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From Diagnosis to Dialysis: What to Expect During Dialysis and What Can Be Done for Kidney Disease

Dec 02, 2025

Dialysis Access

what to expect during dialysis what to expect during dialysis

Being diagnosed with kidney disease can feel overwhelming. Many patients have questions about how the condition may progress, what treatments are available, and whether dialysis is inevitable. The truth is that kidney disease often develops gradually, and early understanding of treatment options can make a meaningful difference in long-term health and quality of life.

Understanding Kidney Disease: What Happens After Diagnosis

Kidneys play a critical role in filtering waste, balancing fluids, regulating blood pressure, and maintaining healthy electrolyte levels. When kidney disease develops, this filtering ability slowly declines over time.

Doctors monitor kidney function using blood tests such as creatinine levels and estimated glomerular filtration rate (GFR). As kidney function decreases, waste and fluid can begin to build up in the body, leading to noticeable symptoms.

Common signs of kidney disease may include:

  • Fatigue or low energy
  • Swelling in the legs, ankles, or feet
  • Changes in urination
  • High blood pressure
  • Loss of appetite or nausea

Early management focuses on slowing progression, managing symptoms, and reducing strain on the kidneys through medical and lifestyle interventions.

Treatment Options Before Dialysis: What Can Be Done for Kidney Disease

Dialysis is not the first step in kidney disease treatment. Many patients can manage their condition for years with early intervention and consistent care.

Lifestyle and Diet Changes

Dietary adjustments play a major role in protecting remaining kidney function. Common recommendations include:

  • Reducing sodium to help control blood pressure and swelling
  • Managing protein intake to reduce kidney workload
  • Monitoring potassium and phosphorus levels
  • Staying well hydrated based on medical guidance

Medications That Slow Disease Progression

Medications are often used to address conditions that accelerate kidney damage, such as:

  • High blood pressure
  • Diabetes
  • High cholesterol

Proper blood pressure and blood sugar control can significantly slow kidney disease progression.

Ongoing Monitoring and Specialist Care

Regular lab work and nephrologist visits allow doctors to track kidney function, adjust treatment plans, and address complications early. This proactive approach helps delay or even prevent the need for dialysis in some cases.

When Dialysis Becomes Necessary: Why It’s Recommended

Dialysis is typically recommended when kidney function declines to the point where waste and fluid can no longer be safely managed through medications and lifestyle changes alone.

Doctors consider several factors when determining the need for dialysis, including:

  • GFR levels
  • Lab markers showing toxin buildup
  • Persistent symptoms such as swelling, shortness of breath, or fatigue

Preparing for dialysis can be emotionally challenging, but understanding the process helps ease anxiety. For many patients, dialysis improves symptoms and restores energy by helping the body maintain balance.

What to Expect During Dialysis

For patients wondering what to expect during dialysis, understanding the process can help reduce uncertainty and build confidence.

Before Treatment

Before dialysis begins, your care team reviews labs, vital signs, and access sites. Patients are monitored closely to ensure safety and comfort.

During Dialysis

Dialysis works by removing waste, excess fluids, and toxins from the blood. Depending on the type of dialysis, this is done using a machine or the lining of the abdomen.

Key aspects of a typical session include:

  • Continuous monitoring of blood pressure and heart rate
  • Gradual fluid removal to avoid discomfort
  • Medical staff available throughout the session

Sessions typically last several hours and are scheduled multiple times per week for hemodialysis.

After Treatment

After dialysis, patients may feel tired but often notice relief from symptoms such as swelling or shortness of breath. The care team ensures stability before discharge.

Types of Dialysis (High-Level Overview)

  • Hemodialysis: Blood is filtered through a machine outside the body
  • Peritoneal dialysis: The abdominal lining filters blood internally using a cleansing solution

Your healthcare provider helps determine which option fits your medical needs and lifestyle.

How to Manage Kidney Disease While on Dialysis

Dialysis is part of an ongoing care plan, not a standalone solution. Managing kidney disease effectively while on dialysis requires attention to several areas.

Nutrition and Fluid Management

Patients are often advised to:

  • Follow a low-sodium diet
  • Monitor potassium and phosphorus intake
  • Control daily fluid consumption

These measures help reduce strain between treatments.

Staying Active and Maintaining Strength

Light physical activity improves circulation, energy levels, and overall well-being. Your care team can recommend safe activity options.

Medication Management

Many patients continue taking medications for blood pressure, anemia, and bone health alongside dialysis. Coordination with providers is essential.

Emotional and Mental Health Support

Living with kidney disease can be emotionally demanding. Counseling, support groups, and open communication with healthcare providers play an important role in long-term well-being.

Exploring Other Options

Patients often ask about the best treatment for kidney disease. The answer depends on the individual’s stage of disease, overall health, and lifestyle goals.

Options may include:

  • Conservative medical management
  • Dialysis
  • Kidney transplant evaluation

Shared decision-making ensures treatment aligns with patient values and medical needs.

Conclusion

Kidney disease is a progressive condition, but early understanding and proactive management can make a significant difference. From diagnosis to dialysis, knowing what to expect and what can be done for kidney disease empowers patients to take an active role in their care. Open communication with healthcare providers and consistent monitoring support better outcomes and quality of life.

Support Your Vascular and Kidney Health with North Atlanta Vascular Clinic

If you’re managing kidney disease or preparing for dialysis, North Atlanta Vascular Clinic is here to support you. Our experienced team works closely with patients and referring providers to help manage vascular health, dialysis access, and long-term treatment needs.

Schedule a consultation today to discuss your options and take a proactive step toward protecting your health.