Dialysis Support & Guidance
Dialysis raises many questions and fears. We help you understand what it involves, when it is truly needed, and how to prepare — guided strictly by your doctor and reports.
Medically reviewed by the RIIMS nephrology team · Last updated: June 2026
What is dialysis and when is it needed?
Dialysis uses a machine (hemodialysis) or the abdomen's own lining (peritoneal dialysis) to filter waste and extra fluid when the kidneys can no longer do it adequately. It is not a cure and not a full replacement for the kidney (it partially takes over some kidney functions), and the decision to begin rests on the whole clinical picture: very low kidney function, high potassium, fluid overload or severe uremic symptoms, never on fear or eGFR alone. We never claim dialysis can be "stopped permanently"; instead we help you understand your reports, weigh HD versus PD, and prepare well if it is advised.
Symptoms to watch for
- Advanced CKD (usually Stage 5) on reports
- Waste build-up: nausea, severe itching
- Fluid overload or breathlessness
- High potassium on reports
- Doctor-advised access (fistula/catheter) planning
- Anxiety and many unanswered questions
When to consult a kidney doctor
If dialysis has been advised and you feel unsure or scared, a calm second opinion with your reports can bring clarity. The final decision stays with your treating nephrologist; signs like irregular heartbeat, breathlessness or confusion need urgent care.