Hemodialysis

What is Hemodialysis?

Hemodialysis is a medical treatment that cleans the blood using a specialised machine when the kidneys cannot perform this function on their own. Blood is taken from the body, filtered through a device called a dialyser, and then returned in a clean state.

In simple terms, the hemodialysis procedure acts like an artificial kidney, helping the body maintain balance and preventing the build-up of harmful waste.

Why is the Hemodialysis Procedure Needed?

Hemodialysis is needed when kidney function drops to a level where medications and dietary changes alone are no longer sufficient. Without treatment, waste products and excess fluid can quickly lead to serious complications.

Common Reasons and Key Conditions Treated

• Advanced chronic kidney disease.
• Sudden kidney failure due to infection, injury, or medication.
• Severe fluid overload causing breathlessness or swelling.
• Dangerous electrolyte imbalances.
• Preparation or support while awaiting kidney transplant.

Types of Hemodialysis / Procedure Variations

There are different types of hemodialysis, chosen based on medical condition, lifestyle, and treatment goals. Each type follows strict safety and hygiene protocols.

• In-centre hemodialysis: Performed in a hospital or dialysis unit under supervision.
• Home hemodialysis: Allows patients to receive dialysis at home after proper training.
• Conventional hemodialysis: Usually performed three times a week.
• Short daily hemodialysis: More frequent sessions with shorter duration.
• Nocturnal hemodialysis: Longer sessions performed overnight.

Why Choose Manipal Hospitals for Hemodialysis?

Manipal Hospitals provides comprehensive kidney care supported by experienced nephrologists, dialysis nurses, and modern dialysis infrastructure. Each patient receives an individualised treatment plan focused on comfort, safety, and long-term wellbeing.

• State-of-the-art dialysis units with strict infection control.
• Experienced nephrology and dialysis nursing teams.
• Personalised dialysis schedules and monitoring.
• Integrated care, including nutrition and medication guidance.
• Dedicated international patient coordination and support.

Indications for Hemodialysis

Hemodialysis may be advised when:

• Kidney function falls below safe levels.
• Symptoms such as nausea, fatigue, or confusion develop.
• Fluid retention affects breathing or heart function.
• Blood tests show high levels of waste products.
• Emergency removal of toxins is required.

Who Should Avoid or Delay Hemodialysis?

Hemodialysis is often essential and cannot be delayed in advanced kidney failure. However, the approach may be adjusted based on individual circumstances.

• Early-stage kidney disease is manageable with conservative treatment.
• Severe medical instability requiring stabilisation first.
• Patients choose conservative care after receiving thorough counselling.

Preparing for Hemodialysis

• Blood tests to assess kidney function and electrolytes.
• Planning and creation of dialysis access.
• Education on treatment schedule and expectations.
• Dietary and fluid intake counselling.
• Support planning for international patients.

Hemodialysis Access Types

Safe and reliable access to the bloodstream is essential for effective dialysis. There are different hemodialysis access types, selected based on urgency and long-term needs.

• Arteriovenous fistula: A surgically created connection between an artery and vein.
• Arteriovenous graft: A synthetic tube connecting an artery and vein.
• Central venous catheter: A temporary tube placed in a large vein.

What Happens During the Hemodialysis Procedure?

The session takes place in a dialysis unit or at home, depending on the treatment plan. Blood flows from the body into the dialysis machine, where it is filtered and returned.

Hemodialysis Procedure Step by Step

• Assessment of weight, blood pressure, and access site.
• Connection of bloodlines to the dialysis access.
• Circulation of blood through the dialyser.
• Removal of waste products and excess fluid.
• Continuous monitoring during the session.
• Completion of dialysis and disconnection.
• Post-dialysis assessment and rest.

Recovery and Life With Hemodialysis

After a session, some patients may feel worn out, while others experience relief from symptoms. Adequate rest and adherence to dietary guidance help improve tolerance.

With proper planning and support, many people on hemodialysis continue working, travelling, and maintaining an active lifestyle.

Risks & Complications

Hemodialysis is generally safe but may involve risks such as low blood pressure, muscle cramps, access site infections, or fatigue. These issues are closely monitored and managed through personalised care and regular assessment.

Benefits of Hemodialysis

• Effective removal of waste and toxins.
• Better fluid balance control.
• Relief from symptoms of kidney failure.
• Support for long-term survival.
• Improved quality of life with ongoing care.

What is the Cost of Hemodialysis at Manipal Hospitals?

The cost of hemodialysis depends on treatment frequency, access type, and associated care. Manipal Hospital offers hemodialysis services at costs that are significantly more affordable compared with many Western and Gulf countries, while maintaining high standards of safety and clinical quality.

Individualised cost plans are shared after medical evaluation.

International Patient Support at Manipal Hospitals

International patients receive complete assistance, including treatment planning, visa support, travel coordination, accommodation guidance, interpreter services, and long-term dialysis care coordination to ensure continuity and comfort.