risk-of-CKD-progression

Planning for Dialysis in Advance: Why It’s Important

🚨 Facing kidney failure? Be prepared before it’s too late!
Knowing your dialysis options in advance can save your life and improve treatment quality.

  1. Why You Should Prepare for Dialysis in Advance

Many patients ignore early kidney disease symptoms until their kidneys suddenly fail. When this happens, emergency dialysis is needed, leading to:
High hospital bills due to unplanned care.
Increased risk of complications like infections and clotting.
Limited treatment choices – You may not get the best dialysis option.

Planning in advance ensures a smoother, safer dialysis process.
Patients who prepare early have fewer complications and better survival rates.

  1. What Happens When You Suddenly Need Dialysis?

Without preparation, patients often arrive at hospitals in critical condition, suffering from:
⚠️ Severe swelling & breathlessness due to fluid buildup.
⚠️ Dangerous electrolyte imbalances (high potassium can cause heart failure).
⚠️ Mental confusion or coma from toxin buildup in the blood.

🔹 Emergency dialysis is riskier, more painful, and expensive!

🚀 Avoid this by planning early!

  1. Steps to Prepare for Dialysis in Advance

If your kidney function (eGFR) is below 20%, your doctor may recommend dialysis preparation. Here’s what to do:

Step 1: Get a Fistula Surgery for Easy Dialysis Access

A fistula is a special blood vessel created in the arm for dialysis. It allows smooth blood flow for effective treatment.

Why prepare early?
✔️ Fistulas take 6-12 weeks to mature before use.
✔️ Without a fistula, patients need a temporary catheter, which has higher infection risks.

📌 Ask your doctor about fistula surgery once CKD reaches Stage 4 (eGFR below 30%).

Step 2: Choose the Right Type of Dialysis

There are two types of dialysis – each has pros and cons.

💉 Option 1: Hemodialysis (HD) – Done at a Dialysis Center

✔️ Blood is cleaned using a machine at a hospital 3-4 times a week.
✔️ Sessions last 4-5 hours each.
✔️ Requires a fistula or dialysis catheter.

🏠 Option 2: Peritoneal Dialysis (PD) – Done at Home

✔️ Uses the lining of the abdomen (peritoneum) to filter blood.
✔️ Patients can do dialysis at home while working or sleeping.
✔️ Less restrictive diet compared to hemodialysis.
✔️ Requires a catheter inserted into the abdomen.

📌 Which is right for you? Discuss with your nephrologist.

Step 3: Educate Yourself About Dialysis Before Kidney Failure

Many patients panic when they hear the word dialysis because they are uninformed. Knowing the facts reduces fear and anxiety.

📌 What you should learn before dialysis starts:
✔️ How dialysis works & how long it takes.
✔️ What foods and drinks to avoid to protect kidneys.
✔️ How to manage dialysis side effects (fatigue, BP drops, cramps).
✔️ How to maintain work, travel & daily life on dialysis.

Step 4: Choose the Best Dialysis Center for Quality Treatment

Not all dialysis centers offer the same level of care. A poor-quality center may lead to infections, longer hospital stays, and lower survival rates.

📌 How to select the right dialysis center:
✔️ Check infection control policies – How often do they clean the machines?
✔️ Look at patient reviews – Are people satisfied with care?
✔️ Ask about diet & counseling services – Do they educate patients on nutrition?
✔️ Find out the cost – What are charges for each session?

  1. Benefits of Preparing for Dialysis in Advance

📌 Patients who prepare early have:
Fewer infections – A fistula lowers infection risks compared to emergency catheters.
Better energy levels – Learning how to eat & exercise helps reduce weakness.
Lower hospital admissions – Fewer complications mean fewer hospital visits.
Better emotional health – Knowledge reduces stress and fear of dialysis.

  1. Dialysis Costs in India – Why Early Planning Saves Money

Many patients are shocked by dialysis costs when they start treatment. Being financially prepared makes a huge difference.

Expense

Cost Per Month

Annual Cost

Hemodialysis (Hospital)

₹10,000 – ₹30,000

₹1.2 lakh – ₹3.6 lakh

Peritoneal Dialysis (Home)

₹15,000 – ₹35,000

₹1.8 lakh – ₹4.2 lakh

📌 Planning early allows you to explore:
✔️ Government subsidy programs like PM-JAY for dialysis support.
✔️ Insurance coverage – Some plans cover dialysis & transplant costs.
✔️ Crowdfunding options if finances are tight.

  1. Final Takeaways: Don’t Wait – Plan for Dialysis Now!

💡 Don’t wait until kidney failure to start planning for dialysis. Taking early action helps you:
Avoid emergency hospitalizations.
Get a fistula ready for smooth dialysis.
Choose the right dialysis type for your lifestyle.
Find the best dialysis center & lower treatment costs.

🚀 Take Charge of Your Kidney Health Today!

🔹 Start Your Dialysis Risk Assessment
👉 Check Your Risk of Dialysis

Your kidney health is in your hands! Don’t wait until it’s too late—plan ahead for a better future. 🚀

Picture of Dr. Sanjeev Agrawal

Dr. Sanjeev Agrawal

Dr. Sanjeev Agarwal (MBBS, MRCP, CCST, FRCP), we are redefining the standards of healthcare delivery through our cutting-edge digital platform. With over 14 years of expertise in the United Kingdom as a Consultant Physician specializing in Respiratory Medicine and Intensive Care, Dr. Agarwal brings a wealth of global knowledge and a patient-first philosophy to Megastar.

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