### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello Dr. I am  51 yrs old on hemo dialysis from the past 3 yrs (thricea week) a diabetic since the past 20 yrs. 1.The problem is that my BP keeps fluctuating a lot and more towards the lower side esp after dialysis. I usually take Lemon water with salt but that raised the potassium level.Can you please advice us as to how should we tackle this during and post dialysis? 2.Recently i noticed blood stains on my bed sheet in the morning and a drop in the bathroom as well.This is happening since yesterday.Can you please help me as to what the problem is?and is transplant a safe option at this stage ? Thanks

### output:

DEAR USER THANKS FOR WRITING AT HIM UNDERSTAND YOUR CONCERN. POST HEMODIALYSIS A FALL IN BP IS A COMMON PHENOMENON AS DURING HEMODIALYSIS THEY REMOVE THE FLUID FROM YOUR BODY (ULTRA FILTRATE) THIS REDUCES THE VOLUME IN YOUR VESSEL AND YOUR BP REDUCES CAN TALK TO YOUR NEPHROLOGIST ABOUT THE AMOUNT OF FLUID REMOVED AND FALL OF BP.BUT YOU NEED NOT WORRY AS USUALLY THE NEPHROLOGIST TRUES TO KEEP BP AT A RANGE WHERE ITS NORMAL POST DIALYSIS AS WELLREGARDING BLOOD STAIN. I WOULD LIKE TO KNOW IF BLOOD Chat Doctor. . YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS.