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K W A, Delhi

K W A

  4.5  (753 ratings)

Nephrologist Clinic

C3/3058, Nelson Mandela Road, Vasant Kunj Delhi
1 Doctor · ₹1800
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K W A   4.5  (753 ratings) Nephrologist Clinic C3/3058, Nelson Mandela Road, Vasant Kunj Delhi
1 Doctor · ₹1800
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About

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 K W A
K W A is known for housing experienced Nephrologists. Dr. Deepak Sharma, a well-reputed Nephrologist, practices in Delhi. Visit this medical health centre for Nephrologists recommended by 90 patients.

Timings

MON-SAT
07:00 AM - 08:00 AM

Location

C3/3058, Nelson Mandela Road, Vasant Kunj
Vasant Kunj Delhi, Delhi - 110070
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Doctor in K W A

Dr. Deepak Sharma

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist
90%  (753 ratings)
34 Years experience
1800 at clinic
₹300 online
Unavailable today
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"Professional" 2 reviews "Prompt" 4 reviews "Well-reasoned" 4 reviews "Helped me impr..." 1 review "Nurturing" 2 reviews "Practical" 1 review "knowledgeable" 27 reviews "Sensible" 2 reviews "Caring" 6 reviews "Very helpful" 34 reviews "Inspiring" 2 reviews

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Hypercalcemia - Can It Cause Nephrogenic Diabetes?

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Hypercalcemia - Can It Cause Nephrogenic Diabetes?

For many people, “diabetes” often be known as just Type I or Type II diabetes. You will be surprised, but there are several forms of diabetes. We have Diabetes mellitus and there is Diabetes insipidus. This type of diabetes is actually a hormonal disorder that directly affects the kidneys.

The signs and symptoms of diabetes mellitus and diabetes insipidus are the same they cause increased thirst that is almost insatiable. The person tends to always feel thirsty and will urinate much more than usual.
Diabetes insipidus or DI is a fairly uncommon disorder, and it does require proper treatment. Therefore, it is better to have an understanding of the problem and discuss the best possible treatment options.

Diabetes Insipidus explained
The kidneys are the filtering system of the body. One of the things that they filter is the extra fluid in the bloodstream. When there is too much water, it gets stored in the bladder and becomes urine. When the kidneys are working normally, the amount of urine that is created will rise or fall depending on the fluid levels that are present in the body.

When diabetes insipidus is present, this control is skewed. What happens now is that the hormones-mainly Vasopressin produced by the brain and controlled by the pituitary gland- that tell the kidneys to remove the extra fluids malfunction. Vasopressin thus acts as an anti-diuretic. Or sometimes, the kidneys don’t respond to the hormonal signals. At other times, there is a change in the amount of Vasopressin.

Types of Diabetes Insipidus
There are four main types of Diabetes Insipidus, amongst these, the central diabetes insipidus is perhaps the commonest and in this the Vasopressin regulation system malfunctions. This causes the kidneys to think that there is too much water in the body and they in turn, continually pull out fluids from the bloodstream and turn it into urine. A patient can sometimes end up urinating 20 litres of urine per day. The second important type of Diabetes Insipidus is Nephrogenic Diabetes Insipidus.

What causes Nephrogenic Diabetes Insipidus?
In Nephrogenic diabetes insipidus, the kidneys are unable to understand what the hormone levels within the body happen to be.
So, there is a breakdown in hormonal communication between the pituitary and kidneys with the pituitary gland producing the right levels of Vasopressin that are required, but the kidneys are unable to absorb the water from the bloodstream as and when requested. This defect typically happens within the tubules of the kidneys.

The most common reasons for nephrogenic diabetes insipidus to occur are

  • Long-term medication use, especially with lithium. People on lithium medication have a 40% chance of developing this form of DI. Long-term antibiotic use with demeclocycline can also increase risk for nephrogenic diabetes insipidus. 
  • Like central diabetes insipidus, nephrogenic diabetes insipidus can also be caused by genetic factors. The symptoms of this DI can be present at birth or may develop slowly throughout childhood.
  • The third reason for nephrogenic diabetes insipidus is hypercalcemia. This means there is too much calcium in the blood.
  • Calcium is problematic for the kidneys and too much of it may cause them to stop responding to the fluctuating vasopressin hormone levels.

