Brief Answer:
Please, get evaluate as soon as possible!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this generalized body swelling and bleeding from the nose that you have reported.

From all the information you have provided, your kidneys are not in the best of states. This means that dialysis is the main method by which water and electrolyte balance alongside removal of waste is being carried out. Fluid accumulation signals that your dialysis frequency/schedule has to be re-evaluated and the number of sessions probably increased in order to be able to address this generalized fluid increase. Also, avoiding much salt in diet alongside minimal fluid intake would help prevent rapid aggravation of these symptoms.

The bleeding from the nose is a well recognized disorder that accompanies kidney failure. This is because high levels of waste in the system prevents the platelets from functioning normally and this leads to easy bruising. Report any further bleeding to your doctor. They are really not the best signs in a patient on dialysis.

Dialysis is only a temporary measure in the management of chronic kidney disease. The main stay of treatment here is kidney transplant. Has your doctor mentioned this to you and have you been evaluated and put on the list of persons waiting to get a kidney transplant? Kidney transplant for eligible candidates is the only true cure for this condition.

In all, you need to get your dialysis sessions probably increased to address this. Please, discuss the possibility of kidney transplant with your doctor if that has not been done already. For now, decrease the amount of fluids you take in and avoid salt to temporary prevent aggravation of this generalized edema.

I hope this addresses your query fully. I hope you find it helpful and guiding enough to act on. I wish your grandson well. Thank you so much for using our services and please feel free to ask for more information and clarifications if need be.

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