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  • peritonial dialysis with hernia

    hello, im new to this forum, have a question, if anybody can help. my dad is just starting CAPD, and now they have discovered he has a hernia, wondering if he can still continue with this type of dialysis, has anybody else experienced this problem, look forward to any feedback. thank you. neil

  • #2
    Welcome Neil. There are quite a few members on here who are on CAPD and I'm sure they can advise you on this.
    Whatever does not kill me makes me stronger...Neitzsche
    Flip

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    • #3
      I'm on CCPD, but I have never experienced a hernia. I think from what I've read, he will have to stop PD and go on hemo while they fix the hernia and give it time to heal, then resume PD. But like I said, I've never had a hernia, so this is just hearsay.
      Shannon
      KidneyFun // Kidney Korner // Organ donation awareness products!
      If the world didn't suck...........We'd all fall off!

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      • #4
        I think Shay may be right. My brother had a hernia at one point while on PD. It was pretty bad and he was still young at the time (it was before his transplant, so he was 19 or 20). The lining tore in his abdomen which cause the solution to "leak out" into surrounding tissues. It was really bad and my brother was in pain and even walked funny, like he had been riding a horse (I realize this sounds funny, but seriously, it was not a pretty sight). He had to have a HD cath placed and then go in for surgery to repair part of his peritoneal lining. Later on, when he went back on PD, he had another prob and sneezed and then it tore the peritoneal lining yet again. He had a few probs with this happening and had it repaired a few times. Then again, he was young and often did foolish things while on PD....

        So Neil, you should talk to your Dad's doc. Good luck....
        Blessings and Be Well.
        PurpleGirl
        Knowledge is Power!

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        • #5
          Originally posted by shay_pcb View Post
          I'm on CCPD, but I have never experienced a hernia. I think from what I've read, he will have to stop PD and go on hemo while they fix the hernia and give it time to heal, then resume PD. But like I said, I've never had a hernia, so this is just hearsay.
          thank you shannon for replying, i've read more about it now, and i think your right, just a case of waiting now to see if they operate. thanks again. god bless. neil

          Comment


          • #6
            Originally posted by PurpleGirl View Post
            I think Shay may be right. My brother had a hernia at one point while on PD. It was pretty bad and he was still young at the time (it was before his transplant, so he was 19 or 20). The lining tore in his abdomen which cause the solution to "leak out" into surrounding tissues. It was really bad and my brother was in pain and even walked funny, like he had been riding a horse (I realize this sounds funny, but seriously, it was not a pretty sight). He had to have a HD cath placed and then go in for surgery to repair part of his peritoneal lining. Later on, when he went back on PD, he had another prob and sneezed and then it tore the peritoneal lining yet again. He had a few probs with this happening and had it repaired a few times. Then again, he was young and often did foolish things while on PD....

            So Neil, you should talk to your Dad's doc. Good luck....
            Blessings and Be Well.
            thank you for replying purple girl, your replys helped, hope all is going better for your brother now. thanks again, god bless. neil

            Comment


            • #7
              Originally posted by flipw View Post
              Welcome Neil. There are quite a few members on here who are on CAPD and I'm sure they can advise you on this.
              thanks flipw. this forum really helps,talking with other people with similar exsperiences.

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              • #8
                Re: peritonial dialysis with hernia

                Based on what I remember, peritoneal dialysis
                and hernia cannot be done at the same time.
                But I don't know if today's science, we can already
                do peritoneal dialysis and hernia at the same time.
                It would be better if you'll ask a specialist in PD and
                hernia.
                Billing Software

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                • #9
                  Re: peritonial dialysis with hernia

                  I realize this post has been up for a while but wanted to add to it for others who may have this same issue. My husband is a PD patient and developed a hernia around his belly button 4 months ago. The surgeon and nephrologist conferred on it and have decided to allow him to continue PD for the time being as it is very small and it is high enough that they do not feel it is causing any leakage or problem for him at this point. However, if it gets larger, they will discontinue PD, repair the hernia and then allow him to return to PD after about 6 weeks post surgery.

                  So it sounds like it depends on the size and location of the hernia.
                  "Life isn't about waiting for the storm to pass...
                  It's about learning to dance in the rain. "

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                  • #10
                    Re: peritonial dialysis with hernia

                    I have been reading on hernias and peritoneal dialysis. I have a dfferent problem I have a Prolasped bladder if I had surgery could I still do peritoneal dialysis does any body have this problem?
                    cheers virtsma

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                    • #11
                      Re: peritonial dialysis with hernia

                      When I was on Peritoneal Dialysis I had Umbilical Hernia. They put a disk behind my belly button and repaired the hernia and I continued doing PD just fine.
                      Angie
                      Kidney KornerDialysis Ethics Forum Kidney PixAwareness Shirts KidneySpace Donor Search
                      I will be walking a Kidney Walk in Ontario Canada Sept 18th 2011
                      • Peritoneal Dialysis = 4 yrs
                      • Hemo Dialysis (in center) = 2 yrs
                      • 2 kidney transplants = 1990 - 2001 & 2007 to present

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                      • #12
                        Re: peritonial dialysis with hernia

