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What is the cause of severe weakness in a diabetic post dialysis ?

my dad is 62 yr old with diabetes for the past 17 years..he has diabetic retinopathy ..diabetic nor is he able to eatneuropathy and recently just 7 days back he was ask to go for dialysis for 3 consecutive days due to swelling on his face ,leg and abdomen ..his urea was 180 and cretinine 6.7 before dialysis..13 litres of fluid were taken out during dialysis...and was advice for dialysis again after 2 days,,but since after dialysis he has become very weak,not able to walk without support nor is he able to feed himself without support,,so we are not allowing him to go for dialysis till he becomes strong and able to walk without support..his urea was 130 and cretinine 14 after dialysis and there is no swelling in his body now...what could be the possible cause of weakness ??should we do dialysis even without appearance of swelling in body?
Asked On : Tue, 28 Feb 2012
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General & Family Physician 's  Response
Hi Your Dad seems to be a long standing diabetic, with significant eye changes (poorly controlled diabetes).. It is a common scenario for such patients to go into renal disease ...either acute or chronic renal failure... The reports of urea and creatinine are suggestive of an chronic renal failure caused due to diabetic nephropathy (but i would like to know about his old reports and the progress of his condition). His weakness can directly be due to his diabetes, renal failure, electrolyte imbalance, or cerebrovascular episode. Dialysis needs to be continued as long as required or his condition improve. Your nephrologist would be the best to let you know
Answered: Wed, 29 Feb 2012
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General & Family Physician Dr. Veera Raghava Rao Buddha.'s  Response
Hi welcome to H.C.M.Forum. dialysis is done when kidneys are failing. so ones started should be continued periodically. the interval depends upon the accumulation of water and wastes. so with the advise of the attending doctors you can extend the interval, but dialysis is compulsory. thank you.
Answered: Tue, 28 Feb 2012
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