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Never thought I will have to get something like dialysis. Everything was just spick and span in the Dharma Kidney Care in Bangalore. Overall dialysis was very effective. It was so quite pleasant in the Dharma Kidney Care. hertreatment suited me the best and now I am fine. In the very first sitting, DR. Prashant C Dheerendra clearly told us the problem and the what the treatment procedure will be in future.
I was shocked to experience the symptoms of kidney stones. Thanks to him that the kidney stones treatment he gave me has given brilliant results. All the staff members were very helpful. Dharma Kidney Care can handle all types of emergency cases. He is one of the best physicians in city. Dr Prashant has so much knowledge that for everything my family takes his reference.
I was suffering from kidney problem. It was very difficult to cope with with this as I was in so much pain. Dr Prashant treated me well for this and also he told me about the healthy plan which meant to be beneficial for me. I must say that he the best nephrologist . He treated me very patiently and I am much better than before.
His treatment suited me the best and now I am fine. Dr Prashant has expert knowledge in the field. Both Prashant C DheerenDra and staff were very helpful. The Dharma Kidney Care have proper facilities for disabled patients as well. He ensures that he listens to his patients. He did my kidney transplant.
One of my neighbour's recommended this Dr Prashant. The best thing about him is that he prescribes limited no. of medicines. The overall atmosphere in the Dharma Kidney Care is very soothing. they can handle all types of emergency cases. he is really like god send person. he treated my kidneydisease.
I had this kidney transplant treatment with Dr Prashant. I feel so great after the completion of treatment. The overall atmosphere in the Dharma Kidney Care is very soothing. My boss referred me this doctor. he doesn't just randomly prescribes medicines, but first properly diagnoses the problem.
I was quite concerned, as my health was degrading day by day, but due to Dr Prashant and the kidney stones treatment I didn't lose hope. I have had this kidney stones from quite some time. The overall atmosphere in the Dharma Kidney Care is very soothing. he is a very nice doctor.
I was shocked to experience the symptoms of sensitive bladder. I consulted Dr Prashant, Whatever tests the Prashant C DheerenDra prescribed, were very correct and the gave they gave us an exact idea about my condition. I owe him a big thanks for making me fine again.
The kidneys are the purifiers of the body; they help in removing the waste from the body through the urine. In those suffering from kidney diseases, the function of the kidney is affected, and so their ability to clear out waste from the body is reduced and completely lost gradually. However, waste continues to form, and therefore, such patients have to undergo dialysis, where the blood is purified through an external device.
The frequency and duration of the dialysis would depend on how effectively the kidneys are still functioning and how much waste has been formed from the time of the previous dialysis session. The person’s overall body mass index (BMI) and the water weight gained are also considered.
Once it is decided that a person’s kidneys are damaged and dialysis is required, the person has to prepare for a long-term process. The following outlines what to expect before, during, and after the dialysis sessions.
Before the session:
Since most people prefer to get it done at a dialysis centre, it is preferable to plan for it, three treatments a week on an average, with each session lasting about 4 to 4 hours.
During the session:
- The blood flows through the dialysis device, which acts as an artificial kidney. The sequence of events are as follows:
- The Weight is checked
- Vital signs, including heart rate, blood pressure, breathing and pulse are checked.
- The access areas are washed, and needles are used to connect these areas to the dialysis machine. Anesthesia may be used in the beginning to reduce the pain in this area.
- The same access areas are used for each session, and over a period of time, buttonholes are formed which is like a small tunnel.
- Though the session would last about 3 to 4 days, normal activities can be done, including reading, working on a laptop, watching television, or even sleeping.
- Once the dialysis session is complete, the tube will be removed and a dressing is placed over the site.
After the session
The same site is used each time for the dialysis, so for the first couple of sessions, there could be discomfort. There could also be nausea, diarrhoea, cramping, and headaches.
The treatment needs to be adjusted based on symptoms, so please let the doctor know if you experience any symptoms.
Call the doctor if you are facing the following:
- Bleeding from the access site
- Inflammatory signs around the site
- Persistent fever of over 104 degrees
- Numbness or weakness in the arms
- Confusion, drowsiness, or cognition problems
Though initially uncomfortable, once you get into the dialysis schedule, you will notice the difference of how cleansed you will feel after each session.
In case you have a concern or query you can always consult an expert & get answers to your questions!
There are two kidneys in the body on the right and left sides, which have a significant role in metabolism, as outlined below.
- Regulation of minerals, including sodium and potassium
- Production of urine through which metabolic wastes, including urea, are cleared out
- Production of the hormone renin which is essential for controlling blood pressure
- Production of the hormone calcitriol which ensures the bones receive the required calcium
- Production of the hormone erythropoietin which is essential for proper red blood cell growth.
Any impaired kidney function leads to all these associated organs being affected, such as increased blood pressure, improper bone functioning and blood cell formation. So, whenever a kidney disease is suspected, early diagnosis and treatment is very essential. This results in minimal treatment and better prognosis.
Most people undergo an annual chemical test to check the blood and urine, which would indicate increase in protein levels or other abnormalities. When there is increase in the protein level, a kidney disease needs to be ruled out. One of the best ways to identify renal issues is to do a renal scan. Some of the common reasons for getting a renal scan done are listed below:
- To assess the blood flow through the kidneys. Improper flow often is a result of arterial narrowing and high blood pressure. This could be the first step in diagnosing hypertension. This is usually followed by a blood chemical test, which indicates the increased amount of protein and urea in the blood.
- To check the abnormalities in the shape, size, and structure of the kidneys.
- To assess kidney disorders like tumours, cysts, abscesses, etc.
- To assess the effect of injury on the kidney from a trauma or injury.
- To identify renal stones, the size, number, location, etc., which is essential for planning the treatment.
- To find and assess any growth in the kidney. To assess the efficacy of the treatment for kidney diseases.
- To assess how well a transplanted kidney is functioning.
- The good thing about a renal scan is that it can help identify more than one problem during a single scan.
What is done?
A radioisotope material is injected into a vein and the flow of this material is then monitored. This scan evaluates the blood flow through and to the kidneys; how the urine flow takes place; and the size/structure of the kidneys. The scan will take about two hours to complete. A renogram is a graph that shows the flow of the tracer through the kidney.
A different density of uptake indicates different disease conditions. It is usually a painless procedure other than the slight discomfort caused by the needle prick. The results are usually available within two days for the doctor to interpret and take appropriate action.
Do you know that 100 litres of purified water are used for each dialysis session? This water needs to be of very high purity. Otherwise the patient can be harmed and can lead to serious infections and even heart disease. At Dharma Kidney Care we use "Ultrapure" water for dialysis which is one of the purest forms of water on the planet.
No Blood, No needle, No visit to hospital, you can do yourself at home with sterile fluid. A thin layer of transparent screen like structure hangs in front of the abdominal muscles known as peritoneum. This peritoneum protects the abdominal structures and the muscle. This can also be used for performing dialysis which is carried out when the functioning of kidney gets affected. In peritoneal dialysis a thin and soft catheter is placed in the person’s belly one-two weeks before performing the procedure.
The catheter has numerous holes in order to facilitate the infusion of fluids. Dialysis solution is prepared in a bag and the tubing is connected to the catheter placed in the abdomen thereby, the fluids absorb the waste materials from the body. The fluid is allowed to stay in your body for a particular period of time which is commonly referred as dwell time and later the fluid is drained out.
There are two types of peritoneal dialysis, continuous ambulatory peritoneal dialysis and automated peritoneal dialysis. This is the simple form of dialysis which anybody can be performed after a short training period and this can be done anywhere in a clean private place like hotels, home and even in office.
Procedure followed during Peritoneal Dialysis
All you need to perform a peritoneal dialysis is catheter and transfer set, cycler, dialysis solution and safety precautions materials to stay away from getting infections.
