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Hemodialysis is one of the alternative treatment methods for patients with chronic renal failure. However, complications often occur in patients during or after dialysis, due to the complicated and changeable conditions, certain human factors and restrictions on material conditions. Is fever after hemodialysis common? Read on to learn more information.
Causes of fever for hemodialysis patients
-Infections
*Caused by dialysis: vascular access, dialysis water pollution, catheter, internal fistula.
*Not caused by dialysis: urinary tract infections (UTIs), lung infection, bacterial endocarditis, pericarditis.
-Non-infections
Pyrogen reaction, thermal reaction, low fever, hemolytic reaction, kidney failure.
Fever caused by non-infections
-Clinical manifestation
1. No fever before dialysis
2. Have fever after 20-30 min dialysis, no more than 1 hour.
3. Chill, shiver, headache, general discomfort, etc
4. Temperature 39-40 ℃. It disappears naturally after dialysis, no more than 24h.
Fever caused by pyrogen reaction is mainly symptomatic treatment. And to use antipyretic and/or antihistamine medications, corticosteroids to improve symptoms. Whether you should stop dialysis or not depends on your condition. In such a case, antibiotics are often ineffective, so you should take treatment according to etiology.
Fever caused by infections
-Clinical manifestation
1. Generally you begin to have fever or body discomforts before dialysis. Without treatment, fever may keep on during or after dialysis.
2. Sometimes you may have obvious chill, shiver, fever and other symptoms, but sometimes there are no at all. Local infection is not obvious. Local skin is almost normal, without swelling, but blood culture shows +.
-Treatment
1. Find out the cause timely, and then take measures. Besides, antibiotics should be applied timely.
2. Bacterial infection should not be treated with steroids blindly.
3. To use antibiotics for treatment, but to adjust the dosage according to whether the drug can be dialyzed by dialysis or not.
Is fever after hemodialysis common? Yes, but you should find out the cause of fever as early as possible, in case that it causes serious consequence or even threaten your life. If you have had enough dialysis, you can try Toxin-Removing Treatment. For more information on our hospital and our treatment, please leave a message below or contact online doctor.
