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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Dialysis, Gaining Weight, Stomach Bloated, Cramping. What Do I Do? Why Is It Happening?

It seems that since I have started dialysis I m gaining dry weight and also after having dialysis my stomach gets so bloted and cramping. It has gotten so bad my stomach makes all kinds of noise and I have to leave the room. I have been taking Alkaseltzer but5 that has a lot of sodium in in it,so that s out. What do I do? And why is it happening?
Fri, 26 Jul 2013
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Nephrologist 's  Response
The symptoms you have reported suggest excessive removal of fluid during dialysis.That may be happening because you are gaining more weight in between the dialysis.
I suggest-
1.Start taking dialysis thrice a week if not already done.
2.Drastically reduce salt intake
3.Cut down significantly on your fluid intake say 700-800ml/day
4.Limit your weight gain in between 2 dialysis sessions to maximum 1 kg.
5.Stop taking Alkaseltzer immediately
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On Dialysis, Gaining Weight, Stomach Bloated, Cramping. What Do I Do? Why Is It Happening?

The symptoms you have reported suggest excessive removal of fluid during dialysis.That may be happening because you are gaining more weight in between the dialysis. I suggest- 1.Start taking dialysis thrice a week if not already done. 2.Drastically reduce salt intake 3.Cut down significantly on your fluid intake say 700-800ml/day 4.Limit your weight gain in between 2 dialysis sessions to maximum 1 kg. 5.Stop taking Alkaseltzer immediately