When is Dialysis Needed? Procedure, Types & Life on Dialysis Explained | Dr. Jitesh Jeswani
Dr. Jitesh Jeswani explains the clinical triggers for initiating dialysis, the differences between Hemodialysis and Peritoneal Dialysis, vascular access preparation, and maintaining high quality of life.
Dialysis in Hindi | Dialysis कब करना पड़ता है | Dialysis कैसे होता है | Dr. Jitesh Jeswani
Watch Dr. Jitesh Jeswani explain the clinical symptoms, kidney biopsy diagnosis, and treatment protocols in this educational briefing. Read the full doctor-verified English guide below.
Dialysis becomes necessary when kidneys lose approximately 85% to 90% of their filtering function (eGFR < 10–15 mL/min or Stage 5 CKD), leading to fluid overload, breathlessness, high potassium, and uremic symptoms. Dialysis acts as an artificial kidney, filtering toxins and excess fluid.
Key Clinical Takeaways:
- Dialysis is initiated based on clinical symptoms and metabolic lab reports, not just creatinine numbers alone.
- Hemodialysis cleanses blood externally through a high-flux dialyzer 2 to 3 times per week.
- Peritoneal Dialysis uses the abdominal lining (peritoneum) for daily needle-free home filtration.
- Creating an AV Fistula 2 to 3 months early ensures smooth, infection-free dialysis initiation.
- Nephron Kidney Hospital provides 24/7 emergency dialysis and high-efficiency Online HDF in Nagpur.
What is Dialysis and How Does It Work?
Dialysis replicates healthy kidney functions: filtering metabolic waste products (urea, creatinine, toxins), balancing electrolytes (potassium, sodium), and removing excess water to prevent lung congestion.
Need consultation for Dialysis Care?
Dr. Jitesh Jeswani offers specialized evaluation at Nephron Kidney Hospital, Sitabuldi, Nagpur.
Questions & Answers
Is dialysis a permanent treatment?
In CKD Stage 5, dialysis is required long-term unless the patient receives a successful Kidney Transplant. In Acute Kidney Injury, it is often temporary until kidneys recover.
Does dialysis hurt?
The dialysis process itself is completely painless. Patients only feel a minor prick during needle insertion into their AV fistula.
Editorial Policy & Medical Disclaimer:
This article was prepared by the medical communications team of Nephron Kidney Hospital and reviewed by Dr. Jitesh Jeswani. It is provided for educational and awareness purposes only and should not be used as a substitute for direct medical diagnosis or treatment.