Step 1 - Perform a sterile aseptic technique. Wear a glove and surgical mask before connecting the catheter and transfer set. Clamp the tubing and remove the catheter once the dialysis solution enters your abdomen
Step 2 - Allow the solution to remain in your abdomen for a particular period of dwell time
Step 3 - Drain the fluid from the abdominal cavity into the drain bag. You may feel a mild tugging sensation when an adequate amount of fluid is drained.
Step 4 - After drain close or clamp the transfer set and later flush a fresh solution directly to drain bag so as to remove the air from the tubing.
Step 5 - Close your drain bag and open your transfer set and refill your belly with fresh solution.
In most cases, a urinary tract infection affects only the urethra and bladder("Lower" UTI) but in some cases, it can affect the ureters and kidneys("Upper UTI) as well. This is known as Pyelonephritis or a kidney infection. If this infection spreads to the bloodstream, it could cause serious health problems. Since women have a shorter urethra than men, they are more susceptible to kidney infections. This is because the bacteria typically enter the body through the urethra.
The most common symptoms of this type of kidney infection are:
- Frequent urges to urinate
- Painful urination
- Fever or chills
- Nausea and vomiting
- Presence of blood in the urine
- Foul smell while urinating
- Cloudy urine
Pyelonephritis is caused by the same bacteria that cause lower urinary tract infections. In some cases, it may also be caused by E. coli or klebsiella bacteria found in stool. In rare instances, bacteria from the skin can also trigger this disease. The obstruction of urine flow or reduced urine flow can increase a person’s risk of suffering from this disease. Some of the causes for this obstruction include:
- Presence of stones in the bladder, ureters or kidney
- Tumours or cancerous masses in the abdominal or pelvic area
- Benign prostatic hypertrophy
Kidney stones can also increase the risk of this disease by proving the bacteria with a place to multiply. Lastly, people suffering from diabetes or other conditions that impair the immune system are more susceptible to kidney infections.
A thorough physical examination along with a urine analysis and urine culture are the first steps to confirming a diagnosis. Some doctors may also ask for a CT scan, blood cultures and an ultrasound of the kidneys. In an ultrasound, your doctor will also look for kidney stones or birth defects that could increase your risk of this disease.
A 7-day course of antibiotics is enough to cure this disease in most cases. As long as the patient can take oral medication hospitalisation is not required but if the patient is nauseous and constantly vomits, hospitalisation may be suggested as the medicine will need to be given intravenously. In rare, extreme cases, the infection may cause the development of an abscess.
Abscesses cannot be cured by antibiotics and must be drained. Hence, kidney infections can be serious and one needs to take proper care if the symptoms are present. If you wish to discuss about any specific problem, you can consult a Nephrologist.
Diabetes is a disorder that is characterized by an inability of the pancreas to produce enough insulin or effectively utilize the insulin produced by the body. Insulin is the hormone that is produced by the pancreas to metabolize sugar in the body, the sugar that is present in the food that you consume.
Diabetes is commonly classified into two types: Type 1 and Type 2 diabetes.
In Type 1 diabetes, the cells in the pancreas do not produce insulin in the required amounts; this disorder usually tends to occur in children. Type 2 diabetes generally occurs in people who are above 40 years of age; this type is characterized by an inability of the body to efficiently utilize the insulin produced by the pancreas.
How can diabetes affect your kidneys?
Too much glucose, also called sugar, in your blood from diabetes damages your kidneys’ filters. If the filters are damaged, a protein called albumin, which you need to stay healthy, leaks out of your blood and into your urine. Damaged kidneys do not do a good job of filtering wastes and extra fluid from your blood. The wastes and extra fluid build up in your blood and make you sick.
Diabetes is a leading cause of kidney disease. Diabetic kidney disease is the medical term for kidney disease caused by diabetes. Diabetic kidney disease affects both kidneys at the same time.
Signs of Kidney Disease in Patients with Diabetes
- Albumin/protein in the urine
- High blood pressure
- Ankle and leg swelling, leg cramps
- Going to the bathroom more often at night
- High levels of BUN and creatinine in blood
- Less need for insulin or antidiabetic medications
- Morning sickness, nausea and vomiting
- Weakness, paleness and anemia
What are the possible complications?
