<s>[INST] I recently went from Peritonel dialysis to hemo. Since being on hemo my stomach has has grown to that of a woman in her ninth month and breathing especially at night has become differcult. What can be done to bring my stomach back to its original size [/INST] Hello, now that you have moved to hemodialysis from peritoneal dialysis, and you are having complains of abdominal distension which can be caused due to excessive accumulation of fluid in your peritoneum which is called as ASCIIs. Due to distension of abdomen which causes pressure on diaphragm and finally on the lungs causing decrease space for lungs to expand for breathing and thus the breathing difficult in night. I would suggest you to get a USG scan of abdomen and see whether ascites is present or not. If at all present it can be Chat Doctor.  Otherwise, it could be just bloating of abdomen. Kindly consult your doctor with the reports. Thank you </s>