Why did blood appear in and around the mouth after stopping dialysis and cause death ?
Patient: Family memeber, 85 and living alone, stopped her dialysis; did not have it on scheduled Saturday, talked to her son, Monday evening, then was found she had died in bed later that evening. Blood appeared in and around her mouth. Could you tell me why the blood? I understand she went peacefully. Doctor: Sorry to hear about the demise. In patients undergoing dialysis and having stopped there could be multiple reasons for bleeding. Theses patients have bleeding tendencies so she might have bled from any ulcer in stomach or esophagus. Or if due to stopping of the dialysis, she might have developed pulmonary hypertension due to accumulation of excessive fluids in lungs and cause bleeding through lungs which might have surfaced during excessive bought of cough containing blood. These could be the main reasons that i think of from what you have told me in your question. thank you