- End-stage kidney failure: If this occurs then you would need kidney dialysis or a kidney transplant.
- Cardiovascular diseases: Diabetics have an increased risk of developing cardiovascular diseases, such as heart disease, stroke and peripheral arterial disease. If you have diabetes and diabetic kidney disease, your risk of developing cardiovascular diseases is increased further.
- High blood pressure: Kidney disease has a tendency to increase blood pressure. In addition, increased blood pressure has a tendency to make kidney disease worse. Treatment of high blood pressure is one of the main treatments of diabetic kidney disease.
What to do?
- It is essential to get your urine checked at least once every year to detect signs of kidney damage.
- Some other symptoms that you may experience are swelling in the ankles, weight gain and a rise in your blood pressure.
- The first step to treat kidney damage caused by diabetes is to get your blood sugar levels under control.
- You should also avoid consuming medications that can cause damage to the kidneys.
- A kidney transplant or dialysis may be advised if the damage to kidneys is significant. If you wish to discuss about any specific problem, you can consult a Nephrologist.
Nephropathy is a common term to denote kidney disease. It is any type of damage or disease relating to the kidneys. Though not everyone with diabetes has nephropathy, diabetic nephropathy can cause kidney failure.
How does diabetes affect the kidney?
Kidneys are responsible for removing waste out from your blood. They have a lot of tiny blood vessels to do this. High blood sugar may damage such blood vessels. Once these blood vessels are destroyed, the kidneys may not function as well and it may even lead to kidney failure.
What increases your risk of getting diabetic nephropathy?
There are several factors which increase your risk of getting diabetic nephropathy including:
- High blood pressure
- High cholesterol
- If you have family history of diabetic nephropathy
Symptoms and Diagnosis:
There are very few noticeable symptoms, which appear when you have diabetic nephropathy, except swelling in your arms and legs. The diagnosis is done by checking for a type of protein in your urine known as albumin, which is generally excreted in very small amounts. Also increased blood levels of creatinine point towards diabetic nephropathy. Getting the diagnosis done early is crucial.
You can prevent kidney damage by doing the following:
- Keeping your blood sugar levels under control - keep HbA1C < 6-7%
- Keeping your blood pressure under control in the range of 130/80
- Eating healthy food
- Exercising regularly
- Not eating too much salt
- Reducing smoke or excessive tobacco usage
Medicines for treatment:
If you do get diabetic nephropathy, here are some medicines, which can help manage it :
- ACE inhibitors which are also called angiotensin-converting enzyme inhibitors
- Angiotensin II Receptor Blockers (ARBs)
The most important step is to be aware of one's kidney health and take preventive measures at all times. Consult an expert & get answers to your questions!
The inflammation of the kidneys as an effect of Systemic Lupus Erythematosus (SLE) is known as Lupus Nephritis. Like lupus, this is an autoimmune disease. Inflammation of the kidneys hinders kidney functioning by not allowing the kidneys to regulate the optimum amount and types of fluids in the body and restricts the removal of waste through urine. It can also cause the protein to leak out of the kidneys. If not managed in time, this can eventually lead to kidney failure by scarring the kidney tissue. However, this is a rare occurrence.
On an average, 6 out of 10 lupus patients suffer from lupus nephritis. In most cases, this disease develops within the first five years of lupus symptoms making their appearance. The symptoms of this disease are mild and can vary from person to person. Very often, the first signs of lupus nephritis become visible only in lab tests as the symptoms are similar to those exhibited by other kidney diseases.
Some of the common symptoms of this condition are:
- Swelling of the feet, ankles and calves
- High blood pressure
- Weight gain
- Frothy, dark urine
There are five stages types of this disease and hence, the first step to treating this disease is to identify its type. For this, your doctor will begin with a thorough physical examination and understand your medical history. He or she will also ask for a few tests including urine tests, blood tests, an ultrasound and a kidney biopsy to confirm the diagnosis.