Hypercalcemia explained
In hypercalcemia, the level of calcium in the blood is too high and this causes no disturbing symptoms other than nausea, thirst, digestive problems. If left untreated, hypercalcemia can cause confusion and coma.

  1. Hyperparathyroidism: It is one of the reasons behind hypercalcemia. In this, one or more of the four parathyroid glands secrete too much parathyroid hormone which helps control the amount of calcium in blood.
  2. Diet: Eating too much calcium in the diet is another common reason for hypercalcemia.
  3. Too much vitamin D intake: If you take very high daily doses of vitamin D over several months, the amount of calcium absorbed from the digestive tract increases substantially and can lead to hypercalcemia.
  4. Other reasons: Other common bone disorders like Piaget disease where too much calcium is removed from bones and cancer.

Treatment of Nephrogenic diabetes insipidus is usually done by a combination of diuretics and NSAID medications. Taking ibuprofen and other OTC painkillers concentrates the urine within the kidneys and relieves excess urination.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2584 people found this helpful

Chronic Nephritis - Signs To Watch Out For!

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Chronic Nephritis - Signs To Watch Out For!

Acute nephritis does not seem like a nice thing to have, does it? Well, the truth is that, as expected, it really isn’t! It is, essentially, when the kidneys swell up. But what exactly causes acute nephritis? That answer is not all that simple! One of the most common causes of it, however, happens to be a reaction to a certain bacterial infection. When the body reacts, the parts of the kidney which are responsible for filtering the blood begin to get damaged.

What this finally means is that acute nephritis is what the person has to deal with?

There are also a few immunity related diseases which can also lead to nephritis. But how does a person know that it is time to pay a visit to the doctor in order to get some treatment for nephritis? There is a range of symptoms which can be looked out for so as to make sure that there is not a long delay between the onset of nephritis and the time it takes to get treated.

High blood pressure, when it occurs with drowsiness and itchiness of the skin is a good basis for concern. In addition to these signs, it can be said that even shortness of breath and pain in the abdomen should cause a person to look at when the doctor is free so as to book an appointment. While it is true that headaches occur in a variety of situations, what is also true is the fact that they occur when a person is dealing with nephritis.

So, what is to be done when a person has nephritis?

Well, there are different methods which are made use of in order to treat it. Chinese herbal medicine is one of these and is considered by many experts to be quite a comprehensive solution.

Steroids can be used, as an alternative treatment but the fact of the matter is that though it must be conceded that they are effective and provide quick relief, they have side effects. Also, for a great many of the people with nephritis, the side effects are scary are really not worthwhile! Immunotherapy, though, is a good solution as it works on the immune system to control the situation.

When chronic nephritis affects a person, there are changes which need to be made to the food that is eaten. So, food that is low in protein is what is required as the body cannot handle high protein food in such a state.

Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Congenital Nephrotic Syndrome - Is Your Child Suffering From It?

As the name suggests, congenital nephrotic syndrome affects the kidneys of newborn babies. Though congenital means the disease must be present from birth, babies who develop nephrotic syndrome in the first three months are also said to suffer from this condition. This is a rare genetic disorder that is passed down from parents to their children. Boys are at a higher risk of suffering from this disorder than girls. The congenital nephrotic syndrome causes the kidneys to leak large amounts of protein into the baby’s urine. This can lead to swelling of the body tissues and a weakened immune system.

Some of the common symptoms of this disease include

  1. Low birth weight
  2. Lack of appetite
  3. Swelling of the body
  4. Foamy or frothy urine
  5. Lowered urine production
  6. Cough

Pregnant women are usually screened for this condition before the baby is born. The doctor will be looking for a placenta that is larger than normal in an ultrasound and high levels of alpha fetoprotein in amniotic fluid samples. If found; the doctor might ask for a genetic test to confirm the diagnosis.

Once the baby is born, he or she will show signs of fluid retention as the body begins to swell. Other signs your doctor will look out for are high blood pressure, signs of malnutrition and abnormal sounds from the heart and lungs. A urine analysis will also show high levels of protein in the urine though the overall protein levels in the body may be low. The doctor may also ask for a kidney biopsy in some cases to confirm the diagnosis.

