MBBS, MD-Medicine, DNB-Nephrology, ISN-ANIO CNC (USA)
Hypertension which is not controlled by three or more than three anti-hypertensives is called resistant hypertension. These patients need to be thoroughly evaluated for secondary causes of hypertension in which kidney related ailments causing resistant hypertension is very common.
Consult NowDiabetes is the most common cause of kidney disease worldwide and all diabetic patients should get evaluated for kidney disease at least once in a year. In initial stages it may manifest as proteinuria and in later stages kidney function tests start getting affected.
Consult NowChronic Kidney disease is currently the ninth most common cause of death worldwide and once it sets in it is usually progressive and not reversible. Diabetes and hypertension along with cystic kidney diseases and autoimmune kidney diseases remain the most common cause of CKD.
Consult NowIn acute kidney disease there is sudden loss of kidney function, and it is commonly seen with infections like gastroenteritis, pneumonia, urinary tract infections, malaria , dengue etc . Acute kidney injury is usually reversible with timely treatment.
Consult NowUrinary tract infection is a very common problem especially in females and elderly males. It can be uncomplicated or complicated. Detailed evaluation and timely treatment and antibiotic prophylaxis when indicated are effective strategies for its management.
Consult NowKidney stones which do not cause any obstruction or infection can be managed medically with oral drugs. Also patients who are recurrent stone formers need detailed urinary evaluation and dietary modifications to avoid recurrence.
Consult NowRenal transplant has become a common treatment for chronic kidney disease and patient’s quality of life improves drastically after renal transplant. These patients are on immunosuppressive medications and are therefore more prone for infections.
Consult NowKidney biopsy is a procedure where kidney tissue is biopsied using a minimally invasive technique under ultrasound guidance using local anaesthesia. It is very useful for evaluation of certain autoimmune kidney diseases and also after kidney transplant.
Consult NowWhen haemodialysis is to be initiated urgently and an AV Fistula is not ready, dialysis can be done using dialysis catheters inserted into large veins of the body such as jugular vein, femoral vein etc. Permacath is a soft catheter which is inserted using a subcutaneous tunnel and has lower infection rates and better shelf life than simple hard dialysis catheters.
Consult NowHaemodialysis is the conventional technique which is usually employed in maintenance dialysis. In ICU and inpatient setting when patient is not stable hemodynamically then techniques such as SLED(Slow Low Efficiency Dialysis) and CRRT(Continuous Renal Replacement Therapy) are employed. Plasma Exchange is the removal of patient’s plasma using a special filter and is used in some autoimmune diseases.
Consult NowPeritoneal Dialysis or Water Dialysis is a technique where a special fluid is inserted into the patient’s abdomen and exchange of this fluid on a daily basis helps to remove waste products from the body. Nowadays automated peritoneal dialysis machines are also available.
Consult NowOur kidneys produce a special hormone called erythropoietin which is responsible for haemoglobin production. In kidney disease production of this hormone is affected and patients suffer from anaemia which can be treated with this hormone preparation.
Consult NowOur kidneys produce a special hormone called erythropoietin which is responsible for haemoglobin production. In kidney disease production of this hormone is affected and patients suffer from anaemia which can be treated with this hormone preparation.
Consult NowIn these disorders kidneys start excreting protein and or blood in the urine and as a result patients suffer from body swelling due to low albumin, high BP, decreased urine output etc. These disorders are usually autoimmune in origin and need to be evaluated so that timely treatment can be initiated.
Consult NowKidney disease patients are commonly affected by life threatening complications such as fluid overload, hyperkalemia, serious infections, cardiac issues etc and need ICU care. Such sick patients need dedicated and advanced care under a team of doctors headed by the nephrologist.
Consult NowThese are a specific subset of kidney diseases which are usually autoimmune in nature and tend to affect the younger population, They usually require a kidney biopsy for diagnosis and specific immunosuppressive therapy for their management. If not diagnosed in time they may lead to end stage renal disease.
Consult Now