“How should pain be managed in kidney patients who are not on dialysis?”
My mother has a kidney function of only about 8%, and still refuses to have dialysis, no matter her doctor's insistence. Now, she suddenly is experiencing pain, and this has been going on all morning. Is there a way to manage this pain with medications?
4 Answers
Where is the location of the pain? Better to avoid on steroidals (ibuprofen, aleve, naproxen, mobic, daypro, mobic, etc.) and also Celebrex due to her chronic kidney disease.
At 8% kidney function she may be acutely uremic and a common manifestation is non-specific ( usually abdominal) pain and/or nausea which is an acute indication to start dialysis. If her wishes are to refuse dialysis (completely acceptable if your mom has previously made that wish known) then we just treat supportively with anti-nausea meds and Tylenol. If a patient is uremic and choosing to refuse dialysis we usually recommend they be placed in hospice as a hospice service is specifically trained to deal with systemic pain and nausea so that would be a consideration.
Otherwise she may be demonstrating acute uremia which is an indication for dialysis.
Thank you for your question.
RMG
Otherwise she may be demonstrating acute uremia which is an indication for dialysis.
Thank you for your question.
RMG
If your mother refuses the dialysis, then you have to take her to visit a Chinese doctor to treat her kidney and stop the pain.
She should be seen, or at least her kidney doctor should be called to help.
