For many, dialysis can not only extend your life, but improve the quality of it and be a bridge to transplant. For others, dialysis may add extra burden that prolongs suffering, particularly if you have other chronic conditions and are not eligible for transplant. Medical management without dialysis is another treatment option for you where you will continue to receive care and medicines to prolong any remaining kidney function you have and minimize the symptoms associated with end stage kidney disease. If you are concerned that the burden of dialysis outweighs its benefits, it is important to discuss this option carefully with your doctor, family, and caregivers.
If you decide not to begin dialysis treatment or to withdraw it, you may live for several days to several weeks depending on your overall health and how much kidney function you have left. Your doctor can give you medication that can make you more comfortable during this time. You may start or resume treatment at any time.
If you are having a difficult time making this decision, your doctor may recommend that you start treatment for a trial period. During and after the trial period, you, your doctor and your care team can talk about how you are feeling and whether dialysis is giving you the quality of life that is important to you. The decision to start, stop or continue dialysis treatment is always yours, and we are here to help you navigate this important decision.
For more information, speak to your doctor or explore this resource from the National Kidney Foundation.