What happens when you stop kidney dialysis?

Stopping kidney dialysis can have serious consequences and can ultimately lead to death if not promptly addressed. Here's what happens when kidney dialysis is discontinued:

1. Buildup of Wastes and Toxins: The primary function of kidneys is to filter waste products, excess fluids, and electrolytes from the blood. Without dialysis, these substances accumulate in the bloodstream, causing a condition known as uremia.

2. Electrolyte Imbalances: Dialysis helps regulate the levels of electrolytes, such as potassium, sodium, and bicarbonate, in the body. Without dialysis, electrolyte imbalances can occur, affecting the function of various organs and systems.

3. Fluid Overload: Dialysis removes excess fluids from the body. When dialysis stops, the body's fluid balance is disrupted, leading to fluid retention and swelling in the limbs, lungs, and other organs.

4. Hypertension (High Blood Pressure): Dialysis helps control blood pressure by removing excess fluids and sodium from the body. Stopping dialysis can lead to increased blood pressure, straining the heart and other organs.

5. Anemia: Dialysis helps stimulate the production of red blood cells by releasing erythropoietin. Without dialysis, red blood cell production decreases, leading to anemia and symptoms like fatigue, weakness, and shortness of breath.

6. Metabolic Acidosis: Dialysis helps maintain the body's acid-base balance. When dialysis is discontinued, the kidneys' ability to regulate pH levels is compromised, leading to metabolic acidosis, where the blood becomes too acidic.

7. Cardiovascular Complications: The accumulation of toxins and fluid overload can strain the heart, increasing the risk of heart failure, arrhythmias, and other cardiovascular problems.

8. Neurological Issues: High levels of toxins and electrolyte imbalances can affect brain function, causing confusion, seizures, and other neurological complications.

9. Multi-Organ Failure: Prolonged cessation of dialysis can lead to multiple organ dysfunction and failure, including damage to the liver, lungs, heart, and brain.

10. Death: If kidney dialysis is not resumed or an alternative therapy is not initiated promptly, the accumulated toxins and complications can eventually lead to death.

It's important to understand that kidney dialysis is typically a lifelong treatment for individuals with end-stage renal disease (ESRD). Discontinuing dialysis without proper medical supervision is not recommended and should only be considered in exceptional circumstances under the guidance of a healthcare professional.