Hemodialysis is not a painful procedure. However during the process you may experience nausea and vomiting. If you become nauseated let your nurse know as you may be able to take medication to reduce the discomfort. This will depend upon your medical condition. During the procedure some people find they are tired and will sleep. This can also help relieve feelings of nausea. Depending upon your medical condition you may also find that you can read a magazine, work on your computer or watch a show on your smartphone. Because your appointment for dialysis will be on the same days and times each week, many patients make friends with the other individuals there for dialysis. Dialysis has the potential to cause some serious cardiovascular effects. These effects include low blood pressure, high blood pressure, and pericarditis. Your doctor will monitor you for these conditions, but it is good to be aware of the risks as well. Low blood pressure. Low blood pressure or hypotension, may be a side effect of dialysis, especially for those who have diabetes. This can be accompanied by abdominal cramping, vomiting and shortness of breath. Report feeling these symptoms to your dialysis nurse immediately so changes can be made to the settings on your dialysis procedure. Increased blood pressure. Taking too much salt or fluid between treatments can increase your blood pressure and your risk of heart disease, heart attack and stroke. Based on your individual medical needs your physician may recommend sodium and fluid intake limits. Pericarditis. If the hemodialysis is not effective it can lead to pericarditis or an inflammation of the membrane that surrounds the heart. This reduces the efficiency of the heart muscle and can lead to stroke or heart attack. Even though dialysis is not a painful treatment, it may be uncomfortable at first. Symptoms such as muscle cramps and itchiness are common complaints during and after hemodialysis. Muscle cramps. Although the exact reason why is not known, adjustments to your sodium intake between and during the treatment can help to reduce muscle cramps. Itchy skin. It is common to experience itchy skin during and after hemodialysis. Talk with your physician if you have trouble sleeping immediately after hemodialysis. You may be experiencing sleep apnea or restless legs from the process. People who use peritoneal dialysis do not appear to have this side effect. Anemia is a common side effect of both kidney failure and dialysis. The hormone erythropoietin is responsible for the production of red blood cells but is made in the kidney. Your doctor will most likely want you to have regular blood tests to check your iron levels. Talk with your physician if you experience fatigue, shortness of breath, or believe that you may have anemia. Changes in mood are common for people going through dialysis, but there are treatments to help with this side effect. Tell your doctor right away if you experience sadness, depression, or other disruptive mood changes. Changes in mood can be related to biochemical changes from the dialysis and kidney failure or from the experience. Support groups and counseling with a therapist or pastor can help when the mood changes are related to the experience you are going through and not just from biochemical changes in your blood. After approximately five years on dialysis, your risk of developing amyloidosis increases. When proteins in the blood are deposited in the joints and tendons it causes pain, stiffness and fluid retention in the joint areas. If you believe you are experiencing these symptoms, discuss your options with your physician. They will depend upon your kidney function, overall health and dialysis prescription.
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One-sentence summary -- Anticipate some discomfort. Be aware of the cardiovascular risks of dialysis. Note any physical discomfort. Tell your doctor if you are having trouble sleeping after the procedure. Know that anemia is a potential side effect. Report any changes in mood. Consider the long-term effects of hemodialysis.

Article: In any language, minding your manners shows respect. Using polite words and phrases in Arabic, even if you don't know any other words in the language, communicates that you respect Arab culture. Some words to learn include: "Al-ma'dirah": Excuse me (if you're asking someone to move) "Aasif": Sorry "Miin faadliikaa": Please "Shukran": Thank you "Al'afw": Reply to "thank you" Traditionally, men and women do not touch each other at all when greeting, unless they are close family members. Some women are willing to shake hands with men, particularly in more formal contexts. However, if you are a man, you should let the woman take the lead. Stand away from the woman as you greet her. If she is willing to shake your hand, she will extend her hand to you. Don't automatically extend your hand first. If she clasps her hands together or places her right hand over her heart, that is an indication that she isn't willing to shake hands but is nonetheless pleased to meet you. When greeting someone of the same gender as you in a formal context, such as in a professional environment or for school, shaking hands is common. It's still a good idea to let the other person take the lead and offer their hand first. Always shake with your right hand, never your left. The left hand is considered unclean in Arab culture. Placing your right hand over your heart indicates that even though you're not going to touch the person, you're still quite pleased to meet them. If you have Arabic friends of a different gender, this is an appropriate way to greet them. Because men and women who aren't related to each other typically don't touch each other when greeting, this gesture is a way to signify your attachment to the person you're greeting without hugging or kissing them. In Arabic culture, touching noses is not considered a particularly intimate gesture and is frequently done between two men as well as between two women. Another gesture popular in some areas is to place 3 kisses on the other person's right cheek. These gestures are typically never appropriate with someone of a different gender unless you are related to them and have a very close relationship. Even then, many Arabs would not consider such a greeting appropriate in public. Elders are greatly respected in Arabic culture. A kiss on the forehead honors them and shows them respect. Reserve this gesture for elders you know well, or who are related to someone you know well. For example, if your Qatari friend introduces you to his grandmother, you might kiss her on the forehead when greeting her.
Question: What is a summary of what this article is about?
Use polite words and phrases to show respect. Avoid touching when greeting someone of a different gender. Shake hands when greeting someone of the same gender formally. Place your right hand on your heart to greet someone warmly. Touch noses or kiss cheeks with people you know well. Greet an elder with a kiss on the forehead.