Dialysis is a life-sustaining treatment for people with kidney failure, affecting millions worldwide. Despite its importance, many misconceptions surround this treatment. This blog aims to clarify common myths and provide accurate information for patients and their families.

What is Dialysis?

Dialysis is a medical procedure that removes waste products and excess fluid from the blood when the kidneys can no longer perform these functions adequately. There are two main types:

• Hemodialysis: Blood is filtered through a machine outside the body
• Peritoneal Dialysis: Uses the lining of the abdomen (peritoneum) to filter blood inside the body

Common Myths vs. Facts

Myth 1: Dialysis is painful

Fact: While some patients may experience discomfort during needle insertion for hemodialysis, the procedure itself is generally pain-free. Modern techniques like buttonhole needle insertion and topical anesthetics have significantly reduced discomfort. Peritoneal dialysis typically involves minimal pain after the initial catheter placement heals.

Myth 2: Once on dialysis, you'll need it forever

Fact: While many patients with end-stage renal disease require dialysis indefinitely, this isn't always the case. Some conditions causing kidney failure are temporary, such as certain poisonings, trauma, or medication reactions. Additionally, many dialysis patients ultimately receive kidney transplants, eliminating the need for ongoing dialysis.

Myth 3: Dialysis patients can't travel

Fact: Travel is possible for dialysis patients with proper planning. Dialysis centers exist worldwide, and arrangements can be made in advance. For those on peritoneal dialysis, supplies can be shipped to destinations. Many cruise ships even accommodate dialysis patients.

Myth 4: Dialysis patients can't work

Fact: Many dialysis patients maintain active careers. Home dialysis options and evening in-center treatments allow for flexible scheduling. In India, the Rights of Persons with Disabilities Act, 2016 provides certain protections for those with medical conditions requiring treatments like dialysis. Many employers are increasingly accommodating dialysis schedules and allowing work-from-home options when possible.

Myth 5: You can't eat anything on dialysis

Fact: Dialysis patients do need to monitor their diet, particularly potassium, phosphorus, sodium, and fluid intake. However, this doesn't mean a severely restricted diet. Dietitians work with patients to create meal plans that are both satisfying and appropriate. Many favorite foods can still be enjoyed in moderation or with special preparation techniques.

Myth 6: Dialysis is a last resort before death

Fact: Dialysis is a treatment, not a last resort. Many patients live active, fulfilling lives for years or decades on dialysis. When started at appropriate times and properly maintained, dialysis significantly extends life expectancy and improves quality of life.

Myth 7: Home dialysis is too complicated for most patients

Fact: With proper training, most patients or their caregivers can successfully manage home dialysis. Modern equipment is increasingly user-friendly, and remote monitoring allows for professional oversight. Home treatments offer greater flexibility and often better outcomes.

Important Facts Every Dialysis Patient Should Know

1. Treatment Consistency Matters: Skipping treatments leads to dangerous buildup of toxins and fluid.
2. Diet Remains Important: Even with dialysis, following dietary guidelines helps prevent complications.
3. Exercise Is Beneficial: Appropriate physical activity improves overall health and dialysis outcomes.
4. Mental Health Support Is Available: Depression is common among dialysis patients, but counseling and support groups can help.
5. Kidney Transplant Options: Many dialysis patients should consider getting on transplant waiting lists.

Living Well on Dialysis

Despite challenges, many people lead quality lives while on dialysis. Support groups, both online and in-person, connect patients with others sharing similar experiences. Maintaining regular communication with healthcare providers, following treatment plans, and staying physically active all contribute to better outcomes.

Understanding the facts about dialysis helps patients make informed decisions and maintain a positive outlook. By dispelling common myths, patients can approach their treatment with confidence rather than fear.