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The Guest Hospital

Nephrologist Clinic

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai Chennai
1 Doctor · ₹300
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The Guest Hospital Nephrologist Clinic 372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai Chennai
1 Doctor · ₹300
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It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you ......more
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.
More about The Guest Hospital
The Guest Hospital is known for housing experienced Nephrologists. Dr. Jayakumar, a well-reputed Nephrologist, practices in Chennai. Visit this medical health centre for Nephrologists recommended by 55 patients.

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MON-FRI
05:00 PM - 07:00 PM

Location

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, Chennai
Poonamallee High Road Chennai, Tamil Nadu
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Why Is Dialysis Required In Case Of Kidney Diseases?

MBBS, MD - Internal Medicine
Nephrologist, Noida
Why Is Dialysis Required In Case Of Kidney Diseases?

The kidneys are a pair of bean-shaped organs located on either side of a person’s spine, under the ribs and behind the stomach. The main function of kidneys is to filter the blood through renal arteries directly from the aorta and transfer blood back to the heart via the renal veins.

Interruptions in the functioning of kidneys may arise, when kidney failure takes places, which might occur from chronic problems which gradually lead the kidneys to stop functioning. Dialysis is a treatment procedure for kidney failure, through which excess water, soluble and toxins are removed from the blood. It is an artificial process followed, which would have been originally done by the kidneys. Before going into the details of dialysis, let’s take a look at some of the causes and symptoms of kidney failure.

Symptoms of Kidney Failure
Several symptoms can arise during kidney failure. Possible symptoms are as follows:

  • Amount of urine is reduced
  • Swelling on the ankles, legs and feet of a person, due to fluid retention occurring as a result of kidneys’ inability to remove waste.
  • Suffering from nausea on a persistent basis is a common symptom.

Causes Behind Kidney Failure
There are a number of causes behind the occurrence of kidney failure. They include:

  1. Diabetes mellitus
  2. Hypertension
  3. Small kidney by birth
  4. Diagram of dialysis machine and procedure

Treatment - Dialysis Requirement
Dialysis treatment is one of the primary procedures through which failed kidneys are treated. Dialysis, through the use of a machine, filters and purifies the blood, by taking the toxic substances and excess water out of it. There are two types of dialysis, hemodialysis and peritoneal dialysis. We take a look at both the types through the descriptions below:

  • Hemodialysis: In this type of dialysis, blood gets passed on to the machine, from the patient’s body, through a sterile tube and into a filter, known as a dialysis membrane. This procedure requires a patient to have a specialized vascular tube, which is placed between an artery and a vein in the arm or leg. This is known as Cimino fistula. Then, needles get placed in the fistula and blood passes through the filter, on to the dialysis machine and back to the patient. In case, a patient needs dialysis before a fistula is placed, a large diameter catheter is placed into a large vein in the neck or on the leg to get dialysis done.
  • Peritoneal Dialysis: This type of dialysis uses the patients’ own body tissues inside the belly to act as the filter. The abdominal cavity is lined up with a special membrane known as the peritoneal membrane. Then a paeritoneal dialysis catheter gets placed through the abdominal wall into the abdominal cavity. After that, a special fluid called dialysate is then flushed into the abdominal cavity and help wash around the intestines. The membrane does the work of a filter between the fluid and blood stream. Through the use of different kinds of solutions, excess fluid and waste materials can get removed from the system through this process.
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I'm suffering from PCOS since 1.2 years and I have frequent urge to urinate problem since 8 months. Can this urination problem be cured if I lose weight, exercise or go for walk regularly maintain proper diet all the time?

BHMS
Homeopath, Noida
I'm suffering from PCOS since 1.2 years and I have frequent urge to urinate problem since 8 months. Can this urinatio...
First you need to find out the reason for frequent urge to urinate. Is there burning, urgency along with frequency. Then it can be UTI Do the following-- you maintain high grade of personal hygiene. Do change your underclothes at least 2 times a day Wear cotton underclothesStay hydrated Keep the area dry. Yes for PCOS regular exercise and weight loss is good Don't Overeat 2. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 3. Take your breakfast every day. Don't skip it. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style 7. Avoid fast foods, spicy n fried foods, Carbonated beverages 8. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation 9. Drink lot of water. 10. Take half cup of cold milk when you feel acidity, it will help. Curd is good for u. 11. Everyday preferably sleep on same time For more details you can consult me.
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I am suffering from frequent urination and symptoms are frequent urine, burning sensation, urine flow is not proper. I can't travel in metro and buses. Please suggest proper treatment.

BHMS
Homeopath, Noida
I am suffering from frequent urination and symptoms are frequent urine, burning sensation, urine flow is not proper. ...
U r suffering UTI. Do the following-- you maintain high grade of personal hygiene. Do change your underclothes at least 2 times a day Wear cotton underclothesStay hydrated Keep the area dry. For more details you can consult me.
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I have a 9.7 mm stone in lower pole calyx in left kidney. But I don't feel any pain. What is the best treatment available to remove the stone? And what maybe the approximate cost?

BHMS
Homeopath, Noida
I have a 9.7 mm stone in lower pole calyx in left kidney. But I don't feel any pain. What is the best treatment avail...
Its a small stone. It can be expelled from kidney through urine with the help of homeopathic medicines Drink plenty of fluids For homeo treatment I need more details so call back.
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My right kidney size is 7.6X4.4 Cm & my left kidney size is 11. 3X5.5 cm. Are my kidney size normal? I had stones in both kidneys now they removed through medications. Also I frequently get cough again & again.

