Dialysis Disequilibrium Syndrome (DDS) Quiz
Reviewed By:
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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There is discomfort in the head
Exacerbation of a baseline headache with horizontal rotation of the neck
The first symptom was pain around the ears or at the back of my head
Couldn't pronounce words properly just before the headache started
Everyday activities such as walking does not worsen headaches
Headache with intense pain that feels like an electric shock
Prickling sensation on the skin before the headache started
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Learn more about Dialysis disequilibrium syndrome (DDS)
Content updated on Sep 20, 2022
Dialysis disequilibrium syndrome is when a group of neurological symptoms occur to patients on hemodialysis due to the sudden and rapid removal of urea, a waste product, from your blood. These symptoms include nausea, headaches, vomiting and restlessness. More serious symptoms can result in seizures and comas.
Kidney failure on dialysis
Headache
Nausea or vomiting
Fatigue
My brain is not functioning right now
Your doctor may ask these questions to diagnose dialysis disequilibrium syndrome (DDS)
Are you currently on dialysis (hemodialysis, peritoneal dialysis, etc)?
Do you have headaches or does your head feel heavy?
Do you have nausea or vomiting?
Do you feel fatigued?
Do you have problems focusing or a reduced sense of awareness in your surroundings?
Your doctor may prescribe you with fluids and some medications aimed at reducing the blood pressure in your head to reduce the symptoms. After that, your hemodialysis prescription will likely be modified to prevent future recurrences.
View the symptoms of Dialysis disequilibrium syndrome (DDS)
Diseases related to Dialysis disequilibrium syndrome (DDS)
Reviewed By:
Shohei Harase, MD (Neurology)
Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan