Peritoneal dialysis (PD) is a way to cleanse the blood. Some patients may prefer this method due to poor hemodialysis access routes and heart instability. Others prefer it due to more flexible diet and fluids intake. Peritoneal dialysis uses a natural membrane inside your body and a special solution (dialysate). The solution needs to be changed several times a day. This can be done as part of your home or work routine. Or it can be done at night by a machine. During peritoneal dialysis, you will hook up your belly tube to the dialysis tubing. You will pipe clean fluid into your belly. The fluid will stay there for a certain amount of time. When the fluid is in your belly, it’s called a “dwell.” During a dwell, your belly might feel full or bloated, but it shouldn’t hurt. It takes about 10 minutes for the dialysate to fill your belly. the dialysate must stay in your belly for two hours or more, depending on your body size and how much waste has to be removed. Because your dialysis fluid contains sugar, you may have a tendency to gain weight. Your dietitian can help you plan your diet to get the right amount of calories and keep the right weight for you. If you have diabetes, your dosage of insulin or other medications may need to change.