Dialysis and working out

[Preemo77]

Hello,

I have a friend who has been on dialysis for years, had his chance at a new kidney but rejected it. It was excruciating and he said he won't do it again, so he is on dialysis for the rest of his life.

Now he wants to start training with me and I know I should keep an eye on him and watch to make sure he doesn't push it to hard. Some helpful tips and advice would be greatly appreciated. I will be researching a bunch as well.

Preemo

 

[Taureau]

Hello,

I have a friend who has been on dialysis for years, had his chance at a new kidney but rejected it. It was excruciating and he said he won't do it again, so he is on dialysis for the rest of his life.

Now he wants to start training with me and I know I should keep an eye on him and watch to make sure he doesn't push it to hard. Some helpful tips and advice would be greatly appreciated. I will be researching a bunch as well.

Preemo

@Bagua knows lots about such things

 

[Sorbate]

Hello,

I have a friend who has been on dialysis for years, had his chance at a new kidney but rejected it. It was excruciating and he said he won't do it again, so he is on dialysis for the rest of his life.

Now he wants to start training with me and I know I should keep an eye on him and watch to make sure he doesn't push it to hard. Some helpful tips and advice would be greatly appreciated. I will be researching a bunch as well.

Preemo

Ok I thought I had screwed up my kidneys a few years ago, I didn’t but I researched the shit out of dialysis.
He needs his own machine, this way he will be able to filter more often. The breakdown of his muscle and so on will increase the contaminates in his blood.
Anyhow I dont remember where I saw them, but i did a google search and found studies where they had weight trained individuals on dialysis.
So I know it can be done, but I bet a doctor would be a far better source.

 

[Preemo77]

We had worked out lightly today and I mentioned to him that he should ask the doctor about weight training. I wanted to see what this community would have for information. he goes to Dialysis 3 times a week and since I live 2 blocks from the hospital he will be coming here to workout before every session.

I was reading about the muscle breakdown and that he won't be able to filter it with zero kidney function. He is still very active playing baseball and lots of long walks. he has been on dialysis for the last 4 years and another 3 years prior to the transplant that didn't last.

He was telling me that all of his blood tests are within range for his conditions. but I'm still concerned.

Preemo

 

[Goldenrod]

I think your inclination to get advice from the doctor is perfect. Unless someone is a nephrologist here the information is going to be speculative at best. We can call research google and medical articles which is an excellent start but the only people who can really answer this would be the doctors who know his specific situation. Otherwise, we are just stating generalities.

Good luck to your friend.

 

[Sorbate]

We had worked out lightly today and I mentioned to him that he should ask the doctor about weight training. I wanted to see what this community would have for information. he goes to Dialysis 3 times a week and since I live 2 blocks from the hospital he will be coming here to workout before every session.

I was reading about the muscle breakdown and that he won't be able to filter it with zero kidney function. He is still very active playing baseball and lots of long walks. he has been on dialysis for the last 4 years and another 3 years prior to the transplant that didn't last.

He was telling me that all of his blood tests are within range for his conditions. but I'm still concerned.

Preemo

If I had the money I would for sure get a home machine. You can filter while you nap/sleep. Also he could do it more often if needed.

 

[ironwill]

I think your inclination to get advice from the doctor is perfect. Unless someone is a nephrologist here the information is going to be speculative at best. We can call research google and medical articles which is an excellent start but the only people who can really answer this would be the doctors who know his specific situation. Otherwise, we are just stating generalities.

Good luck to your friend.

This is the best advice for certain, No one here is qualified to advise on such things, Except advice to see a specialist.

 

[Bagua]

Coles Notes version.
If he is able to do peritoneal dialysis (port in the stomach using the peritoneal space for exchange done at home) he will have a wee bit better chance of being able to workout to varying degrees. Weight training may be iffy due to fluid in the peritoneal cavity putting pressure on the abdomen wall which can lead to hernias. This can be avoided by using light weights and high reps. Cardio full-body movement type workouts are recommended for health and quality of life. Bike riding and walking are always at the top of the list.
Timing of exercise for both hemodialysis and peritoneal dialysis is important and exercise while on hemodialysis is best on the non-treatment days due to possible swings in blood pressure (way too detailed for here) and should be discussed with the dialysis team. Timing on peritoneal dialysis is not as crucial but once again a discussion with the dialysis team is necessary mainly due to the chance of hernia while the peritoneal space is full.

 

[Preemo77]

That wouldn't be an option for him, money is very tight with him right now . Thanks for the idea, I definitely ask him if he's ever thought of it.

 

[Preemo77]

Coles Notes version.
If he is able to do peritoneal dialysis (port in the stomach using the peritoneal space for exchange done at home) he will have a wee bit better chance of being able to workout to varying degrees. Weight training may be iffy due to fluid in the peritoneal cavity putting pressure on the abdomen wall which can lead to hernias. This can be avoided by using light weights and high reps. Cardio full-body movement type workouts are recommended for health and quality of life. Bike riding and walking are always at the top of the list.
Timing of exercise for both hemodialysis and peritoneal dialysis is important and exercise while on hemodialysis is best on the non-treatment days due to possible swings in blood pressure (way too detailed for here) and should be discussed with the dialysis team. Timing on peritoneal dialysis is not as crucial but once again a discussion with the dialysis team is necessary mainly due to the chance of hernia while the peritoneal space is full.

Thank you for all the information, He is doing hemodialysis. He has told me they test his blood for certain things everytime and during the 5 to 6 hour session he has his blood pressure checked every 30 minutes. But having more time to think about it and research I see that it'll be his doctor that knows what is best for him.