Your skin. This heals in only 2 weeks, so you can start hemodialysis faster. This won’t last as long as a fistula. You’ll likely need another graft after a few years.
The risk of infection is greater with a graft. You’ll also have to see your doctor more often so they can make sure the graft stays open.
Catheter (central venous catheter): This method is an option if you need to start hemodialysis very quickly. A flexible tube (catheter) is put into a vein in your neck, below your collarbone, or next to your groin. It’s only meant to be used for a short time.
During hemodialysis, you’ll sit or lie back in a chair. A tech will place two needles in your arm where the fistula or graft is located. A pump in the hemodialysis machine slowly draws out your blood, then sends it through another machine called a dialyzer. This works like a kidney and filters out extra salt, waste, and fluid. Your cleaned blood is sent back into your body through the second needle in your arm. Or, if there’s a catheter, blood comes out of one port and then is returned via a second port.
You can have hemodialysis in a hospital, a dialysis treatment center, or at home. If you have it in a center, the sessions last 3 to 5 hours, and you’ll likely only need them three times a week. If you have hemodialysis at home, you’ll need treatments 6 or 7 days for 2 to 3 hours each time.
Some people read or watch TV during treatment. If you have hemodialysis at home, you may be able to do it at night while you water with salt and other additives. It soaks up waste and extra fluids inside your body. After a few hours, you’ll drain it out into a separate bag. This process is called an “exchange.”
There are two kinds of PD:
Continuous cycling peritoneal dialysis (CCPD): This uses a machine to do your exchanges.
Continuous ambulatory peritoneal dialysis (CAPD): You’ll do your exchanges by .
You’ll likely do four to six exchanges each day. Your doctor can help you decide which type fits your lifestyle. Some people do both.
What Can I Expect When I Go Through Dialysis?
It shouldn’t hurt. If you have pain during or after treatment, tell your doctor right away. You may have side effects, though. is common. You could also have nausea, vomiting, dry or itchy skin, , or feel very tired.
You can lessen side effects by being careful about what you eat and drink. Your doctor can advise how much fluid, protein, and salt you should have.
Hemodialysis patients are also at an increased risk for infections. Try these tips to stay healthy:
- Check your access site daily for redness, pus, and swelling. If you see any, call your doctor.
- Keep the bandage that covers your catheter clean and dry.
Make sure anyone who helps with your treatment washes their hands before and after with soap and water.
What If I Want to Stop Dialysis?
This treatment should maintain or improve your quality of life. But you can choose not to have it or stop at any time. If you do, make sure to talk to your doctor about other treatments that can help you. Changes to your or lifestyle may improve your quality of life.
If you want to stop dialysis because you feel depressed or ashamed, your doctor may urge you to speak to a counselor first. Sharing your feelings, taking antidepressants, or doing both of these things may help you make a more informed decision.
Dialysis is not for everyone, particularly for the very elderly and those with very severe medical conditions.