Lupus nephritis is usually treated with corticosteroids and immunosuppressive drugs. Medication may also be prescribed to lower blood pressure and prevent the clotting of blood. However, in some cases, this treatment may not be enough to stop the progression of the disease and some kidney function may be lost. If both kidneys fail, dialysis is the next medical step. This involves the use of a machine in place of the kidneys to filter and removes waste products from the body. This may be followed by the need for a kidney transplant.
Since lupus patients are at a high risk of lupus nephritis, here are a few conscious lifestyle changes that can help prevent this condition:
- Have a diet that is low in salt
- Avoid smoking and alcohol
- Exercise regularly
- Avoid non-steroid anti-inflammatory drugs("pain killers") and unproven alternative medications that can affect the kidneys. If you wish to discuss any specific problem, you can consult a nephrologist.
Kidney is a crucial detoxifying organ that performs a lot of functions including, absorption of minerals, filtration of blood and production of hormones and urine. It also helps your body to maintain a healthy PH level. Since kidney failure can prove to be fatal, it is essential to keep it healthy, to ensure smooth function of your system.
The following are the tips to ensure the health of your kidneys:
- Adequate intake of water: It is advised to drink a minimum of 8 glasses of water daily, to help your kidneys function properly. Adequate intake of water ensures that your body is able to flush out the harmful toxins at regular intervals. However, in case if you are already suffering from kidney disease, this point is not applicable.
- Control your blood pressure and blood sugar level: Diabetes is one of the major causes of kidney failure. It is recommended to control your blood sugar level on a regular basis to ensure healthy functioning of your kidney. People who have high level of blood sugar and blood pressure are more susceptible to suffer from kidney disorders.
- Quit tobacco: Accumulations of toxins in your body tend to have a harmful impact on not only your kidneys but also on your overall health. It is strictly recommended to quit smoking and using other forms of tobacco to protect your kidneys from damage.
- Reduce weight: Obesity and the problem of excessive body fat are harmful for your body in more than ways than one. Being overweight makes you more susceptible to develop kidney cancer. Therefore, it is advisable to lose a few kilos to ensure the proper functioning of your kidneys.
- Avoid intake of analgesics without prescription: Most analgesics have the tendency to be harsh on your kidneys. Ingestion of analgesics increases your risk of developing kidney cancer. Non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, ibuprofen, naproxen, and acetaminophen are some of the analgesics, which are known to affect your kidneys in the long term. Therefore, it is necessary to avoid taking them without consulting a doctor.
- Include healthy food in your diet: If you increase the intake of green vegetables in your diet, it will help your body to accelerate the process of detoxification. Fruits and vegetables including watermelon, cranberries, blueberries, strawberries, apples, cabbage, cauliflower, peppers, garlic and onions provide considerable aid in removing the toxins out of your system. However, in case if you are already suffering from kidney disease, this point is not applicable.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Dialysis is usually required for people who develop advanced stage kidney failure. In this procedure, a machine performs the functions of a kidney; i.e. cleansing the blood of impurities. Before a patient goes through dialysis, he/she has to go through a surgical procedure AV fistula or arteriovenous fistula creation. AV fistula makes the performance of dialysis much easier.
Other diagnostic tests required before a dialysis:
Ultrasound scanning of the blood vessels to check their size Venogram in some cases when ultrasound cannot give full information.
What happens during the procedure?
During the surgery, the patient is administered the required anesthesia. This procedure doesn’t require an overnight stay. The purpose of AV fistula is to connect a large vein in the arm to the nearby artery. The surgeon either joins an artery to the vein, or he/she uses an artificial graft so that the fistula is created. This is usually done for patients who are weak or have an advanced vascular disease. After the AV fistula is administered, the new connection starts to strengthen. After a few weeks, the AV fistula is able to take a dialysis needle. This is when dialysis is initiated. If you wish to discuss about any specific problem, you can consult a Nephrologist.