Asked for Male | 18 Years
Can a moved fistula bulge be fixed with surgery?
Patient's Query
Hi, I have end-stage kidney failure and I've been doing hemodialysis for 4 years now, and I've been worrying about my fistula or how long it is going to last before I get a tube stuck in my neck as an alternative. Today, the bulge on my arm which I assume is the fistula got moved or at least something got moved slightly causing discomfort and a change of shape of the bulge. Is that a cause for concern? It doesn't have redness or pain in the exact place, but I'm worried sick. Can this be fixed by a surgery? Other questions that have been bothering me. How about if it got ruptured? It started to bulge and reddened. Can it still be fixed? Also, let's say my left arm fistula died and I had to use my right arm. Can I still use my left arm for fistula once it's healed in the future? Thank you for your answers in advance, I'm a teenager who got dealt with a bad hand right from the get-go and I wish to know more about my current situation.
Answered by Dr. Neeta Verma
It’s understandable to be concerned about changes in your fistula. If you notice any discomfort, change in shape, or other symptoms like redness, it's important to check it. A vascular surgeon can assess your fistula and determine if any intervention is needed. Even if your current fistula fails, it's possible to create a new one in the same arm after healing. This should be evaluated by your doctor. Please consult your nephrologist or a vascular surgeon for a detailed examination and advice.

Urologist
Questions & Answers on "Nephrology" (131)
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