MS(gen.surg), M.B.B.S.
General Surgeon, Kota
My right kidney size is 7.6X4.4 Cm & my left kidney size is 11. 3X5.5 cm. Are my kidney size normal? I had stones in ...
Size of rt kidney is small than normal but history is not proper may be required ivp for kidney function status.
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My Mother usg shows 4 mm renal calculus in right kidney. She is going through continuous pain and vomiting .her age is 47 years.

BHMS
Homeopath, Noida
My Mother usg shows 4 mm renal calculus in right kidney. She is going through continuous pain and vomiting .her age i...
4 mm stone is very small. Although not impossible but Reason for vomiting can be some other. How is her appetite. Is she constipated or any loose motion. What is Location of Pain. She can take Mag Phos 6X /4 tablets /4 times for 3 days. If you have any queries contact me.
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I am 13 days late and my pregnancy test shows faint line in it. Am I pregnant? I have bloating and little cramps in my stomach. Also have frequent urination and constipation. Pls guide me whether the faint line in pregnancy kit is positive or negative.

BHMS
Homeopath, Noida
I am 13 days late and my pregnancy test shows faint line in it. Am I pregnant? I have bloating and little cramps in m...
Did you do the test today as It should be done 10 days after missing your period. For example if your date was 10th, then do the test on 20th. Before that it can give false negative or false positive test. Frequent urination can be because of UTI Do the following-- you maintain high grade of personal hygiene. Do change your underclothes at least 2 times a day Wear cotton underclothesStay hydrated Keep the area dry. For more details you can consult me.
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What Are The Symptoms, Diagnosis And Treatment Of Nephrotic Syndrome?

Fellowship- IPNA(Pediatric Nephrologist), Fellowship- ISPN, Diploma In Child Health (DCH), MBBS
Pediatrician, Delhi
What Are The Symptoms, Diagnosis And Treatment Of Nephrotic Syndrome?

The nephrotic syndrome refers to a kidney disease. Nephrotic syndrome is triggered when the glomeruli (tiny structures in the kidneys) malfunction or are damaged and allow too much protein to enter into the kidneys. Nephrotic syndrome is a chronic ailment but not very prevalent. In India, fewer than 1 million cases are reported every year.

Who is susceptible to Nephrotic Syndrome?
Children, especially between the ages 2-6 are vulnerable to coming down with this ailment. It is prevalent more amongst male children than female. Around 3-4 children out of 100,000 are affected by it. Age of onset determines how severe the syndrome will be.

What are the symptoms of Nephrotic Syndrome?
Nephrotic syndrome is characterized by swelling up of the face. The swelling spreads to other parts of the body. This is when most doctors will recommend a urine test to confirm if the child has contracted nephrotic syndrome.

Diagnosis of the disease-
Nephrotic syndrome can be diagnosed following procedures to test the presence of high cholesterol and low albumin levels in the blood. The doctor will also document the ratio of urinary protein to creatinine of more than 2 to confirm the diagnosis.

Nephrotic syndrome treatment-
The treatment options for the symptoms of nephrotic syndrome are as follows-

• If nephrotic syndrome is detected in children less than 3 months of age, they will only require albumin transfusion and diuretic medication. For older children, oral steroids are a trusted medication only after determining that there are no underlying diseases.
• Parental counseling is necessary so that they can understand the medicine dosage, duration and side effects of steroidal treatment. Parents need to purchase uristix that can reveal protein levels in urine. It is imperative that parents regularly monitor their child’s urine. This way, the syndrome does not become aggravated and the child does not need to be hospitalized.

Medication for nephrotic syndrome can be steroid sensitive or steroid insensitive.
• In the case of steroid-sensitive medicines, swelling keeps recurring frequently or infrequently. But it is not followed by an infection. These are called relapses that require other immunosuppressive drugs. Regular follow up is recommended.
• For steroid resistant medication, a kidney biopsy is mandated to understand the underlying cause of nephrotic syndrome. Based on the test results, the doctor initiates calcineurin inhibitor therapy. This procedure is performed by a pediatric nephrologist in children.

The dosage depends on the child’s weight. Inadequate or overdose can harm the child.

The side effects of steroids include-

• Cushingoid facies (fat deposits on the face)
Hypertension
Obesity
Short stature

When a child takes immunosuppressive drugs, she/he becomes exposed to infections and might require vaccinations (Oral OPV i.e. pulse polio program, BCG, measles, MMR vaccine).

Diet for nephrotic syndrome-
A proper diet can work wonders in controlling the symptoms of nephrotic syndrome. A doctor usually recommends cutting down on salt and advises minimum intake of fluids. Since cholesterol levels go up with this syndrome, a diet low in saturated fats is suggested. Even though nephrotic syndrome is accompanied by loss of proteins, a high protein diet is not recommended because proteins aggravate the syndrome.

When the underlying causes of nephrotic syndrome (other diseases that trigger it) are cured, the symptoms of nephrotic disorder dissipate. The proper diet and medication will ensure that a child outgrows the disease and lives a healthy life.

5-7 rbc/hpf and 5-7 wbc /hpf in urine, leukocytes esterase and nitrite in urine. Please advise.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
5-7 rbc/hpf and 5-7 wbc /hpf in urine, leukocytes esterase and nitrite in urine. Please advise.
Leukocyte esterase is a screening test used to detect a substance that suggests there are white blood cells in the urine. This may mean you have a urinary tract infection. If this test is positive, the urine should be examined under a microscope for white blood cells and other signs that point to an infection.
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HI, 2 weeks ago I got my bilateral kidney stone operation. Now there are dj standing in both ureter. When can I make sexual intercourse safely?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
HI, 2 weeks ago I got my bilateral kidney stone operation. Now there are dj standing in both ureter. When can I make ...
Let the stents be removed and then try. Because sometimes the stents can cause bleeding in urine I'd some strenuous activity happens.
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The Guest Hospital

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