Tag Archives: Nephrologist in Delhi

nephrologist in Delhi

Everything You Need To Know About Nephrologist

Some common kidney-related conditions that the best nephrologist in Delhi may diagnose and treat include:

Chronic Kidney Disease (CKD)

Chronic kidney disease is a condition that occurs when the kidneys are damaged and cannot filter waste from the blood properly. As a result, waste and excess fluids build up in the body, leading to various complications. A kidney specialist in Delhi can diagnose CKD through blood and urine tests and provide appropriate treatment to manage the condition.

Acute Kidney Injury (AKI)

Acute kidney injury is a sudden and temporary loss of kidney function. It can be caused by a variety of factors, including dehydration, infection, or the use of certain medications. A nephrologist in Delhi can diagnose and treat AKI by addressing the underlying cause and providing appropriate treatment options.

Kidney Stones

Kidney stones are small, hard deposits that form in the kidneys and can cause severe pain and discomfort. A urologist in Noida can diagnose kidney stones using imaging tests, such as X-rays or ultrasounds, and provide treatment options such as medication, surgery, or shockwave lithotripsy.

Urinary Tract Infections (UTIs)

Urinary tract infections are infections that occur in any part of the urinary system, including the bladder, urethra, or kidneys. A kidney specialist in Delhi can diagnose and treat UTIs by prescribing antibiotics and providing appropriate care to manage the condition.

Kidney Transplant

A kidney transplant is a surgical procedure that involves transplanting a healthy kidney from a donor into a patient with kidney failure. A nephrologist in Delhi can evaluate the patient’s suitability for a kidney transplant and provide pre- and post-transplant care to manage the patient’s health.

Nephrologists in Delhi are also involved in the management of various other kidney-related conditions, including glomerulonephritis, nephrotic syndrome, and polycystic kidney disease. They use advanced diagnostic techniques, such as blood and urine tests, imaging studies, and kidney biopsies, to evaluate kidney function and identify any abnormalities.

Nephrologists in Delhi work closely with other healthcare professionals, including primary care physicians, urologists, and kidney transplant surgeon in Delhi, to provide comprehensive care to patients. They provide both inpatient and outpatient services and can provide emergency care for patients with acute kidney injuries or other serious kidney-related conditions.

If you are experiencing symptoms such as high blood pressure, swelling in the legs or feet, frequent urination, or blood in the urine, it is essential to consult a nephrologist in Delhi as soon as possible. Early detection and intervention can help prevent the progression of kidney disease and the need for dialysis or transplant.

When choosing a nephrologist in Delhi, it is essential to do your research and choose a reputable and experienced professional. Look for a kidney specialist in Delhi who has a track record of successful outcomes, is highly recommended by other healthcare professionals, and has a patient-centered approach to care.

chronic kidney failure

Is Chronic Kidney Failure Curable?

Chronic kidney failure is a problem that can be treated. The approach is adapted to the needs of each person, and can bring good results in the remission of symptoms and in preventing the progression of the disease. However, the loss of kidney function cannot be reversed, explains the best nephrologist in Delhi.

Chronic kidney failure, which can also be called chronic kidney disease, is characterized by the loss of kidney function for a period longer than 3 months. This is a worrying picture because it has a slow evolution and usually does not show symptoms.

Because of this characteristic, chronic renal failure is often diagnosed late. In these cases, the loss of renal function is already very significant, which makes treatment difficult and may require dialysis sessions.

But the main question is whether chronic kidney failure can be cured. In this article the nephrologist in Delhi answers that question. Keep reading.

What Causes Chronic Kidney Failure?

Chronic kidney disease is a condition in which the kidneys lose their ability to filter blood properly. One of the tasks of these organs is to separate metabolic waste and excess water from the body, so that they are eliminated through urine.

When the kidney suffers aggressions or injuries, it begins to lose this capacity, performing its task in an increasingly deficient way. Thus, waste accumulates in the body bringing complications to other organs.

Several factors can trigger kidney failure; however, diabetes and hypertension are the two main causes of chronic kidney disease. However, there are other risk factors besides high blood sugar and high blood pressure. Are they:

  • advancing age;
  • obesity;
  • history of circulatory problems;
  • smoking;
  • cases of kidney disease in the family;
  • some medicines.

As said, this is a problem that evolves slowly, so the person can live a long time with compromised kidney function, without showing symptoms. When they happen, it is because there is already a serious impairment of the kidneys, says the best kidney specialist in Delhi.

Can Chronic Kidney Disease be Cured?

Chronic kidney failure is a different picture from acute failure. In the second case, the kidneys momentarily reduce or lose their functions because of some aggression, illness or any other, but they recover and go back to work as before.

In the chronic problem, these organs gradually stop working and it is not possible to restore kidney function. The tendency is for the problem to get worse and worse, until failure occurs, and the kidneys stop working altogether, explains the kidney specialist in Delhi.

However, there is an option for the person to have a functioning kidney again. His organs cannot be salvaged, but there is a possibility that he will be donated a healthy kidney through a kidney transplant in Delhi.

How is this Problem Treated?

It is true that chronic kidney failure cannot be cured, but there are treatments to minimize symptoms and prevent kidney loss from progressing. We are able to delay the worsening of the problem or, in some cases, stop the disease so that the person maintains the percentage of kidney function they have now.

Before, it is necessary to know the state the kidneys are in to define what will be the best approach for each patient. Blood and urine tests are mainly requested to measure and analyze kidney functions. The nephrologist in Delhi is the doctor who performs this detailed and thorough assessment of kidney function.

