Can kidneys start working again after dialysis?
Yes, kidneys can sometimes start working again after dialysis, depending on the underlying cause of kidney failure and the extent of kidney damage. This is more likely in cases of acute kidney injury (AKI), where the kidneys have temporarily lost function but have the potential to recover with appropriate treatment and time. In such cases, dialysis is used as a temporary measure to support the patient while the kidneys heal.
In chronic kidney disease (CKD), especially in the later stages, the damage to the kidneys is usually permanent, and the likelihood of regaining sufficient kidney function is low. However, some patients with less severe CKD might see an improvement in kidney function if the underlying condition causing the kidney damage is effectively treated and managed.
Factors influencing the potential for kidney recovery include:
Reversible causes, such as dehydration, certain infections, or obstruction, may lead to recovery of kidney function after treatment.
Less extensive damage increases the likelihood of recovery.
Prompt treatment of the underlying cause and supportive care can improve outcomes.
Patients in good overall health may have a better chance of recovery.
It’s important for patients undergoing dialysis to have regular follow-ups with their nephrologist to monitor kidney function and adjust treatment as necessary.
Prof (Dr) D Mukherjee is an alumnus of the prestigious Armed Forces Medical College, Pune where he did his MBBS & MD (Medicine). Subsequently he went on to do his DM (Nephrology) from PGIMER Chandigarh, which is the foremost training institution for nephrology in India.