Dialysis Disequilibrium Syndrome (DDS) Quiz
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Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
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.
Content updated on May 13, 2024
Following the Medical Content Editorial Policy
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Have a headache
Have nausea
Fatigued
Brain fog
Head pain
Fatigue
Nauseous
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With a free 3-min Dialysis Disequilibrium Syndrome (DDS) quiz, powered by Ubie's AI and doctors, find possible causes of your symptoms.
This questionnaire is customized to your situation and symptoms, including the following personal information:
Biological Sex - helps us provide relevant suggestions for male vs. female conditions.
Age - adjusts our guidance based on any age-related health factors.
History - considers past illnesses, surgeries, family history, and lifestyle choices.
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✔ When to see a doctor
✔︎ What causes your symptoms
✔︎ Treatment information etc.
People with similar symptoms also use Ubie's symptom checker to find possible causes
- My body is jerking
- Pulsating headache
- Twitching
- Headache on the side of my head
- Nausea improves with vomiting
- Headache over the entire head
- Fever seizures (with fever of >100.4°F / 38°C)
- Easily tired
- Headaches in back of head
- Bile vomiting
- The first seizure
- I have a headache when I cough
- Headache at night
- Fatigue that varies throughout the day
- Repetitive seizures
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Try Free Symptom QuizWhat is Dialysis Disequilibrium Syndrome (DDS)?
Dialysis disequilibrium syndrome occurs when a group of neurological symptoms arise in patients on hemodialysis due to the sudden and rapid removal of urea, a waste product, from their blood. These symptoms include nausea, headaches, vomiting, and restlessness. More severe symptoms can lead to seizures and comas.
Typical Symptoms of Dialysis Disequilibrium Syndrome (DDS)
- Kidney failure on dialysis
- Headache
- Seizure
- Nausea or vomiting
- Fatigue
- Struggling to focus or feeling less aware of my surroundings
- Leg cramps
- Weakness in arms or legs
Diagnostic Questions for Dialysis Disequilibrium Syndrome (DDS)
Your doctor may ask these questions to check for this disease:
- Are you currently on dialysis?
- Do you have headaches or a heavy feeling in your head?
- Have you had a seizure?
- Are you feeling nauseous or have you been vomiting?
- Do you feel you fatigued?
Treatment of Dialysis Disequilibrium Syndrome (DDS)
Your doctor may prescribe fluids and some medications aimed at reducing the pressure in your head to alleviate the symptoms. After that, your hemodialysis prescription will likely be adjusted to prevent future recurrences.
Think you might have
Dialysis Disequilibrium Syndrome (DDS)?
Try a symptom check testSymptoms Related to Dialysis Disequilibrium Syndrome (DDS)
Diseases Related to Dialysis Disequilibrium Syndrome (DDS)
References
Bhandari B, Komanduri S. Dialysis Disequilibrium Syndrome. [Updated 2023 May 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559018/
https://www.ncbi.nlm.nih.gov/books/NBK559018/
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I was actually very impressed with the results it provided because, although I didn’t mention it during the questionnaire because I thought it was unrelated, it suggested I may have something I’ve actually been diagnosed with in the past.
(Sep 25, 2024)
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
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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Dialysis Disequilibrium Syndrome (DDS)?
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1