Kidneys are our natural filters. When they fail, dialysis takes over the job of cleaning the blood. For many patients in India, the word “dialysis” brings fear, anxiety, and many questions. Let’s simplify it with a story, some common FAQs, and reassurance.
A Case Story: Rajesh’s Journey
Rajesh, a 52-year-old shopkeeper from Mysore, had long-standing diabetes and high blood pressure. Over time, his kidney function declined silently. When he finally visited his doctor due to swelling in his legs and tiredness, blood tests showed severe kidney failure.
His doctor explained that medicines alone were no longer enough—his body was filling up with toxins and excess fluid. Hemodialysis was started. Initially, Rajesh and his family were worried: “Will he get addicted to dialysis? Can he live a normal life?”
With counseling, he understood that dialysis is not a punishment—it is a life-saving treatment. Today, Rajesh comes three times a week for dialysis, runs his shop on other days, and spends time with his family.
What is Hemodialysis?
Hemodialysis is a treatment where blood is passed through a machine to remove waste products, excess salt, and water—just like healthy kidneys normally do.
- Usually done 2–3 times a week.
- Each session lasts about 4 hours.
- The process is painless, though a needle is used to connect to the dialysis machine.
Common Questions Patients Ask
1. Is dialysis a cure?
No. Dialysis doesn’t cure kidney disease, but it replaces kidney function and keeps you alive and well until transplant or as a long-term treatment.
2. Will I get addicted to dialysis?
No. Dialysis is not addictive. Patients need it because their kidneys cannot filter blood adequately. Stopping it suddenly can make a patient very sick.
3. Can I live a normal life on dialysis?
Yes! Many patients work, travel, and spend quality time with family while on dialysis. Regular treatment and good nutrition make a big difference.
4. What are the side effects or complications?
Some patients may feel tired, have low blood pressure, or cramps during dialysis. These are usually manageable by adjusting the treatment. Serious complications are rare in well-equipped centers.
5. How long can someone live on dialysis?
With good care, patients can live for many years on dialysis. In India, thousands of patients have been on dialysis for over 10–15 years. A kidney transplant, when possible, is the best long-term option.
Dialysis Access: How Do We Connect Blood to the Machine?
For dialysis, we need safe and repeated access to blood vessels. Options include:
- AV Fistula – joining an artery and vein in the arm. Best and safest option.
- AV Graft – a synthetic tube connecting artery and vein, used if veins are not suitable.
- Dialysis Catheter – a temporary plastic tube in the neck or chest, used when dialysis is started urgently.
Doctors always prefer an AV fistula because it lasts longer, has fewer infections, and gives good dialysis.
Reassurance About Complications
- Feeling tired, cramps, or low BP are common but usually minor.
- Risk of infection is higher with catheters, but can be minimized with good hygiene.
- Skilled dialysis staff monitor every session to keep patients safe.
Why Dialysis is Important
Without dialysis in advanced kidney failure, toxins and fluid build up in the body. This can cause:
- Breathing difficulty
- Swelling
- Confusion or drowsiness
- Life-threatening complications
Dialysis removes these toxins and excess fluid, relieves symptoms, and prolongs life.
Take-Home Message
- Dialysis is not the end of life—it is a new beginning.
- With proper treatment, family support, and positive outlook, patients can live meaningful, active lives.
- Early preparation (like planning for an AV fistula) makes the dialysis journey smoother.
- Transplant is the best option for suitable patients, but until then, dialysis is a safe and effective lifeline.
Just like Rajesh, many patients across India continue to live, work, and dream while on dialysis. With awareness and timely care, you or your loved one can too.