fistula

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fistula

Postby CAROL COLEMAN » Sun Oct 18, 2015 4:18 pm

Hi
had my transplant 4yrs. Had infection last week where my bp droped.
it has now stopped my fistula and caused a clot. Now got a swollen fistula area
and very painful. Has anyone else had this.

thanks carol.
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Re: fistula

Postby xChris » Tue Oct 20, 2015 8:13 pm

my fistula (right arm) developed a clot just a couple of months ago, (22yrs after the transplant), pain lasted a couple of weeks, what annoys me now is that the hand is somewhat cold and a bit more swollen than the other one....
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Re: fistula

Postby CAROL COLEMAN » Tue Oct 20, 2015 8:35 pm

Thank you for reply.
my fistula area is swollen and right on the crease of my arm.
did yours swell up like this.

carol
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Re: fistula

Postby xChris » Wed Oct 21, 2015 9:04 am

I did not experience such symptom, but IIRC the doc told me that the pain could go till the crease of the arm.
What helped me a little, I elevated the arm from time to time and when I was in the bed, I put a pillow under it. I assume you already visited your GP/nephrologist about it, right?

hope everything is going well..

chris
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Re: fistula

Postby CAROL COLEMAN » Wed Oct 21, 2015 12:36 pm

Thanks chris
yes under transplant clinic bristol. Im on two week arm rest to see if swelling goes
down to make my arm comfortable. Go back on the 30th.
Let you know how it goes.

CAROL
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Re: fistula

Postby bobisob » Sat Aug 20, 2016 10:11 pm

Is there any possibility that dialysis can be performed without having a fistula? A friend of mine claims he has dialysis but I have never seen any tube called fistula in his arm forearm or nowhere. I just think he lies about having dialysis. Id like to know if there's any other possibility of having dialysis without having fistula? Please help.

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Re: fistula

Postby xChris » Sun Aug 21, 2016 12:14 am

two options: via fistula or Peritoneal dialysis (PD), fistula is not necessary on forearm depends of bad/difficult vascular access.
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Re: fistula

Postby wagolynn » Sun Aug 21, 2016 2:31 pm

Your friend could be on Peritoneal dialysis (tube near belly button).

Haemodialysis (HD) can, and often is, started via a neck line (tube in neck or upper chest).

A fistula access for HD does not show tubes when not dialysing, the arm will have needle scars in the active area.
A fistula has a buzz or thrill, rather than a clear pulse.

Some surgeons are now fitting grafts under the skin in arms or legs, so again nothing visible between sessions.
A graft access, is where a silicon rubber tube is used to replace a section of blood vessel, in the past this tube was brought out through the skin, for a length then returned under the skin to re-join the blood vessel, the dialysis needles being stuck into the graft (tube) at each session.
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Re: fistula

Postby bobisob » Mon Aug 22, 2016 10:34 am

Thank you both for replies. To be honest my friend is my partner and I think he's looking for attention and tells everybody he's going thru dialysis. The thing he told me is that they stick needles in his both arms and he's connected to the machine so there's no tube no fistula no graft or wherever else you call them. Looked up online to find out that fitting a fistula is an operation performed about 4-8 weeks before the dialysis itself starts. Plus he told me he has had his few dialysis in a surgery practice(we talk about UK). Have you ever heard or is it possible to have dialysis at a surgery practice?
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Re: fistula

Postby JMan » Thu Aug 25, 2016 7:59 pm

You can't have dialysis without some sort of access, either a neckline, fistula or PD catheter.. As far as I know there's 1 GP surgery in the UK that has a small number of dialysis machines. Its common to have 'satellite' units, units that are not right near a hospital, but have trained nurses and a Dr available.

See this sites own guides and diagrams on how dialysis treatments work.

http://kidneypatientguide.org.uk/dialysis.php

You'd have noticed a fistula on your friends arm if you've seen it. 2 needle puncture holes are sort of visible.

The same for a Gore-Tex graft (not silicon)

Maybe your friend is having some other treatment?
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