Afterwards, a series of measures can be adopted, such as controlling blood pressure and blood glucose. It is also necessary to give up tobacco so as not to harm the kidneys or favor complications of kidney disease.

It is also recommended to reduce the body’s cholesterol levels. Medications are used that reduce the loss of protein in the urine and help with symptoms such as bloating.

Chronic kidney failure brings complications such as bone and mineral disorders. Therefore, the person may need treatment for these problems, through the balance of nutrients such as vitamin D, calcium, and phosphorus. Still other approaches can be adopted, which, as said, depend on the need and clinical conditions of each patient.

One more recommendation for the treatment of chronic kidney disease is the adoption of a proper diet. Likewise, with an individual assessment and the follow-up of the nutritionist to provide the nutrients that the body needs, without excesses that can further harm kidney function.

Patients with more advanced loss of kidney function may need to undergo dialysis in Delhi (peritoneal dialysis or hemodialysis), in order to supply kidney functions when organs can no longer filter blood and eliminate fluids properly.

Kidney Transplant in Delhi

What kind of home care should a kidney transplant patient have?

Maintaining a healthy and balanced diet, adopting good hygiene habits and cultivating a positive attitude towards life are some of the recommendations that a person who receives a kidney transplant must take into account in order to recover successfully.

How does the life of a kidney transplant patient change?

Kidney transplant is a surgical procedure that has the ability to restore quality of life to a person with advanced kidney disease. The patient is now beginning a stage in which he will be largely responsible for the success of the transplant. Therefore, the person who receives a healthy kidney must take into account a series of cares when he returns home.

What care should a kidney transplant patient have? Some of these are related to the food that should be brought, adaptations at home and personal hygiene that should be maintained to avoid any complications and achieve a quick recovery. Today we will tell you what life is like after a kidney transplant in Delhi.

What types of foods should a kidney transplant recipient avoid? 

If you have just had a kidney transplant, you will need to be very careful about what foods you can and cannot eat. Food restrictions are less than when you were on dialysis therapy, after receiving the transplant it is recommended by nephrologist in Delhi to maintain a balanced diet. Here is a list of recommendations for a good diet:

  • Maintain an adequate intake of calories and protein.
  • Keep the times of your meals, try to always be at the same time.
  • Consume foods low in salt, sugar and fat, according to the instructions of the nutritionist and the doctor.
  • Include fiber in the diet.
  • Eat at least five servings of fruits and vegetables a day.
  • Consume the amount of liquids recommended by the best nephrologist in Delhi.
  • Eat food cooked at home.
  • Take the medications that kidney specialist in Delhi strictly prescribed for you. Remember that anti-rejection medications are taken as far apart from meals as possible.

On the other hand, keep in mind those foods that you should not eat after a kidney transplant:

  • No fume.
  • Do not consume alcohol.
  • Remove grapefruit and its juice from the diet, as it can reduce the effect of some medications (calcineurin inhibitors).
  • Don’t eat street food.
  • Avoid raw vegetables and fruits for the first three months after transplant.

Nursing care for a transplant patient

An important aspect that you must take into account if you received a kidney transplant is the adequacy of the space in which you live, so you must adapt it for your comfort and to facilitate your movement. And, although the idea is that you return to your normal life, you will have to change some customs and behaviors always thinking about your well-being.

Here are some recommendations for effective health care:

  • Take the medication that the medical team gave you and do it at the indicated times.
  • Keep track of your blood pressure.
  • Get enough rest (seven to eight hours a day) for your recovery.
  • Keep the house clean.
  • Stay away from sick people, especially if you suspect they have a cold, flu, measles, mumps, or chicken pox.
  • Live in a relaxed way.
  • Adopt positive attitudes.
  • Make sure you have a close support network willing to work as a team with you.
  • Get back to your normal life little by little.
  • Get back to work as soon as you can.

Personal hygiene care that a kidney transplant patient should have

The hygiene care that you should have are:

  • Always wash your hands with soap and water before eating, before preparing or taking medications, before and after using the bathroom.
  • Brush your teeth three times a day.
  • Pay attention to any injury on your skin to give it proper treatment.

The adoption of healthy eating habits, hygiene, the good condition of the place where you live and abiding by recommendations of nephrologist in Delhi, as well as health measures with the people you frequent, are essential to recover from the kidney transplant and the key so that you can have a full life next to yours.

Kidney Transplant in Delhi

9 recommendations for kidney transplant patients

The kidneys work as small filters, that is, they purify the blood of the substances that are left over, those of waste, coming from our metabolism, excess water, salt and other leftover products.

They also have another very important function: the production of certain hormones, such as erythropoietin (for the formation of red blood cells), renin (regulation of blood pressure) and the active form of vitamin D (maintenance of bones).

Until now, dialysis and multiple medications have helped replace the functions of diseased kidneys.

Since a patient receives a kidney transplant in Delhi, this new organ takes care of everything that went wrong before, but for it to function properly, it must be properly cared for.

The best way to know and quantify the operation is by performing blood and urine tests, which will determine the values ​​of creatinine, urea, uric acid, sodium, potassium and phosphorus.

Creatinine very reliably reflects how the kidney is working. It is a reference parameter that is always used in all analyzes carried out by the patient.

Normally, a person with fully functioning kidneys and no kidney disease has a creatinine that ranges between 0.6 and 1.2 mg/dl. A transplanted person can be perfectly above these values ​​and have good kidney function.

