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End-Stage Renal Disease

Kingwood Kidney Associates

Board Certified Internal Medicine & Nephrology located in Humble, TX

Chronic kidney disease causes a gradual but progressive loss of kidney function. Eventually, you reach end-stage renal disease, which is when your kidneys can’t work well enough to keep you healthy. The board-certified Nephrologists, Sowmya Puthalapattu, MD, and Chinonye Ogbonnaya-Odor, MD, at Kingwood Kidney Associates work closely with each patient, ensuring they receive optimal treatment that supports their health and keeps them active. If you need exceptional care for end-stage renal disease, call the office in Humble, Texas, or schedule an appointment online.

End-Stage Renal Disease Q & A

What is end-stage renal disease?

Chronic kidney disease progresses through five stages based on how well your kidneys can filter fluids and wastes out of your blood. 

By the time you reach stage five, your kidneys are only working at 10-15% of their normal capacity, which isn’t enough to remove wastes and keep you healthy. This is when you’re in end-stage renal disease (ESRD). At this stage, you need dialysis or a kidney transplant. 

What symptoms develop when I reach end-stage renal disease?

When your kidneys stop working, toxins build up in your blood. The kidneys can no longer regulate your blood pressure, and they stop activating vitamin D, as well as the hormone that helps make red blood cells. 

End-stage renal disease causes symptoms such as:

  • Itching
  • Headaches
  • Fatigue
  • Muscle cramps
  • Nausea or vomiting
  • Loss of appetite
  • Back pain
  • Insomnia
  • Difficulty urinating
  • Trouble breathing
  • Tingling in your hands or feet
  • Swelling in your ankles and around your eyes


These symptoms improve, and you start to feel better after you start treatment. 

How is end-stage renal disease treated?

You continue to follow a strict kidney diet and to take the medications prescribed by your doctor at Kingwood Kidney Associates. But now you need to start dialysis, a treatment that takes over for your kidneys and filters your blood. 

Even if you want a kidney transplant, you need dialysis to stay healthy while you wait for a donor. There are two types of dialysis:


During hemodialysis, your blood flows through a tube and into a machine (the hemodialyzer) that cleans the blood and then returns it to your body through another tube. This type of dialysis occurs several days a week and takes about 3-4 hours. Kingwood Kidney Associates offers on-site hemodialysis, so you’re closely supervised by the team providing your kidney care. 

Peritoneal dialysis

Peritoneal dialysis involves sending a dialysate solution through a tube and into your abdomen. The fluid stays in your abdomen for 4-5 hours, where it pulls wastes from your blood through the abdominal membranes. Then you drain the fluid and refill your abdomen with fresh fluid.

Peritoneal dialysis is self-administered at home or work. The fluid exchange takes place several times daily or overnight while you’re hooked up to a machine that automatically drains and refills the fluid.

For experienced and compassionate care during end-stage renal disease, call Kingwood Kidney Associates or book an appointment online.