A KidneyBuzz.com viewer wrote, "Xmas weekend I was very dehydrated my BP was very low, the bottom number was 47...I have been on a daily regimen to lose weight, I've never been a big eater and I rarely eat. I know that isn't good. I was weighed November 27th and lost 17 pounds, but when I was weighed December 26th I had gained a few pounds but the past few days I became bloated all over, my face, arms, and stomach as if I am 9 months pregnant, it is all over my body changed in less than a week . I can bearly walk. My face is very dark, my neck has doubled where I can't turn it on the right, sore throat, heartburn that I sleep in an upward position it's so bad, I don't know what to do....I went to my kidney doctor yesterday but he doesn't do much, blood work is all, I really need doctors who care about their patients, they don't even touch you during visits or go over results...I am concerned about this bloating."
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Bloating and weight gain are common concerns of Chronic Kidney Disease patients, especially those who conduct Dialysis. However, it can be an important sign of an underlying issue such as dehydration. If left untreated dehydration can cause dry mouth, hunger and overeating, fatigue, persistent headaches, low blood pressure, rapid heartbeat and in severe cases death.
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Dialysis patients frequently approach the line of dehydration as they try to maintain their fluid restrictions even in warm weather, as well as take too much fluid off during treatments causing them to dip below dry-weight. It is ironic, but similar to how a crash diet causes the body to go into "starvation mode" and cling to fat, the body begins to retain fluid when it is dehydrated. If you are on a fluid restriction and believe that you may be dehydrated then consider sucking on ice or having a small glass of water.
Tell-tale signs of dehydration include thirst, dry mouth, lightheadedness that goes away when laying down, cramping, nausea, restlessness, cold extremities, and rapid heartbeat. According to DaVita HealthCare Partners Inc. "If you gained actual weight and your dry weight was not raised accordingly, too much fluid may be removed during dialysis. Tell your health care professionals if you believe your dry weight has changed." If your bloating persists, then discuss adjusting your fluid intake restrictions with your Healthcare Team in order to avoid dehydration.
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