# Pd manual drain pain
**URL:** https://forums.homedialysis.org/t/pd-manual-drain-pain/9190
**Category:** Dr. John Agar, Nephrologist
**Created:** [December 6, 2023, 11:32pm UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190 "2023-12-06T23:32:00Z")
**Posts on this page:** 7
**Page:** 1
### Author:  [@Byron](https://forums.homedialysis.org/u/Byron)
#### Post date: [December 6, 2023, 11:32pm UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/1 "2023-12-06T23:32:00Z")
Drain pain
I just started PD dialysis at home manually for about a week and a half but I’m getting extreme drain pain what it is it’s like a knife going up my butt or my rectum whatever you want to call it and I’ve tried slowing down the drain I’ve tried leaving a little more fluid in there I don’t know what else to do just curious if anybody else has had this usually it goes away a little bit after I drain sometimes I wake up in the morning and my rectum still hurts any suggestions thoughts or what I should tell my dialysis team
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### Author:  [@HARDERMC](https://forums.homedialysis.org/u/HARDERMC)
#### Post date: [December 11, 2023, 9:19pm UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/2 "2023-12-11T21:19:54Z")
I have the same problem. My feeling is that it’s caused by the catheter tip touching a nerve. I did some research awhile back and discovered that it is believed that many cases of drain pain are due to improper placement of the catheter.
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### Author:  [@Dori\_Schatell](https://forums.homedialysis.org/u/Dori_Schatell)
#### Post date: [December 12, 2023, 2:46pm UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/3 "2023-12-12T14:46:06Z")
Drain pain is awful! I gathered tips from a lot of folks who do PD about ways to deal with PD pain. You can find that here, and hopefully there is something in it that will work for you. [View from the Bed: How to Cope with PD Cycler Pain - Home Dialysis Central](https://homedialysis.org/news-and-research/blog/358-view-from-the-bed:-how-to-cope-with-pd-cycler-pain)
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### Author:  [@tsim](https://forums.homedialysis.org/u/tsim)
#### Post date: [February 9, 2024, 7:01am UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/4 "2024-02-09T07:01:17Z")
My husband has started PD and the drain pain is unbearable, what make si worse is the nurses right from the beginning have told him there is no pain and they don’t k ow why it is hurting him, I pushed for them request an x ray which after a month they finally agreed to, The clinic has lied numerous times about how PD works, it has made a horrible experience, There is no quality of life to this.
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### Author:  [@PapaS](https://forums.homedialysis.org/u/PapaS)
#### Post date: [February 11, 2024, 4:51am UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/5 "2024-02-11T04:51:54Z")
I did PD at the start, now I’m doing HD. The drain pain was terrible, so I switched to HD, and I haven’t looked back since.
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### Author:  [@Kmixer5150](https://forums.homedialysis.org/u/Kmixer5150)
#### Post date: [March 17, 2024, 11:05pm UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/6 "2024-03-17T23:05:44Z")
I have had the same problems, I do 3 exchanges a night of 1500ml. After the first cycle the machine says I have 17-1800 ml to drain. When I get to around 1400 I feel the pain start my cycler starts to alarm low flow and keeps pulling. The pain is in unbearable , I ended up doing an emergency stop and called my PD Nurse. I have talked to my nephrologist and he put me on antibiotics and Heparin thinking I may have an infection. They test my fluids and no infection. I would love to know what is causing this. The pain is 10/10, knife like in nature. Any thought and ideas would be so appreciated
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### Author:  [@PapaS](https://forums.homedialysis.org/u/PapaS)
#### Post date: [May 7, 2024, 11:21am UTC](https://forums.homedialysis.org/t/pd-manual-drain-pain/9190/7 "2024-05-07T11:21:43Z")
I switched to HD rather fast since I also had a hernia. For me personally, I much prefer HD over PD, yet both have their advantages and disadvantages. Drain pain is generally from the tip of the catheter suckling near the prostate which is highly sensitive with many nerve endings. I do not know much so its best to talk with your care team however, maybe 1 or 2 high dose laxitives could move the tip of the cathetor slightly so its not as bad. However as mentioned, care team is the first point of reference.