The decision to start dialysis is made when your kidney function drops to around 10-15% of normal capacity, a stage known as End-Stage Renal Disease (ESRD). This is determined by specific lab results, primarily your estimated Glomerular Filtration Rate (eGFR), and the presence of severe symptoms that can no longer be managed with medication. This step is always taken in close consultation with your nephrologist.
Identifying Key Warning Signs
When your kidneys can no longer adequately filter waste products and excess fluid from your blood, your body will show distinct signs of distress. These symptoms, collectively known as uraemia, indicate that renal replacement therapy is becoming necessary to sustain your health. It is vital to report these changes to your care team immediately.
Key clinical indicators suggesting the need for dialysis include:
- Persistent nausea, vomiting, and loss of appetite leading to weight loss.
- Noticeable swelling (oedema) in your legs, ankles, or hands due to fluid retention.
- Extreme fatigue, weakness, and an inability to concentrate or think clearly.
- Shortness of breath caused by fluid accumulating in the lungs.
The Root Cause of Severe Symptoms
These symptoms are a direct result of failed kidney function. Healthy kidneys balance electrolytes, remove metabolic waste (like urea and creatinine), and manage fluid levels. When they fail, these toxins and fluids build up in your bloodstream, impacting nearly every system in your body from your brain to your heart and lungs.
Understanding Your eGFR Reading
Your estimated Glomerular Filtration Rate (eGFR) is the primary measurement of kidney function. An eGFR below 15 mL/min signifies severe kidney damage. At this stage, the kidneys are unable to perform their vital functions, and waste products reach levels that become toxic to the body, making dialysis a necessary intervention to prevent life-threatening complications.
Professional Solutions: Starting Dialysis
Starting dialysis is a critical step to manage ESRD and restore a level of wellbeing. Our clinical teams at Advanced Renal Care specialise in creating a smooth transition to treatment, ensuring your care plan is suited to your specific medical needs and lifestyle. The goal is not just to replace kidney function, but to improve your quality of life.
Our approach to initiating renal therapy involves several key steps:
- A thorough clinical assessment to confirm the timing is right for you.
- Education on treatment options, including haemodialysis and peritoneal dialysis.
- Surgical placement of a dialysis access, planned well in advance.
- A personalised treatment schedule and ongoing support from our nursing staff.
Book a Consultation with Advanced Renal Care
Managing the progression to dialysis requires expert medical guidance and compassionate care. Our teams are fully equipped to assess your condition, explain your options, and provide world-class renal therapy in compliance with South African medical standards. Delaying this conversation can lead to serious health complications and emergency hospitalisations. Get a quote or request a call-out using the button below.
FAQs
What exactly is eGFR?
eGFR stands for estimated Glomerular Filtration Rate. It is a calculation based on a blood test for creatinine, your age, and your gender, which estimates how well your kidneys are filtering waste from your blood. It is the most common indicator used by doctors to assess your stage of kidney disease.
Can my kidneys recover after starting dialysis?
In cases of Acute Kidney Injury (AKI), kidney function can sometimes recover, and dialysis may only be temporary. However, for Chronic Kidney Disease (CKD), the damage is progressive and generally irreversible. Dialysis then becomes a lifelong treatment unless a successful kidney transplant is performed.
What are the main types of dialysis available?
There are two primary types. Haemodialysis uses a machine at a clinic (or sometimes at home) to filter your blood. Peritoneal dialysis uses the lining of your abdomen (peritoneum) and a special solution to clean your blood inside your body, which can often be done at home.