What Is Dialysis, and When Is It Needed for Kidney Failure? - #15332

Dialysis becomes necessary when the kidneys can no longer perform their critical functions, typically when kidney function falls below 15% of normal. At this point, either Hemodialysis or Peritoneal Dialysis is used to filter waste, excess fluids, and toxins from the blood. Hemodialysis involves using a machine to filter the blood outside the body, while Peritoneal Dialysis uses the lining of the abdomen as a filter. The choice of dialysis depends on factors like the patient’s health, lifestyle, and personal preferences. In Ayurveda, herbs like Punarnava, Gokshura, and Varuna are known to support kidney function and help with detoxification, potentially reducing the need for dialysis by improving kidney health. Additionally, a kidney-friendly diet and maintaining hydration, reducing processed foods, and managing underlying conditions like high blood pressure and diabetes can play a role in preventing further kidney damage. However, once kidney damage reaches an advanced stage, dialysis or a kidney transplant may be unavoidable.

Dialysis essentially steps in when kidneys can’t do their job, usually in later stages of Chronic Kidney Disease (CKD). The usual trigger for dialysis is when kidney function drops below 10-15% of normal, although symptoms like fatigue, swelling, or lab results showing high waste levels can dictate the start too.

There are indeed two main types: Hemodialysis and Peritoneal Dialysis. Hemodialysis often involves a machine that filters blood outside your body, typically at a clinic a few times a week. Peritoneal dialysis, meanwhile, uses the lining of your abdomen as a natural filter, which you can do at home—more flexible but requires daily practice. Choice often depends on lifestyle, health condition, and personal preference. Doctors usually weigh factors like your medical history, remaining kidney function, and how much independence you prefer.

Naturally, the thought of dialysis for life is daunting. Reversing kidney damage fully might be tough in late stages, but managing or slowing progression is possible! In Ayurveda, addressing underlying dosha imbalances is key, along with dietary changes. Punarnava acts as a diuretic, while Gokshura supports urinary tract health, and Varuna can help with renal calculi (kidney stones). These herbs may provide supportive help, but always chat with an Ayurvedic physician first as they tailor treatments to individual Prakriti (constitution).

Diet is crucial. Reduce salt intake, limit protein to ease kidney workload, and include lots of fluids—assuming your doctor doesn’t limit it. Eating fresh, seasonal fruits and command leafy greens can also help.

Initial adjustment to dialysis can be challenging, often a rollercoaster. Many report better energy and less fluid retention after starting. Fellow patients note coping comes in waves, balancing new routines with emotional acceptance. Support groups or speaking with others who understand can often lighten the load!