Preventing Dialysis Disequilibrium Syndrome

Dialysis disequilibrium syndrome (DDS) is a condition that can occur during or after your hemodialysis, which is  a medical procedure used to treat kidney failure. DDS is characterized by neurological symptoms that occurs due to the rapid shift of fluids and solutes in your brain during dialysis.

Doral Health and Wellness provides an in-center dialysis services, managed by our highly trained medical team. To know more about dialysis disequilibrium syndrome, you can consult with the best nephrologists and urologists of Doral Health and Wellness in East New York.

Preventing dialysis equilibrium syndrome is very important as it is a serious and life-threatening complication associated with dialysis. This syndrome involves rapid changes in your electrolytes, especially sodium, during or after dialysis, that often leads to neurological symptoms such as seizures, confusion, and, in severe cases, coma.

The importance of prevention depends in avoiding the potential complications and risks associated with dialysis equilibrium syndrome, which can include:

  • Neurological complications — This syndrome can cause seizures and other neurological issues, which can affect your overall well-being.
  • Morbidity and mortality — In severe cases, untreated dialysis equilibrium syndrome can lead to significant morbidity and worse, even death.
  • Quality of life — Effective prevention highly contributes to maintaining a better quality of life if your are undergoing dialysis, reducing the possibility of complications that could affect your daily functions.

Your medical providers must carefully manage your dialysis parameters, monitors you closely, and take preventive measures to ensure your safety and well-being. You should maintain regular communication as it is important for early detection, intervention, and the overall success of preventing dialysis equilibrium syndrome.

Preventing dialysis equilibrium syndrome also involves careful management during your dialysis sessions. Together with your medical provider, you should consider some of these following measures:

  • Gradual urea reduction — Avoid rapid reduction of your urea levels during dialysis, as sudden changes can contribute to the syndrome. Dialysis parameters should be adjusted cautiously.
  • Monitor your electrolytes — Regularly monitoring and managing your electrolyte levels, especially sodium, to prevent imbalances.
  • Adequate dialysis prescription — Ensuring that your dialysis prescription (including the duration and intensity) is appropriate for your needs and avoid overly aggressive treatment.
  • Personalized treatment plans — Tailoring your dialysis treatments to your specific needs, including taking into account several factors such as your age, weight, and overall health.
  • Pre-dialysis BUN levels — Avoid initiating dialysis when your blood urea nitrogen (BUN) levels are excessively low, as this can increase the risk of the syndrome.
  • Close monitoring — Regularly assessing any signs and symptoms of dialysis equilibrium syndrome during and after your dialysis sessions.

It is important for your medical providers to be vigilant and responsive to potential risks during dialysis, as well as adjusting your treatment plans as needed to minimize the chances of dialysis equilibrium syndrome. Regular communication between you and your medical team is also very important to address any concerns and ensure you receive appropriate care.

If you have symptoms of having kidney problems, talk to your doctor so you can devise a proper treatment plan for your condition. Never take any symptoms of kidney problems for granted. It is better to have it checked early on, before it progresses. At Doral Health and Wellness Urology Center, our team of urologist and nephrologist will work with you in managing your disease and your quality of life. To schedule an appointment, please visit us at 1797 Pitkin Avenue, Brooklyn, New York 11212 or call 1-347-384-5690. You can also visit our website at