                        Hi Neal,
                        Regarding your uncertainty about dialysis with a hernia, well I have been on PD for almost a decade now, and I ended up returning to hermo, because of a severe infection, and after about six months of hemo treatment, I was ready to have the surgery to replace the PD catherer, and they say they found a hernia, in which I wasn't at all aware of, because there was no sign of it, nor did I have any kind of discomfort from it, well they claim they repaired it, but after a year of returning to PD, I did develop a hernia, that was quite visible, it would go down after the draining part of the exchange, but it would come back full force when I would fill, well anyway because of the way I have to do hemo, (in my groin area), it was very dififcult and of course not a very safe way to do hemo, as a matter of fact about a decade ago they didn't allow a patient out of the hospital with a catherer in their groin, but now they don't hospitalized patients any more we are very much on our own to deal with it the best way we can. Well anyway I have had this hernia for almost two years now, and I still do PD with minimum problems, of course he had to change my intital drain set-up from 1000 to 800, because it woud relieve pressure on my existing hernia. I'm still concern about a person on this thread from Canada, that said they did a disk in the back of the belly procedure so she could continue PD treatment, maybe that procedure isn't know here. That is why I like this thread and also I praise God for the internet, because I learn so much from reading these threads, usually new and very incisive info that pertains to a renal patients well being. If you would like to read more about me I self-published a book earlier this year title - My Renal Life - by Gloria Ann Jeff-Moore, online at xlibris.com, the bookstore, - just search lower right sidebar my title - an read my excerpt and author bio.

                        In the meantime Don't let this disease control you, You control the disease
                        Remember Knowledge is Key, always

                        Glo

                        Comment


                        • #13
                          Re: peritonial dialysis with hernia

                          Originally posted by kirstie017 View Post
                          Based on what I remember, peritoneal dialysis
                          and hernia cannot be done at the same time.
                          But I don't know if today's science, we can already
                          do peritoneal dialysis and hernia at the same time.
                          It would be better if you'll ask a specialist in PD and
                          hernia.
                          Kristie, I must correct you, yes, you can do PD with a hermia, I have been doing PD with a hernia for almost three years now, and I really don't have any problems, it is going O.K. so far. I do have issues why I can't just get it repaired, but I have difficulty with doing hemodialysis from a catherer. Won't to hear my story, just hit me up anytime O.K., it is way too much to go into at this time, just wanted to answer your question, Can a PD patient continue to do their treatment with a hernia, Yes, I am living proof. Like I discovered early on, everyone on dialysis is unique in so many ways.
                          Glo

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                          • #14
                            I am on CAPD if it is in his belly? He will have to go back on hemo till it heals. I had a groin hernia and was able to stay on PD thank God!!

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                            • #15
                              Like "looneytunes", I'm replying to this post, years after it was originally posted, but, again, someone may come across it, tomorrow, on a search and my experience may provide an answer...I started CAPD in July 2014 and was doing 4 exchanges per day. My first Adequest test was very good and the nephrologist cut out one exchange per day, so I was only doing three. On a routine visit to the clinic, for a check up, I questioned an unusual "lumpiness" (don't know how else to describe it ) in my lower abdomen. Upon examination, it was suspected that I might have experienced a tear in the abdominal lining, which was leaking the dialysis solution into the surrounding skin. I hadn't realized that was a possibility, but once the nurse mentioned it, it made a lot of sense, because my drain bags had also been a lot less full (had been draining anywhere from 2500 to 2800 ml/exchange and dropped to 2200 to 2400 ml/exchange) and my "dry weight" had been climbing, without explanation. A simple round of ultrasounds, before and after filling with a bag that had been infused with dye, confirmed that I did have a tear and that the solution was leaking from my peritoneal cavity, into the surrounding skin of my abdomen. This would, normally, as others have suggested, required me to stop PD and go on hemo for several weeks, while the tear repaired itself; however, because my Adequest scores had been so high, my nephrologist elected to just decrease my treatment to one exchange per day, which I did at night (so, I would fill at night, dwell while I slept and drain in the morning and go "empty/dry" all day). This seems to have worked well - the decrease in pressure of being empty during the days, allowed the tear to heal and I will, hopefully, start using the cycler, at night, to resume full treatment, but only at night. So far, according to the nephrologist, my blood work is still indicating that I'm doing fine on the 1 exchange per day (note, I have polycystic kidney disease and still urinate, as well, so that is also to my benefit); however, leading up to Christmas, I was experiencing a LOT of swelling in my ankles and calves and fatigue, exacerbated by the need to get up two or three times per night, to use the washroom, so I re-introduced an exchange during the day, with my nurse's approval. Over Christmas, the swelling and fatigue continued, so I upped to two exchanges, during the day, to resume the treatment level that I'd been on when the tear first happened. This has helped immensely, but I, within the past couple of days, have noticed a decrease in my drain bag levels, again, so I'm continuing to monitor and will have to cut them both out, again, if it continues. Here's to hoping for poor enough results, on my blood work, to permit me to start on the cycler, at night... (surely, it's a rare thing for someone to want poor blood work results...? )

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