Dialysis: Choosing the Option That Fits

Patient education · Visual teaching summary · October 3, 2026

Andrew Bland, MD, FACP, FAAP

Visual summary

The best choice combines medical needs, daily life, and your own goals.

Dialysis: Choosing the Option That Fits: six-panel learning summary. Full text follows below.
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What dialysis does

Dialysis removes some waste and extra fluid when the kidneys cannot do enough. It replaces only part of kidney function and is one part of ongoing kidney care.

Hemodialysis

Blood passes through a filter outside the body. Treatment may take place in a center or at home. Timing and frequency depend on the chosen treatment plan.

Peritoneal dialysis

Fluid placed into the abdomen uses the lining of the belly as a filter. Exchanges can be done by hand or with a machine, commonly at home.

Prepare the access

Hemodialysis needs a blood access. Peritoneal dialysis needs an abdominal catheter. Planning ahead allows time for healing, training, and discussion of the safest option.

Talk about your priorities

Discuss work, travel, support at home, symptoms, and what matters most to you. Transplant and comprehensive conservative kidney care should also be part of an appropriate discussion.

Know warning signs

Report access redness, fever, cloudy peritoneal fluid, abdominal pain, or new breathing difficulty. Your dialysis team should give you clear daytime and after-hours contact instructions.

Continue learning

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