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How to manage kidney failure?

Q: What is the basic difference between haemodialysis and peritoneal dialysis and which is a cheaper option? Which is preferable for a patient who is hypertensive for the past three decades, weak, immobile (below knee amputation in one leg)? The serum creatinine levels are consistently over 8 mg/dl for the past three weeks with high BUN, blood urea and blood sodium. Only potassium values remain under control. Fluid restrictions lead to UTI which requires hospital admission for antibiotics under medical supervision. Kindly advise.

A:In fact you are wanting to know about the management of a patient who I believe has end stage kidney disease following persistent high blood pressure. Haemodialysis is a procedure which takes toxins and poisonous substances from the blood of a patient while the blood is being passed through artificial kidney filter whereas in peritoneal dialysis the same objective of cleansing the blood is done through a tube put in the abdomen of a patient and running fluid through it, in this case peritoneal membrane acts as a filter. Both these modalities can not be compared with each other and are chosen for a suitable patient. In your case I think the best course is to find out a good nephrologist and consult him and in turn he will choose the right modality of managing kidney failure in consultation with the family and the patient.

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