Water Retaining

I would like to get a Advice ASAP for my problem. I’m a CAPD patient for almost 3 years and 21 years old male student, I’m retaining water in my both legs, my blood pressure is 133/66 — 138/68. I watch my sodium intake, I think, I take about 300 – 800mg/day, my both legs swell, my thigh and belly has water retainment too and feel like no energy, am I lack of any vitamins?, one of my father’s friend told us that maybe lack of Vitamin B complex can swell also, should I take Vitamin B complex to get rid my water retaining?, PLEASEGIVE ME SOME ADVICE WILL BE VERY THANKFUL AND APPRECIATED.

I went to see my Kidney specialist last thursday, she asked me to do more manual dialysis, it will go down, I’ve been doing 5 times/day, with 4X 4.25%, 1X 2.5% solution and average of UF+500 cc/day come out, before used to come out about average UF +800cc/day, is it normal?

Jimmy Lwin

What has your training nurse and doctor said are possible reasons for the fluid retention/removal of less fluid than you used to remove. As was said in the previous message, it’s best not to use too many high glucose bags for too long because they will damage your peritoneal membrane.

Is it possible that the end of your catheter has flipped up so it’s not down at the bottom of your peritoneal cavity where it should be to remove the most fluid so some fluid is always left behind when you do every exchange. An interventional radiologist can see the catheter with an xray and adjust it using a wire.

Is it possible that you’re a high transporter? A test called a peritoneal equilibration test can find this out. Your nurse can help you do this. High transporters remove lots of toxins but remove little fluid because their bodies absorb the fluid and glucose too fast. When someone is a high transporter, they usually do better using a cycler (CCPD or APD) with shorter dwell times rather doing manual exchanges (CAPD).

Is it possible that the kidney function you had when you started dialysis is dwindling and you’re not urinating as much? Your nurse can do measure your PD adequacy. If your kidney function has dropped and your peritoneal membrane isn’t transporting fluid and wastes like it should, you may need to switch to hemodialysis to feel better. If this happens, you already know a lot about taking care of yourself so consider home hemodialysis. Most of what you know is transferable and all you’d have to learn is a machine and how to do your needle sticks.

Dear Beth:

Thank you so much for your advices, I have to see my Kidney Specialist tomorrow for monthly check up. After I got your advices, I called my doctor and talked to her, she arranged for me to go for EKG, ultra-sound on my heart, X-ray on my chest and abdominal area today, then I can see her tomorrow with all the results, my legs are still swelling with water.

Beth, if I have go for Hemo-dialysis for a few months, will my peritoneal membrane will heal by itself (if it has been damaged) within a few months resting?, what a silly question I’m asking. I’m so so depressed. Thank you so so much for taking time answering my question and you made my day.
Thank you once again and God Bless you.

Best regards,

Jimmy Lwin :cry:

Thank you for the post and reply here. My dad is going through this same thing right now. They are in the hospital getting the tests you just mentioned and I now know more about it and am not freaking as much. Hang in there Jimmy!