When is the ideal time for the kidney patients to start dialysis treatment?

When is the ideal time for the kidney patients to start dialysis treatment

When is the ideal time for the kidney patients to start dialysis treatment?

  • September 10, 2020



When you know the kidneys are failing, it is normal to put off the dialysis for some time. Common wisdom used to say that starting dialysis at the early stage is best for you. To understand when you need to get the treatment of dialysis in Ludhiana you should consult the best urologist. Our urologist in Ludhiana is highly experienced and he will give you the treatment according to your condition.


Stages Of Chronic Kidney Disease


Stage of CKD

GFR (mL/min)   Action to take


≥ 90

●     Treat other illnesses

●     Reduce your risk of heart disease

●     Slow the rate of CKD

●     Diagnose and treat the kidney problem


60 to 89

Estimate the rate at which your CKD is progressing


30 to 59

Evaluate and treat any complications


15 tp 29

Prepare for transplant or dialysis

5 < 15

You need to get dialysis or a transplant. Current evidence has shown that the dialysis needs to be started as soon as the person notices the symptoms.

Uremia is the build-up of waste in the blood. When the kidney fails, the build-up of waste and excess water in the blood can result in different symptoms which includes:

  • Overwhelming fatigue
  • Loss of appetite, eating less (or no) protein, nausea, vomiting, or “metal” taste in your mouth
  • Itchy skin (the itching may be so severe that it can wake you up at night)
  • Swelling in the hands, feet, or face
  • Feeling cold when others are warm
  • Feeling faint or dizzy
  • The trouble with mental focus
  • Shortness of breath

In some cases, the symptoms with kidney function can vary a lot. Some people are even fine and they do not have any symptoms. The doctor will do a blood test and check the symptoms you are having. This makes it clear for the patient when they need to start the treatment.


New Research

In 2004, research was done on when the patient needs to start dialysis treatment. Around 800 people with CKD and they were followed for around 3 years to find out who lives longer.

  • Patients who started dialysis early, at a GFR of 10–14 mL/min
  • Patients who started dialysis late, at a GFR of 5–7 mL/min.

With the group of 828 people started treatment early or late:

  • 404 people started early and 152 (37.6%) died.
  • 424 people started later and 155 (36.6%) died.


Consult a Nephrologist

People diagnosed with CKD need to consult a nephrologist as it gives them better results. The nephrologist can help to:

  • Help you learn about health issues.
  • Offer treatments to prevent or help slow the rate of kidney failure
  • Teach you about treatment options
  • Help ensure that you get dialysis access placed in time.