Once the patient receives the kidney transplant, creatinine levels progressively drop to the good functioning of the transplanted kidney until they reach normal.

It should not generate alarm that these values ​​do not remain stable. On the other hand, the progressive and sustained increase over time in creatinine levels could indicate dysfunction or rejection of the transplanted organ.

In addition to the check-ups with their nephrologist in Delhi, the transplanted patient must go to the usual medical check-ups (dentist, gynecologist, ophthalmologist, etc.) but they must always inform the kidney specialist in Delhi of their transplant condition, so that there are no problems with the prescribed medications.

It is very important that you check your weight, blood pressure, pulse and temperature and that you keep a record of these data for check-ups.

Medical check-ups will be very frequent at first, but over time, and depending on your condition, they will be spaced out.

At these check-ups with the best nephrologist in Delhi, your general condition will be assessed, your blood pressure and weight will be checked, and your kidney status and function will be checked.

General recommendations

When you are at home, you should pay special attention and control over your weight, blood pressure, temperature and heart rate.

In addition, if you have a fistula, you must follow the same care as when you underwent dialysis sessions.

If, on the other hand, you have a peritoneal catheter, you must keep it permeable and in good condition. It will be removed after about three months, if all goes well.

Personal hygiene is very important: take daily showers, keep nails short and clean, brush teeth with a soft brush and regular toothpaste, after all meals. Toiletries must be for the exclusive use of the patient, never sharing a toothbrush or razor.

Although the kidney is working, other complications may arise, so you must maintain the same precautions with the AVF (fistula) as before the transplant (hygiene, avoid blows, pressure, etc.).

If, on the other hand, you are a carrier of the peritoneal dialysis catheter, initially, it will be kept in place and in the same conditions as before (insertion care, hygiene measures, etc.).

After the transplant, it is common for sexual desire to increase in both men and women. In men, impotence problems that are related to uremic syndrome are usually solved and in women, infertility problems can disappear, so it is possible that they can become pregnant again.

There is no reason not to enjoy a full sexual life, just remember that hygiene for a transplanted person is of vital importance, and you should follow the aforementioned recommendations regarding personal hygiene.

Those postures or actions that can cause damage to the kidney due to blows should be avoided. As contraceptive methods, barrier methods, condoms and diaphragm are recommended.

In transplanted women, the use of the contraceptive pill is not indicated because it can interfere with medications, nor the IUD because it increases the risk of infections.

Check with the best kidney specialist in Delhi if you need to use them, so that he can check if it is possible in your case.

Convalescencia

The first month will be of “relative” rest, this means that we will join the activity little by little. It is convenient to take walks in quiet areas, gardens, parks, away from pollution and traffic. At home, you should stay active but not get tired.

During this first month, it is recommended not to visit closed public places (cafeterias, libraries, cinemas, etc.), avoid hitting or jumping and lifting heavy objects.

After the first 2 or 3 months, the patient should try to lead an active life, with moderate physical exercise and work activity.

It is important to remember that smoking is absolutely prohibited, as tobacco is the main cause of heart and bronchial problems, circulation disorders and cancer. In the case of transplant recipients, the risk is much higher.

Feeding

A proper diet is very important to maintain the health of any person, especially transplant recipients.

There are a series of generic rules for the diet of a transplant patient, although it must always be individualized.

After the transplant, dietary restrictions will be lifted and you will be allowed to eat normally, depending on your condition.

It is important that you drink the amount of fluid prescribed for you. In the same way, you will be encouraged to control your weight, since it is very possible that you will gain weight after the transplant.

This trend is produced by the improvement in their general condition, because the food will taste better and by the use of corticosteroids as immunosuppressive medication.

Your diet should be balanced and adjusted to your caloric needs. The amount of food will depend on what your body needs, you should avoid the consumption of salt (which is involved in hypertension) and animal fats (which increase cholesterol and triglycerides); nor should you abuse sweets or industrial pastries.

You should take special care to avoid consuming certain raw foods (undercooked eggs, meat, fish and shellfish, unpasteurized milk). Nephrologist in Delhi recommends that the diet be rich in fiber, as it helps prevent constipation, and the use of olive oil to cook.

If you suffer from any chronic disease whose treatment involves a special diet (such as diabetes, for example) you must continue it.

In conclusion, the kidney transplant patient should:

  1. Avoid adding salt to food, and consuming foods with a high salt content such as sausages, preserves, prepared meals, salty foods and snacks.
  2. Do not use diet salts due to their high potassium content.
  3. Consume skimmed dairy products.
  4. Limit the consumption of eggs to two per week.
  5. Use olive oil and avoid other fats such as butter and lard.
  6. Do not abuse fried foods; use other forms of cooking: grilled, boiled or steamed.
  7. Moderately restrict protein: eat less red meat and increase your intake of fish, both white and blue.
  8. Avoid excessive consumption of sweets and soft drinks due to their high sugar content.
  9. Limit the consumption of coffee and alcohol.
Chronic kidney disease: symptoms, prevention and treatment

Chronic kidney disease: symptoms, prevention and treatment

chronic-kidney-disease

Chronic kidney disease is a condition that causes several complications and changes in the patient’s routine. Learn more about it and how to prevent diagnosis.

Chronic kidney disease is a major public health problem. It is estimated that about millions of people suffer from the problem worldwide, there are more than 850 million cases.

The kidneys are responsible for performing several actions fundamental to the proper functioning of the body; among them, the elimination of harmful substances and the body’s water balance.

