Wednesday I had my monthly lab visit, and inter alia, we discussed my current prescription for peritoneal dialysis. I mentioned that lately, I have been using only 1.5 % solutions across the board, with BP while low OK, and weight hanging in there. She responded that as much as possible we should be using the lowest strength solutions that maintain an acceptable BP and weight. She went on to state that too many of her patients (PD) intake too much fluid, and just resort to using stronger dialysis solutions to pull it off. This in turn damages the lining of the stomach (peritoneum) AND ONCE DAMAGED, DOES NOT HEAL ITSELF.
I had not taken this on board to the extent that I should have. Please take this on board if you are on PD. Walk a straight line. As much as possible, keep fluids to an acceptable level, and DO NOT use stronger dialysis fluid to cover for your weakness and then complain when you have to go on hemo.
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