There are several reasons why you may feel nauseated or very tired after a dialysis treatment. Feeling like this after dialysis makes you not want to have another dialysis treatment and if you start skipping dialysis you can become sicker. When it happens, you tend to feel better within a few hours, and definitely by the next day. If not, it may be a sign of another problem. It is important to let the nurse or doctor know that you are having this problem. The staff can often make certain adjustments that dramatically improve your quality of life. The key to feeling better after a dialysis treatment is based on what you do before or between dialysis treatments.
Adhering to your prescribed fluid restrictions is very important. When you gain more fluid weight than prescribed, you require more fluid volume to be removed during your prescribed dialysis time. This causes rapid fluid removal from your body that can cause hypotension and fatigue. Many advances in the field of dialysis have led to a dramatic improvement in this problem. It can still however be quite bothersome for some people. A better understanding of the reasons for this discomfort will help many on dialysis to maintain their prescribed fluid restriction levels.
Your diet is also important. You must follow the prescribed diet by your dietician. Remember, your kidneys no longer can remove the by-products of food, so the by-products accumulate until your next treatment. This can cause you to feel weak and fatigued.
Take your medication as prescribed unless your healthcare provider instructs you to hold the dose before dialysis. Managing your disease that caused the kidney failure is important to maintaining your health and well-being. You should incorporate some exercise into your activities as tolerated. This will help you to feel better over time.
The "dry weight" is the Patient Care Technicians (PCT) best guess of the lowest weight after dialysis when you have no extra fluid in your body and still feel well. If at the end of dialysis, your weight falls below your dry weight you will likely feel nauseated and tired. If you are feeling good and eating well you may gain weight and your "dry weight" should increase. However, the PCT may not always know this is occurring and during dialysis the machine is programmed to remove fluid that will end up at your old "dry weight" which may be below your new "dry weight." This can cause hypotension, nausea, lethargy, and cramping. Always remember to let your PCT know if your appetite has been changing and you think you are losing or gaining weight.
KidneyBuzz.com encourages you to always remember to discuss these concerns with your healthcare team so they can assist you in improving your treatment experience. With teamwork, the cause of your poor feeling after dialysis can be determined and this problem can be solved or greatly improved.