Chronic kidney disease can cause the gradual loss of these functions, causing limitations that accompany the patient throughout life, explains the top nephrologist in Delhi.

Therefore, taking care of the kidneys is a way to avoid problems for this very important part of our body, and knowing the causes, symptoms, treatments, and prevention tips is fundamental in this process. Continue reading and know how to recognize and deal with kidney disease.

Chronic kidney disease: what is it?

Before knowing the forms of prevention, it is important to understand what chronic kidney disease is.

Chronic kidney disease (CKD) is a silent condition that causes slow, progressive and, in most cases, irreversible loss of kidney function – blood filterability for the elimination of substances harmful to health.

In addition, due to the adaptive processes of the body, the disease can go unnoticed. The patient may not present clear symptoms until he or she is in a more advanced stage of impaired renal function.

Therefore, it is important to understand the causes, risk factors, signs and symptoms of Chronic Kidney Disease. This care can ensure early diagnosis and enable more effective treatments against the disease and less invasive for the patient.

Symptoms of chronic kidney disease

Attention to the body itself is essential to identify possible signs of disease. With the symptoms of CKD, it’s no different.

They are not always identifiable and can be confused; therefore, in the presence of one or more signs described below, it is important to seek medical advice for a thorough investigation of the clinical picture.

Main symptoms of chronic kidney disease:

  • Tiredness
  • Swelling in eyes, feet and ankles
  • Willingness to go to the bathroom several times during the night
  • Bad breath
  • Malaise
  • Foamy or bloody urine
  • High pressure
  • Anaemia

Risk factors for CKD

Some health problems can trigger CKD. The so-called risk factors for chronic kidney disease are diabetes mellitus, hypertension, malformation in the urinary system, kidney stones, recurrent urinary infections and obesity.

People whose relatives have a history of chronic kidney disease also need to be aware. It is recommended that carriers of one or more risk factors for chronic kidney disease follow up with a nephrologist to control them.

Treatments for chronic kidney disease

There are several treatments for chronic kidney disease. The best approach will depend on several factors; for example, the stage of the disease. If initially diagnosed, chronic kidney disease can be controlled with adequate medication and feeding.

In more severe cases, dialysis (peritoneal dialysis, hemodialysis) or kidney transplantation may be indicated. In all cases, when discovering the diagnosis of chronic kidney disease, the best way is to talk to a kidney doctor in Delhi who specializes in nephrology. It will evaluate and indicate the best type of treatment for renal dysfunction.

Healthy diet

Maintaining a healthy diet is an important component of the treatment to be instituted. The consumption of foods rich in sodium, potassium and phosphorus should also be controlled – provided with medical advice of a kidney specialist in Delhi.

It is important to avoid excess of these components in the blood, since the kidneys lose the ability to filter such substances as chronic kidney disease progresses.

Dialysis

Dialysis aims to filter and eliminate the excess of harmful substances present in the blood, in addition to balancing the levels of liquids in the body. This is an option for patients in more advanced stages of CKD.

There are two main methods of dialysis in Delhi: peritoneal dialysis and hemodialysis. The first uses peritoneum as a filter of substances, with the help of a dicant fluid injected into the peritoneal space.

The second is made with the aid of a machine through which the blood passes and is filtered, returning to the body then.

Kidney transplantation

Kidney transplantation is an alternative treatment in which a new organ, coming from a living or deceased donor, replaces the function of the kidneys of a seriously ill person.

In our country, kidney donation between relatives is allowed as long as it involves up to the fourth degree of kinship. To receive a kidney from a deceased donor, it is necessary to be enrolled in the single list of recipients, according to the rules of the National Transplant System.

It is up to the transplant team to evaluate chronic renal patients and establish those who are able to receive a transplant.

Therefore, before undergoing kidney transplant in Delhi, the patient must undergo a series of tests and evaluations that aim to confirm if he is fit for surgery.

How to avoid chronic kidney disease?

As can be seen, chronic kidney disease has several causes and risk factors associated with its development. But there are some important preventive precautions:

  • Healthy and balanced diet.
  • Regular hydration according to medical advice.
  • Weight control.
  • Regular physical exercises.
  • Smoking cessation.
  • Control of blood pressure and diabetes.

Do not forget: self-medication should be combated at any time, especially when it comes to kidney health. Some medications can harm the kidneys, especially anti-inflammatory drugs.

I was diagnosed with CKD, and now what?

The diagnosis of CKD can be daunting. In fact, it is a serious disease that deserves constant attention.

On the other hand, good news: when diagnosed early, chronic kidney disease can have controlled evolution with medications and diet.

To define treatment methods, follow-up evolution, and ask questions, consult a nephrologist in Delhi.

Chronic Kidney Disease

CHRONIC KIDNEY DISEASE: KNOW THE MAIN PHYSIOTHERAPEUTIC TREATMENTS

The kidneys are a pair of bean-shaped organs located in the upper-posterior part of the abdomen. Its main function is to filter the blood, eliminating toxins and excess salt and water from the bloodstream.

The proper functioning of the body depends a lot on the kidneys. Therefore, it is necessary to take special care to avoid possible kidney problems, which can lead to failure and the need for dialysis or hemodialysis.

Chronic kidney disease (CKD) is a slow, progressive and irreversible loss of renal structures that affect the glomerular, tubular and endocrine functions of the kidneys, leading to the body’s inability to maintain metabolic and electrolyte balance.

Characterized by the presence of functional and/or structural changes in the kidneys, for a period longer than three months, with a glomerular filtration rate (GFR) lower than 60 mL/min./1.73m.

