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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuations In BP While On Hemodialysis?

Hello Dr. I am 51 yrs old on hemo dialysis from the past 3 yrs (thrice
a week) a diabetic since the past 20 yrs.

1.The problem is that my BP keeps fluctuating a lot and more
towards the lower side esp after dialysis. I usually take Lemon water with salt but that raised the potassium level.Can you please advice us as to how should we tackle this during and post dialysis?

2.Recently i noticed blood stains on my bed sheet in the morning and a drop in the bathroom as well.This is happening since yesterday.Can you please help me as to what the problem is?and is transplant a safe option at this stage ?

Thanks
                                                                 
Wed, 28 Dec 2016
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Internal Medicine Specialist,  's  Response
DEAR USER THANKS FOR WRITING AT HIM

I UNDERSTAND YOUR CONCERN.. POST HEMODIALYSIS A FALL IN BP IS A COMMON PHENOMENON AS DURING HEMODIALYSIS THEY REMOVE THE FLUID FROM YOUR BODY ( ULTRA FILTRATE) THIS REDUCES THE VOLUME IN YOUR VESSEL AND YOUR BP REDUCES

YOU CAN TALK TO YOUR NEPHROLOGIST ABOUT THE AMOUNT OF FLUID REMIVED AND FALL OF BP..

BUT YOU NEED NOT WORRY AS USUALLY THE NEPHROLOGIST TRUES TO KEEP BP AT A RANGE WHERE IT'S NORMAL POST DIALYSIS AS WELL

REGARDING BLOOD STAIN.. I WOULD LIKE TO KNOW IF BLOOD DROP WAS FROM STOOL OR URINE??

YES TRANSPLANTATION IS ALWAYS A SAFE OPTION AND WITH RECENT ADVANCES IT HAS BECOME QUIET POSSIBLE TO HAVE A GOOD Post TRANSPLANT PROGNOSIS

HOPE I ANSWERED SOME OF YOUR QUERIES.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS..
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What Causes Fluctuations In BP While On Hemodialysis?

DEAR USER THANKS FOR WRITING AT HIM I UNDERSTAND YOUR CONCERN.. POST HEMODIALYSIS A FALL IN BP IS A COMMON PHENOMENON AS DURING HEMODIALYSIS THEY REMOVE THE FLUID FROM YOUR BODY ( ULTRA FILTRATE) THIS REDUCES THE VOLUME IN YOUR VESSEL AND YOUR BP REDUCES YOU CAN TALK TO YOUR NEPHROLOGIST ABOUT THE AMOUNT OF FLUID REMIVED AND FALL OF BP.. BUT YOU NEED NOT WORRY AS USUALLY THE NEPHROLOGIST TRUES TO KEEP BP AT A RANGE WHERE IT S NORMAL POST DIALYSIS AS WELL REGARDING BLOOD STAIN.. I WOULD LIKE TO KNOW IF BLOOD DROP WAS FROM STOOL OR URINE?? YES TRANSPLANTATION IS ALWAYS A SAFE OPTION AND WITH RECENT ADVANCES IT HAS BECOME QUIET POSSIBLE TO HAVE A GOOD Post TRANSPLANT PROGNOSIS HOPE I ANSWERED SOME OF YOUR QUERIES.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS..