Stephen J. Schueler, M.D.

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ESRD Treatment

The treatment for end stage renal disease depends on the underlying cause. In order to remove fluid and waste from the body, a person with end stage renal disease requires regular kidney dialysis, peritoneal dialysis, or a kidney transplant.

General treatment for end stage renal disease may include:

For more information:

ESRD Kidney Dialysis

Kidney Dialysis
Severe kidney disease can result in kidney failure or end stage renal disease. The kidneys are unable to remove fluid and waste from the body. The treatment of kidney failure requires kidney dialysis.

The two types of dialysis include:

  • Hemodialysis:
    • Blood flows through a machine that filters waste from the bloodstream.
  • Peritoneal dialysis:
    • Fluid is placed inside the abdominal cavity
    • Waste products seep into the fluid through the tissue in the abdomen
    • Fluid is removed from the abdomen

ESRD Questions For Doctor

The following are some important questions to ask before and after the treatment of end stage renal disease.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
    • Is peritoneal dialysis an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • How do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • What else can I do to reduce further injury to my kidneys?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

ESRD Specialist

Physicians from the following specialties evaluate and treat end stage renal disease:

Continue to ESRD Home Care

Last Updated: Oct 13, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed ESRD References
  1. Bailie GR, Uhlig K, Levey AS. Clinical practice guidelines in nephrology: evaluation, classification, and stratification of chronic kidney disease. Pharmacotherapy. 2005 Apr;25(4):491-502. [15977910]
  2. Boydstun II. Chronic kidney disease in adolescents. Adolesc Med Clin. 2005 Feb;16(1):185-99, xii. [15844391]
  3. Snively CS, Gutierrez C. Chronic kidney disease: prevention and treatment of common complications. Am Fam Physician. 2004 Nov 15;70(10):1921-8. [15571058]
  4. Toto RD. Management of hypertensive chronic kidney disease: role of calcium channel blockers. J Clin Hypertens (Greenwich). 2005 Apr;7(4 Suppl 1):15-20. [15858398]
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