Donate Now. Make your lifesaving monthly gift today. Studies show PD patients live longer. Although PD is every day, it takes less time overall than going to a center when you consider traveling to and from the center, waiting, recovery time. Storage space is required at home for supplies and fluid. Potential for infection in the catheter. However, this type of dialysis is not ideal for all patients. There are two types of peritoneal dialysis: continuous ambulatory peritoneal dialysis CAPD and automated peritoneal dialysis.
With continuous ambulatory peritoneal dialysis CAPD , the abdomen is filled with dialysate. The patient lets it stay in the abdomen for a prescribed dwell time before draining the fluid. Gravity moves the fluid through the catheter without machine assistance. Exchanges can be done pretty much anywhere that is clean and sanitized. Patients can continue their activities while the dialysate dwells in the abdomen.
Automated peritoneal dialysis is also known as continuous cycling peritoneal dialysis CCPD. This type of dialysis uses a machine that cycles through multiple exchanges at night while you sleep.
The machine fills your abdomen with dialysate and allows it to dwell there for a while before draining into a sterile bag. In the morning, you empty the bag. If you are using automated peritoneal dialysis, you must remain attached to the machine for around hours each night. Also known as automated peritoneal dialysis APD , this method uses a machine automated cycler that performs multiple exchanges at night while you sleep.
The cycler automatically fills your abdomen with dialysate, allows it to dwell there and then drains it to a sterile bag that you empty in the morning. To determine the method of exchange that's best for you, your doctor will consider your medical condition, lifestyle and personal preferences. Your doctor might suggest certain modifications to individualize your program.
Many factors affect how well peritoneal dialysis works in removing wastes and extra fluid from your blood. These factors include:. To check if your dialysis is removing enough waste products, your doctor is likely to recommend tests, such as:. If the test results show that your dialysis schedule is not removing enough wastes, your doctor might change your dialysis routine to:.
You can improve your dialysis results and your overall health by eating the right foods, including foods low in sodium and phosphorus. A dietitian can help you develop an individualized meal plan. Your diet will be based on your weight, your personal preferences, and your remaining kidney function and other medical conditions, such as diabetes or high blood pressure. Taking your medications as prescribed also is important for getting the best possible results.
While receiving peritoneal dialysis, you'll likely need various medications to control your blood pressure, stimulate production of red blood cells, control the levels of certain nutrients in your blood and prevent the buildup of phosphorus in your blood.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. All types of dialysis are expensive, but, for most patients, the federal government now pays 80 percent of all dialysis charges, while private insurance or state medical assistance pays the rest.
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