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Starting Dialysis: What Kidney Patients and Families Should Know

When dialysis becomes necessary, how a session works, diet and fluid rules, and how to protect your access.

16 June 2026 6 min readNephrology & Dialysis

When Dialysis Is Needed

Dialysis is considered when kidney function falls to a level where waste products, potassium and fluid can no longer be cleared safely, often signalled by breathlessness, swelling, persistent nausea or dangerously high potassium.

Starting is a planned decision, not an emergency, when chronic kidney disease is tracked early with regular creatinine, eGFR and urine protein testing.

What a Session Involves

A typical haemodialysis session lasts about four hours and is done two or three times a week. Blood is circulated through a dialyser that removes waste and excess fluid, then returned to the body.

Most patients read, sleep or watch something during the session. Blood pressure is monitored throughout and cramps or a drop in pressure are managed on the spot.

Diet, Fluid and Access Care

Fluid limits, potassium-heavy foods such as banana and coconut water, and phosphate-rich foods are reviewed individually by our dietitian. Protein needs actually rise on dialysis, so plans are personalised rather than generic.

If you have an AV fistula, avoid blood pressure cuffs and blood samples on that arm and check the thrill daily.

Frequently Asked Questions

Is dialysis permanent?

In chronic kidney failure it is usually lifelong unless a transplant is possible. In acute kidney injury it is often temporary.

Is dialysis covered by insurance?

Most policies cover dialysis as day-care treatment. Our insurance desk can confirm your plan before you start.

Speak to a Specialist

Our Nephrology & Dialysis team consults at our HSR Layout campus with in-house diagnostics and inpatient beds.

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