Living with PD: What else should I know?

Weight gain can be a problem for people on PD because the dialysis solution contains dextrose, a type of sugar. The body absorbs some of this dextrose during the dwell, which can lead to body weight gain. By controlling your salt and fluid intake, you may be able to use a dialysis solution with a lower concentration of dextrose. Your PD clinicians will tell you the dialysis solution concentration that is best for you to use. A dietitian can also provide guidance on how many calories to eat.

The belly may enlarge slightly and may cause you to feel bloated when it is filled with dialysis solution. You may need a larger size of clothing and see a physical difference when dressed. Some people have a hard time accepting the change in their appearance. Patient support groups and websites can provide reassurance and tips for dressing.

In general, people using PD should limit physical activities when their peritoneal cavity is full (has a large-volume dwell). It is still possible to exercise and participate in sports, although you should discuss your activities with your PD clinicians.

PD requires time and dedication and may interfere with other activities. This is especially true for CAPD, which requires the person to perform several exchanges during the daytime. Although it is possible to work and be active while using CAPD, it may be necessary to cut back on responsibilities.