Since I went back on hemodialysis, my legs and ankles have been really swollen. I used to urinate some while on HD before so I was able to get rid of excess fluids. On PD, my urine output has steadily decreased to almost nothing. However, since I can pull about 2000 mL of fluid out using the cycler, and an extra 1000 mL on manual exchanges, it wasn’t an issue either. However, they can only pull about 3000 mL of fluid max each hemodialysis session so I’m down about 3000 mL of fluid removal every two days which quickly adds up.
Tonight, I was having problems sleeping and my feet felt super swollen. I decided I couldn’t wait for my hemodialysis session and needed some fluid removal fast. I can either sit in a sauna or run around the block, both not possible after my bypass surgery, or do a quick manual fill and drain. I have about 3.5 hours of dwell time before hemodialysis and I can likely pull 500 mL of fluid ut of my body by using the old PD catheter and 2000 mL of 2.5% dextrose solution. I’m pretty sure there’s no harm in getting extra dialysis, even if I mix and match the type of dialysis. And 500 mL may help me avoid coming in for an extra hemodialysis session next week just to pull fluids.