CKD has been considered a public health problem worldwide due to its high rates of morbidity and mortality and its impact on physical and biopsychosocial aspects, drastically affecting the quality of life of patients, says the best nephrologist in Delhi.

With that in mind, nephrologist in Delhi prepared this article with the main types of treatment for Chronic Kidney Disease. Keep reading and learn more about them!

Treatment for Chronic Kidney Disease

Treatment for Chronic Kidney Disease aims to help the kidneys maintain homeostasis for as long as possible.

With the deterioration of renal function, dietary intervention is necessary with careful control of protein intake (allowed must be of high biological value – dairy, eggs, meat – to provide essential amino acids), fluid intake (quantity of fluid allowed is 500 to 600 ml more than the 24-hour urine output) to counteract fluid losses, sodium intake to counteract sodium losses, and a certain potassium and phosphate restriction.

At the same time, adequate caloric intake and vitamin supplementation must be ensured.

In general, dialysis in Delhi is started as a form of treatment for Chronic Kidney Disease when the patient cannot maintain the usual lifestyle with the conservative method.

Unfortunately, not all patients are candidates for dialysis or transplantation due to severe psychological problems, ischemia, vascular complications from diabetes and old age, says kidney specialist in Delhi.

Types of dialysis

There are two types of dialysis – hemodialysis (HD) and peritoneal dialysis (PD), both types involve the use of a fluid used to filter impurities in the blood, toxins and fluids passing from the blood through a semi-permeable membrane.

Physiological principles of dialysis

Dialysis is a process of treatment for Chronic Kidney Disease whereby the composition of solutes in a solution A is changed by exposing solution A to a second solution B through a semipermeable membrane.

Water molecules and low molecular weight solutes from the two solutions can pass through the pores of the membrane and therefore mix, while larger solutes (such as proteins) cannot pass through this semi-permeable membrane and thus the amounts of high molecular weight solutes on either side of the membrane will remain unmodified.

The transport of solutes will take place in two ways:

  • Diffusion: transport of solutes through a semi-permeable membrane, obeying the concentration gradient and the molecular weight of the solute;
  • Ultrafiltration: transport of water through the transmembrane pressure gradient with the passage of water from the higher side to the lower pressure.

Peritoneal dialysis

Peritoneal dialysis uses the peritoneum as a natural permeable membrane to balance water and solutes.

The technique is less physiologically stressful for the patient, does not require vascular access that can present numerous complications, it can be performed at home and, for this reason, allows patients greater flexibility in its performance.

Although, with so many advantages, the technique requires much more patient involvement than in a hemodialysis at dialysis centre in Delhi, it needs to be performed carefully and sterile maintenance is of great importance.

Peritoneal dialysis can be done manually or using an automatic device (periodic, overnight, or continuous), and in general, the dialysate is instilled through a catheter into the peritoneal space, remains for a period, and then drains. In the double bag technique, the patient drains the fluid instilled into the abdomen into one bag and then infuses fluid from another bag into the peritoneal cavity.

Quality of life of patients

Although the different dialysis methods of treatment for Chronic Kidney Disease are equivalent in issues related to patients’ rehabilitation and mortality, the quality of life needs to be evaluated.

In a study, it was possible to observe that PD was more favorable to a better quality of life for the patient, as it presents three significant variables (work, patient satisfaction and less contact with the team – less likely to experience situations of stress), while HD presented two significant variables (emotional and physical function).

However, it should be taken into account that the two significant items in HD are more relevant to the daily quality of life of the patient outside the clinic.

Conclusion

Kidney replacement therapies, hemodialysis and peritoneal dialysis, as a treatment for Chronic Kidney Disease represent, in most cases, a life expectancy for those who undergo it, since the disease is characterized as an irreversible process.

Conservative treatment (medicines, changes in diet and lifestyle) can be used to delay the worsening of renal function or stabilize its progression, reduce symptoms (malaise and fatigue, itching and dry skin, headache, loss of unintentional weight, loss of appetite and nausea), prevent complications and improve the quality of life of these patients.

Adapting to this new reality is not an easy process, nor is it a very smooth process, the health professionals involved in the patient’s treatment must understand and help the individual in all aspects, as well as his family, says the kidney doctor in Delhi.

 

Chronic Kidney Failure

Chronic Kidney Failure – Causes, Symptoms and Treatment

The chronic kidney failure is progressive loss of the ability of the kidney to properly perform one or more of the functions assigned, explains the Nephrologist in Delhi. These preferably consist of:

Purify waste substances produced in our body.

  • Maintain an adequate balance of the amount of water and electrolytes.
  • Manufacture and activate certain hormones necessary for the normal functioning of our body.

According to the Nephrologist in Delhi, Chronic kidney failure is a progressive process that evolves over many years and is irreversible, although strategies can be used to delay the progressive deterioration of the kidney.

Causes of chronic kidney failure

Many diseases can chronically damage the kidney. The most important ones are:

  • Metabolic diseases. By far the majority of cases of chronic kidney failure in Western societies are due to diabetes and high blood pressure.
  • Glomerulonephritis, that is, inflammation of the kidney glomeruli, the place where the blood is filtered. Glomerulonephritis can be of unknown cause or associated with other diseases, usually vasculitis or autoimmune diseases.
  • Genetic (birth) diseases such as polycystic kidney disease.
  • Medications and toxins.
  • Infectious diseases such as recurrent pyelonephritis.
  • Renal lithiasis due to the presence of large stones.
  • Or after causes.

