Your first dialysis is a major change—often accompanied by worry, fear, and many questions. You’re not alone. Thousands of people go through this same experience, and most of them successfully adapt to their new lifestyle.
In this article, we’ll walk you through what to expect during your first dialysis session, how to prepare, how the treatment works, and how you might feel afterward.
Why Am I Starting Dialysis?
Dialysis is prescribed in cases of advanced chronic kidney disease, when the kidneys can no longer properly filter waste and excess fluids from the blood.
Your doctor may recommend starting dialysis if you experience:
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Symptoms like swelling, nausea, high blood pressure, or fatigue
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High levels of urea and creatinine in blood tests
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An imbalance in electrolytes (such as potassium, sodium, phosphorus)
Before the First Session
Before your first dialysis, several steps are taken to prepare you:
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Consultation with a nephrologist – Your doctor will explain why dialysis is needed and answer your questions.
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Creating vascular access – Usually by forming an arteriovenous fistula in your arm, or placing a temporary catheter.
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Scheduling your first session, and meeting the dialysis team.
📌 Tip: Bring any recent lab results, medical records, or discharge summaries with you.
What to Expect Upon Arrival at the Dialysis Center
Upon arriving at the dialysis center, the staff will guide you through the process:
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You’ll register and have your weight, bloo
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You may be seen briefly by a doctor.
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You’ll be shown to a dialysis bed or reclining chair.
Wear comfortable clothes and bring a small bag with water, headphones, or something to read or watch. The session takes several hours.
How Does Dialysis Work?
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Your arm will be cleaned and connected to the dialysis machine through your fistula or catheter.
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Your blood will pass through a dialyzer (artificial kidney), which filters out toxins and extra fluid.
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The treatment usually lasts about 4 hours.
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You can rest, read, listen to music, or even nap during the session.
A trained medical team will monitor you at all times.
How Will I Feel After the Session?
It’s completely normal to feel:
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A bit tired or weak
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Mild headache or dizziness
Make sure to rest after the session and avoid intense physical activity on the same day.
Emotional and Psychological Aspects
Your first dialysis can feel overwhelming. That’s okay.
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This is the beginning of a new phase that will help you feel better.
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Many patients report improved well-being within the first few sessions.
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Talk to someone — your doctor, a psychologist, or other patients. Shared experiences help.
Practical Tips for Your First Dialysis:
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Eat a light meal before your session (unless advised otherwise).
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Dress in loose comfortable clothing – it can feel cool in the dialysis room.
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Bring headphones, a book, or something to do.
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Communicate openly with the medical team – they are there to support you.
Conclusion
Your first dialysis is not an end – it’s a new beginning. With the right medical team, care, and mindset, dialysis can become part of your routine and help you feel better, stronger, and more stable.
We’re Here to Help
If you or a loved one is about to start dialysis, know that you’re not alone. Our experienced team is ready to support you every step of the way.
