Last updated: November 3, 2026 by Phoebe Janisch
Need to reschedule your treatment? We’re here to help you stay on track. Call DaVita Guest Services at 1-800-400-8331 or your local center to find a make-up time that fits your schedule.
Holidays, travel and everyday life can make for a busy time of year. When schedules fill up and routines change, it isn’t always easy to fit everything in.
For people on dialysis, those changes can sometimes affect treatment plans. But missing a dialysis treatment can make you feel sick, tired or short of breath, making it harder to enjoy the people and moments that matter most.
Understanding what happens in your body when you miss a treatment can help you take care of your health. It’s also important to know what steps you can take if plans change and you can’t make a scheduled treatment.
Read on to learn how missed treatments can affect your body and what you can do to stay on track when life doesn’t go as planned.
What to Do if You Know You Cannot Make Your Scheduled Treatment
Sometimes missing a dialysis treatment isn’t about forgetting. It can happen when you’re balancing work, family responsibilities, travel or unexpected events.
If you think you may need to miss a treatment, there are steps you can take to protect your health and plan ahead.
Even if your plans aren’t finalized, it’s helpful to start the conversation early. The sooner your care team knows what’s going on, the more time there may be to explore options and help make a plan that works for your health and your schedule.
Travel often takes more coordination than people expect. Talking through your plans ahead of time can help things go more smoothly and reduce any last-minute stress. Explore dialysis travel support and planning tips before your trip.
Your care team can help you prepare before you leave. DaVita Guest Services can also help coordinate dialysis treatments away from home and answer questions about your trip. Give them a call at 1-800-400-8331. You can also search for a DaVita dialysis center near your destination.
If there will be a longer gap than usual between your treatments, ask your care team what you should pay extra attention to in the meantime.
Depending on your needs, they may recommend being more careful with fluids, certain foods or medications until your next treatment. Looking up nutrient data, getting guidance and knowing exactly what to focus on can help you feel more confident and in control if your schedule changes.
If you notice new or worsening symptoms like swelling, shortness of breath, dizziness, nausea or rapid weight gain, please don’t ignore them.
Contact your care team so they can help you decide what to do next. If your symptoms are severe or you think you’re experiencing a medical emergency, call 911 or seek emergency medical care immediately.
You Don’t Have to Carry It All: How DaVita Supports Your Schedule
Managing dialysis alongside everything else life brings can feel like a lot.
Whatever changes you’re navigating in your routine, support is available. You don’t have to figure everything out on your own, and small adjustments ahead of time can help make busy seasons feel a little easier.
It isn’t always easy to say no to invitations, leave an event early or explain why dialysis needs to come first.
But protecting your treatment schedule and making meals more kidney-friendly is an important part of taking care of yourself. It’s okay to let others know you need to plan around treatment and recovery time. The people who care about you want you to stay healthy and feel your best.
Try saying:
“My DaVita team wants me to keep treatment in my holiday plans, so I need to work around that schedule.”
Or:
"My care team asked me to choose some foods that work better for my health. I’d still love to enjoy the meal with everyone."
You already have enough to think about without coordinating every detail yourself.
If travel, special events or changes in your daily routine could affect your dialysis schedule, start the conversation early. Your care team may be able to help identify options, make arrangements when needed and connect you with resources like DaVita Guest Services.
Sometimes support looks like more than encouragement.
It might be a ride to treatment, help planning meals, a reminder about upcoming appointments, or someone helping coordinate family plans around your schedule.
Accepting help when you need it is completely normal and can make busy seasons feel more manageable. Family members, friends, care partners and your care team can all play a role. Your dialysis center social worker may also be able to connect you with emotional, financial, transportation or other practical support. Learn how social workers support people on dialysis.
When life gets busy, it’s natural to want to fit everything in.
But making time for treatment, rest and recovery can help you feel better and have more energy for the things that matter most. Taking care of your health isn’t stepping away from your life. It’s part of helping you stay present for it. And if the season feels especially difficult or taxing, find support through your care team for managing the holidays with kidney disease.
What happens if I miss treatment?
Between dialysis treatments, toxins can build up in your blood and affect how you feel. You can reduce toxin buildup by controlling what you eat and drink and getting dialysis treatment as prescribed by your doctor.
What you eat and drink is associated with what your dialysis treatments remove. For example, if you have a very salty meal and drink more, you may have blood pressure fluctuations or cramping during treatment due to the extra fluid being removed.
Some foods can cause toxins to build up quickly between your dialysis sessions. When too much waste builds between treatments, your dialysis treatment may not be able to remove it all during a single session. This means toxins may stay in your body longer, which can impact how you feel.¹˒³
Foods and beverages to limit or avoid include those high in:
- Sodium
- Phosphorus
- Potassium
- Fluid¹
Another purpose of dialysis is to remove water from the body, since kidney function is impaired. However, dialysis can only remove a limited amount of fluid safely per treatment.
If you come to dialysis treatment with too much fluid in your body, you may experience symptoms such as:
- Swelling and weight gain between dialysis sessions
- Belly bloating
- Changes in blood pressure; a sudden drop can cause you to feel dizzy or nauseous
- Extra strain on your heart
- A buildup of fluid in the lungs, making it hard to breathe
- Feeling ill
- Muscle cramping¹˒²˒³
Every treatment is important
Every dialysis treatment plays an important role in helping remove waste and extra fluid from your body and support how you feel day to day.³
If you think you may miss a scheduled treatment, reach out to your care team as soon as possible. They can help you understand your options and discuss what happens next. If you’re traveling, DaVita Guest Services may also be able to help coordinate care away from home at 1-800-400-8331.
References
- Eating & Nutrition for Hemodialysis. https://www.niddk.nih.gov/health-information/kidney-disease/kidney-failure/hemodialysis/eating-nutrition#important. Accessed on 10/22/2026.
- Fluid Control for Kidney Disease Patients on Dialysis. DaVita, Inc. https://davita.com/diet-nutrition/articles/fluid-control-for-kidney-disease-patients-on-dialysis/. Accessed 10/22/2026.
- Missing Dialysis Treatment Is Dangerous for Your Health. National Kidney Foundation. https://www.kidney.org/kidney-topics/missing-dialysis-treatment-dangerous-your-health. Accessed 10/22/2026.
Helpful Resources and Support Tools
- https://davita.com/care-support/travel/
- https://davita.com/diet-nutrition/kidney-diet-tips/holiday-fluid-management-part-one/
- https://davita.com/diet-nutrition/kidney-diet-tips/holiday-fluid-management-part-two/
- https://davita.com/diet-nutrition/kidney-diet-tips/holiday-meals-kidney-friendly/
- https://davita.com/education/articles/holiday-blues-and-chronic-kidney-disease/
- https://davita.com/treatment-options/articles/social-workers-helping-patients-at-the-dialysis-center/
- https://davita.com/tools/find-a-dialysis-center/
This is for informational purposes only and is not a substitute for medical advice or treatment. Consult your physician regarding your specific diagnosis, treatment, diet and health questions. If you are experiencing urgent medical conditions, call 9-1-1.