What symptoms does chronic kidney failure produce?

Most people with chronic kidney failure have no symptoms. The appearance of symptoms depends on the severity of the kidney deterioration.

In the early stages, when there are no symptoms, kidney failure is discovered by taking a blood test for any reason and discovering an increase in creatinine.

As kidney deterioration progresses, vague and nonspecific symptoms may appear such as loss of appetite, weight loss, fatigue, nausea, vomiting, headache, mental dullness, cramps, itchy skin, loss of sexual interest, easy bleeding, irritability, tendency to sleep, lack of concentration, etc, states the Best Nephrologist in Delhi.

When renal failure is advanced, in addition to the previous symptoms, a series of important alterations occur that require adequate treatment:

  • Arterial hypertension. Both high blood pressure can lead to the appearance of chronic kidney failure, and chronic kidney failure can favor the development of high blood pressure and its possible complications.
  • Increased potassium (hyperkalemia). Potassium is eliminated by the kidney. If it doesn’t work well, it can build up in the blood and be life-threatening due to the possibility of serious heart arrhythmias.
  • Increased phosphorus. It is associated with the appearance of calcifications in various areas of the body and facilitates itching.
  • Anemia. The kidney manufactures erythropoietin, a substance necessary for the manufacture of red blood cells. In kidney failure, not enough erythropoietin is produced and, as a consequence, anemia occurs.
  • Bone problems (renal osteodystrophy). The kidney is the organ where vitamin D is activated, a hormone necessary for calcium to be deposited in the bones. If the kidney does not work well, there is not enough active vitamin D and the bones become decalcified.
  • Cardiovascular disease Patients with kidney failure frequently develop cardiovascular complications (myocardial infarction, angina pectoris, stroke, transient ischemic attack, peripheral arterial disease, etc.). In fact, cardiovascular complications are the leading cause of death in these patients.
  • Other alterations. In addition to those previously discussed, patients with chronic kidney failure can present various complications of the brain, heart, and joints, etc.

How is the disease diagnosed?

The diagnosis of suspected chronic kidney failure occurs when observing an elevation of creatinine and urea in the blood. These alterations must be confirmed with successive analyzes. Glomerular filtration, that is, the kidney’s ability to filter waste from the body, must then be calculated.

Glomerular filtration is the best marker of the severity of kidney failure. The lower said filtering, the worse the situation of the kidneys, says the Kidney Specialist in Delhi.

The diagnosis of the cause of chronic kidney failure is sometimes very obvious, for example in patients with diabetes, but at other times it requires additional studies such as new blood or urine tests, ultrasound, CT or MRI of the kidneys and sometimes a kidney biopsy.

Chronic Kidney Failure Treatments

According to the Best Kidney Specialist in Delhi, Patients with chronic kidney failure should maintain a special diet (diet in patients with chronic kidney failure). In the initial stages, when the kidney still maintains a certain degree of function, treatment consists of preventing renal deterioration from continuing or making it slower, and treating all the symptoms and complications that appear:

  • Arterial hypertension. Medicines should be used to adequately control blood pressure. In general, combinations of several of them are usually necessary, being appropriate to use, if there are no contraindications, medicines that block the renin angiotensin system. It is convenient to maintain a blood pressure close to 130 mmHg high (systolic) and 80 mmHg low (diastolic).
  • Increased potassium. In patients with high potassium in the blood, a diet low in potassium (potassium content of food) should be recommended and, if it persists high, treat with medicines that prevent its absorption from the intestine, such as resincolestyramine.
  • Increased phosphorus. A diet low in phosphorus should be followed and, if necessary, medicines that reduce its absorption in the intestine can be used.
  • Anemia. Depending on the intensity of the anemia, treatment with iron and erythropoietin injected under the skin is recommended.
  • Bone problems (renal osteodystrophy). Treatment with calcium and active forms of vitamin D.

In advanced situations, when symptomatic treatment does not help to control one or more of these alterations, and in general when glomerular filtration rate drops below 15 ml / min / 1.73 m2, there is an indication for Dialysis in Delhi (hemodialysis or dialysis peritoneal) or to perform a kidney transplant in Delhi.

In addition to these treatments, it is important that patients adequately control the disease that has led to the development of kidney failure, such as diabetes, high blood pressure, kidney infections, etc.

Patients with kidney failure are at high risk of cardiovascular complications. For this reason, it is essential that they do not smoke, that they maintain a diet low in fat and cholesterol and that they receive medicines to lower cholesterol, recommends the Top Nephrologist in Delhi.

Chronic kidney failure patients are at increased risk for infections, so they should get vaccinated against influenza and pneumococcus every year, says the nephrologist in Delhi.

Chronic Kidney Disease

Chronic kidney disease in the elderly

Chronic kidney disease or renal disease is a gradual damage or loss of kidney function over time. In chronic kidney disease excess fluids, electrolytes remains in blood and wastes build up in the body. Symptoms include being unwell and reduced appetite. Chronic kidney disease is a long term condition where the kidneys do not work effectively.

Renal physiological aging is characterized by a reduction in the renal glomerular filtration rate. In other words, the kidney does its work of filtration in a slower way, in the same way that the locomotion of an elderly person is also slower, but maintaining the preserved function, that is, reaching the same place.

“ The elderly are the biggest consumers of medication. “

This situation must be distinguished from the actual presence of kidney disease in the elderly, a situation in which the functioning of the kidneys is not adequate and is not related to the physiological decline of age. In situations of illness, and as in any other young or adult patient, kidney malfunction can be so severe that some interventions are needed. One is the medication review by nephrologist in Delhi.

