bextra, also known as valdecoxib, is a prescription medicine known as a COX-2 Inhibitor. Like Vioxx and Celebrex, it supposedly lessen the pain of inflammation and fever without causing stomach irritation common to aspirin and other NSAIDs (Non-Steroidal Anti-Inflammatory Drugs).
Patient Communication: Picking Up Where Medicine Leaves Off
We've all seen patients who were far beyond the reach of medical treatment suddenly defy the odds and recover. We've also seen patients who were well on the road to recovery, take a turn for the worse for seemingly no reason at all.
Toenail Fungus: Treatment and Prevention
A thick, yellowish nail with splotchy white areas is a classic presentation for a fungal toenail. In the early stages the toenail is only slightly discolored, or slightly thickened.
Relafen: A New Drug with an Old Danger
Individuals who regularly take Relafen (nabumetone) or other anti-inflammatory medications, either for arthritis, joint pain, or other indications, should be aware of severe adverse health implications that can potentially result from prolonged use. Relafen is usually prescribed for osteoarthritis or rheumatoid arthritis to reduce pain, inflammation, and stiffness, but can also be prescribed for other purposes.
Alcohol Rehabilitation Centers - Take An Informed Decision
Alcohol rehabilitation centers in the United States offer a wide range of treatment programmes for your recovery from alcoholism.They provide services such as detoxification, residential treatment, day care and outpatient alcohol rehabilitation programs.
Stevens Johnson Syndrome Lawyer Says: Get Help
SJS is an allergic reaction to certain medications that can result in death. It has been linked to pain killers, antibiotics, barbiturates, anti-convulsants, non-steroid anti-inflammatory drugs, arthritis medications, and sulfa antibiotics such as Bextra, Arava, Aventis, Remicade, Allopurinol, Phenytoin, Carbamazepine, Ibuprofen, Daypro, children's Motrin, Advil, Lamectal and Topamax.
Arthritis Pain Relief : Questions To Ask Your Healthcare Provider
A great place to begin taking charge of you arthritis pain relief and prevention planning is by making an appointment with your healthcare provider and finding out more about your condition and treatment options.Make sure to jot down questions ahead of time, and take them along in your journal or notebook, armed with a pencil to fill in his or her replies.
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