The elderly are the biggest consumers of medication, as they also accumulate more pathologies, and some medications can impair kidney function. Pain medications from the group of non-steroidal anti-inflammatory drugs, often taken by the elderly due to their degenerative osteoarticular pathology, can be very harmful and their indications and alternatives reviewed.

“In India, kidney transplantation is rarely performed in patients over 65/70 years.”

The other substantial intervention by the best nephrologist in Delhi is to prepare the patient for renal replacement treatment if and when the kidneys “stop”.

In India, renal transplantation is rarely performed in patients over 65/70 years old, since the risk of intervention and immunosuppression is greater than its benefit. But aging in the elderly is highly heterogeneous: age is of little significance for the decisions to be made, since other more important factors can overlap, such as: associated diseases, functionality, autonomy and independence. Thus, an elderly person may be a candidate for kidney transplant in Delhi, despite not being the norm.

“There are kidney patients who, due to the advanced comorbidities they have, do not benefit, in terms of time or quality of life, from any renal function replacement therapy.”

As for dialysis modalities (hemodialysis or peritoneal dialysis), there is no difference between the two, similarly to what happens in young patients. The only point to note is that peritoneal dialysis is a modality that depends on the patient to be performed, unlike hemodialysis that is done by a nurse in a dialysis centre in Delhi. Therefore, if the patient is not able to perform the technique, he may need a caregiver to do it for him, or, if he does not have it, this modality should not be an option.

Finally, there are kidney patients who, due to the advanced comorbidities they present, do not benefit, in terms of time or quality of life, from any renal function replacement therapy. These patients should be offered palliative care. Therefore, patients should be followed up by kidney specialist in Delhi, in order to control the symptoms of kidney disease, promoting quality of life, but without being subjected to more invasive techniques.

The choice of these options should always be made in conjunction with the best kidney specialist in Delhi, who should elucidate the particularities of each elderly person, in order to better tailor the treatment to the person in question.

The author Dr. Vinant Bhargava is one of the top nephrologist in Delhi associated with reputed Sir Ganga Ram Hospital, Delhi. He is expert in treatment of kidney disease, diabetes, hypertension, dialysis, kidney transplant, hypothyroidism and other ailments which causes kidney damage. You can consult him for treatment by calling +91-9990610096. Do not avoid symptoms of kidney disease, it may be hazardous. Early diagnosis can save life. Act fast save life.

Also Checkout: https://www.blimpt.com/what-does-the-nephrologist-in-delhi-do/

Dialysis

Dialysis – a procedure that saves lives every day

Millions of adults suffer from chronic kidney disease. As the disease initially develops with little or no symptoms, as many as 90% of patients do not know that there is something wrong with their kidneys. Dialysis in Delhi may be necessary when this organ is damaged and cannot function properly, explains the Nephrologist in Delhi. What is? What are the indications for its implementation? What steps should be taken when dialysis is not enough?

What is dialysis?

Dialysis is a method that aims to replace the physiological functions of the kidney. This organ removes harmful metabolic products from the body (including metabolites of taken drugs), which ensures metabolic balance, normalizes blood pH, maintains normal blood pressure and helps to get rid of toxins from the body. The treatment uses the properties of a semi-permeable membrane, which allows for effective purification of electrolytes from colloidal solutions. This membrane retains some of the compounds and allows the rest to flow freely. This is possible thanks to a phenomenon called diffusion. Thus, the more blood reaches the membrane, the more effective dialysis will be, explains the Best Nephrologist in Delhi.

What are the indications for dialysis?

In most cases, patients with renal insufficiency and after poisoning, e.g. with ethylene glycol, are eligible for the dialysis in Delhi.

It is worth noting that dialysis therapy completely disorganizes the patient’s life. Regardless of whether the procedures take place in a dialysis centre or at the patient’s home, the patient must take into account the need to spend about 15 hours a week (3-5 hours on average every other day). Dialysis is a heavy burden on the circulatory system, so the patient has the right to feel tired after the procedure and requires rest. If the catheter connection procedure is not performed under sterile conditions, there is a risk of developing an infection, warns the Kidney Specialist in Delhi.

Dialysis is undoubtedly life-saving, but it is burdensome for the patient and ties him to the place of residence and the dialysis centre in Delhi.

Types of dialysis and their course

There are two types of dialysis:

  1. Hemodialysis – performed extracorporeal. It is used in advanced kidney diseases and is carried out using the so-called artificial kidney. Two needles are most often used during the procedure. One of them drains blood to the dialyzer and the other brings purified blood into the body. The purpose of hemodialysis is to remove all harmful substances from the blood that could not be removed with the urine due to impaired kidney function. This type of dialysis is performed at a dialysis station, and approximately 50 liters of blood pass through an artificial kidney during one session.
  2. Peritoneal dialysis – the patient’s peritoneum is used as a semipermeable membrane. The dialysis fluid is introduced into the abdominal cavity of the patient, the composition of which has been selected in such a way as to be able to effectively retain harmful metabolic products. Thus, the blood pH and blood pressure are balanced and the body gets rid of undesirable substances. Before the procedure, it is necessary to implant a catheter into the peritoneal cavity (about 2 months before the planned dialysis). The procedure is usually performed at the patient’s home, which requires a short training course for both the patient and the person who is caring for him.

Dialysis saves lives, but transplantation is definitely the better treatment option

Kidney transplant in Delhi is an effective renal replacement therapy. It should be performed in patients for whom transplantation is not contraindicated.

It is most beneficial for the patient to obtain a kidney from a living donor. After transplantation, such an organ functions on average for about 15 years and successfully performs all physiological functions. The best situation is when the donor is a closely related family member – a sibling or parent. It is not uncommon for the organ to be donated by people who are in an emotional relationship with the needy, e.g. spouses or friends. An organ for transplantation can also be obtained from a dead donor, however, it is associated with a slightly worse treatment effect. Such a kidney functions on average for 9-12 years.

Before donating an organ, the donor must undergo a number of necessary diagnostic and laboratory tests. Not only is his general health assessed, but also a histocompatibility test. This reduces the risk of possible transplant rejection, says the kidney transplant doctor in Delhi.

Contraindications to live kidney transplantation are:

  1. advanced age of the patient,
  2. active neoplastic diseases,
  3. severe damage to internal organs (mainly the heart),
  4. conditions that cannot be treated,
  5. addictions, including smoking or alcohol addiction,
  6. some chronic diseases, e.g. generalized atherosclerosis.

It is worth remembering that kidney transplantation doubles the life of patients compared to dialysis and significantly improves their quality of life. He does not have to give up his current lifestyle and most importantly, he is not dependent on dialysis, states the Nephrologist in Delhi.

kidney pain

Kidney Pain Is Symptom of Many Different Health Issues

Kidney pain is typically felt in the flank area, which is located at the lower back region under the lowest point of the rib cage on both sides of the spine. Kidney pain is sharp, very intense and usually comes in unpredictable waves. Kidney pain symptoms vary with the type of medical issue it is associated with, says kidney specialist in Delhi.

What is Not Kidney Pain?

Throbbing, dull, aching pain in the back is sometimes mistaken for kidney pain symptoms, but that is usually not the case. Ligaments, muscles or even vertebrae and disks in the spinal column typically cause such pain in the middle and lower back regions. Musculoskeletal pain can be relieved with heat and massage treatments, however the pain typically gets worse with movement and non-treatment.

Common Causes Of Kidney Pain

Causes of pain: Kidney Stones cause pain to your kidneys when kidney stones become lodged in the ureter. This slender tube connects the kidney to the bladder, and when the urine flow is blocked it causes the urine to back up in the kidneys.

What to expect: The Kidneys will swell and enlarge the pain sensitive thin covering around it. The kidneys are stretched and causes “Colic” pain, which is described as pain that comes in waves. This type of pain can be compared to childbirth, where the patient finds being still is nearly impossible, and that constant motion, pacing, and writhing can help to lessen the pain. The intense severity of the pain can cause nausea and vomiting. The kidney pain may start on both the left and right flank area, although the pain might move as the stone migrates down the ureter. As the stones continue to travel through the lower abdomen in the front along to the groin, it may cause the patient further intense eye watering pain.

Kidney Infection (also known as pyelonephritis)

Cause of pain: Kidney Infection (pyelonephritis) pain is caused by inflammation and infection within the kidney tissue. The swelling and stretching of the pain-sensitive capsule that is around the kidney sends stabbing, sharp, aching pain again to the flank area.

What to expect: Patients with infected kidneys usually have symptoms such as fever, vomiting, nausea and are extremely sensitive to touch in the area of the flank. Although they may be similar, kidney infections are much more serious than a common bladder infection. Kidney infection is a serious condition that needs to be treated quickly by nephrologist in Delhi. Intravenous antibiotics need to be started in order to prevent the infection from spreading into the bloodstream.

Dull Aching Pains

Kidney Cancer: Rarely does kidney cancer rarely grows tumors or cancer cells so large that they can stretch the capsule slowly, or that involve nerves in the kidney, thus causing usual stabbing, colic, sever pain related to kidney issues. Kidney cancer or tumors usually cause no pain at all, says nephrologist in Gurgaon.

Polycystic Kidney Disease: Polycystic kidney disease is a hereditary condition that can lead to massive enlargement of the kidneys. If left untreated over a number of years, it can also cause dull aching pain in the front of the abdomen instead of the back.

Blocked Urine Flow: The condition known as blocked urine flow causes a gradual blockage of urine flow. It is not the same as kidney stones, where there is a immediate blockage. This kidney pain symptom causes the kidney to stretch and causes a dull aching pain which is not a typical kidney pain symptom, explains kidney specialist in Gurgaon.

Bladder or ureteral spasms that happen when the bladder is extremely full, just before or while urinating may cause great discomfort to the lower abdomen or on both sides of the flank. The discomfort or pain felt is most likely coming from a involuntary muscle contraction (peristalsis). This kidney pain symptom probably does not stem from the kidney itself, but instead by the brief periods of muscle spasms. These spasms may seem to be coming from the kidney, but after voiding the bladder the painful sensation should resolve itself relativity soon.

Other Causes

Some less common causes for kidney pain are due to injury that may cause bleeding, or infarction of the kidney which is a sudden blockage to the artery of the kidney where the blood supply is cut off causing pain.

The various kidney pain symptoms described above all show that it is uncommon for the kidneys to cause dull aching pain. The facts also show that is it highly unusual for a slowly occurring blockage to associate itself with the medical issues listed including cancer. If you have any doubts about the possible problems with kidney, consult the best nephrologist in Delhi for diagnosis and treatment.

The author Dr. Vinant Bhargava is one of the top nephrologist in Delhi, India for dialysis, kidney transplant, kidney disease management and other ailments of kidney. You can contact him at 09990610096.