Aggressive forms of treatment in the early stages of this disease can help control it. This may include antibiotics, blood pressure medication, ACE inhibitors and angiotensin receptor blockers to reduce protein leakage and diuretics to manage excess fluid build-up. Nonsteroidal anti-inflammatory drugs may also help reduce the amount of protein leaking into the urine. In addition, the doctor may advise you to limit fluid the baby’s fluid intake to control the swelling. As a last resort, the kidneys may need to be removed to prevent protein loss. This will be followed by dialysis or a kidney transplant.

If left unchecked, this disorder can lead to a number of complications including acute kidney failure, blood clots, infections and diseases related to malnutrition. It can also lead to the death of a baby in the first year of catching the infection or before his or her fifth birthday.

5 people found this helpful

Chronic Kidney Disease - Know The Common Types!

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Chronic Kidney Disease - Know The Common Types!

What are the functions of the kidney?

The kidneys filter waste and excess fluid from the blood. As kidneys fail, the waste accumulates in the body. The two most important enzymes, which kidney makes are erythropoietin & renin. Erythropoietin are made by the kidneys if there is less oxygen in the blood. It tells the bone marrow to make more red blood cells. So this means there will be more oxygen carried in the blood.

Renin is made by the kidney if there is low blood pressure, low volume of blood, or too low salts in the blood Renin make the blood vessels smaller and tells the adrenal gland to make aldosterone. It also makes a person feel thirsty and all of this makes the blood pressure go up. Since Kidney plays a very important role in the overall functioning of the body, it’s very important to take care of its health.

Let’s have a look on various kind of kidney disease including the one which are chronic:

  1. Kidney stones
  2. Kidney Infections
  3. Glomerulonephritis
  4. Congenital Kidney disease
  5. Diabetic Nephropathy
  6. Hypertensive Nephropathy
  7. Drugs

Now what is Chronic Kidney Disease?

Chronic kidney disease include conditions that damage your kidneys and decrease their ability to keep healthy by doing the jobs listed, if it gets worse, wastes can build to high levels in the blood and make person sick.
Chronic kidney disease is caused by diabetes, high blood pressure and other disorders.

What causes chronic kidney disease?
The two main causes of chronic kidney disease are diabetes & high blood pressure which are responsible for up to two third of the cases. Other conditions that affect the kidney are:
1. A group of diseases that cause inflammation and damage to the kidney’s filtering unit.
2. Inherited disease such as poly cystic kidney disease.
3. Malformation that occur as a baby develop in mother’s womb.
4. Lupus and other disease that affect the body’s immune system.
5. Repeated urinary infections.

What are the symptoms of chronic kidney disease?
1. Feel more tired and have less energy
2. Have trouble concentrating
3. Poor appetite
4. Trouble sleeping
5. Muscle cramping at night
6. Swollen feet and ankles
7. Puffiness around the eyes especially in the morning
8. Dry itchy skin
9. Need to urinate more often, especially at night.

In case of the similar symptoms one needs to get it diagnosed and connect with the physician for good care and treatment. Stay Healthy!

In case you have a concern or query you can always consult an expert & get answers to your questions!

2857 people found this helpful

Sir, I am a medical student I am having foamy bubbly urine from last 1.5 years I had done many usg and urine test I have a kidney stone of 5.5 mm in left kidney Nothing else seen all normal Even protien So cam you tell me tge cause of this urine.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Sir,
I am a medical student
I am having foamy bubbly urine from last 1.5 years
I had done many usg and urine test
I h...
Hi lybrate-user, There can be many causes of foamy urine. Commonest is proteinuria. Other causes could be concentrated urine, obesity,high protein diet, caffine consumption etc. In your case some of these seem to be contributing.
3 people found this helpful
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I have water filled in lungs and diagnosed as chronic kidney disease again admitted after 5 days with slight brain stroke. But this time they diagnosed as acute on chronic kidney disease what it means?

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
I have water filled in lungs and diagnosed as chronic kidney disease again admitted after 5 days with slight brain st...
Hi lybrate-user, I understand your concern. This means that there is further deterioration of kidney function due to acute onset kidney problem in kidneys which are already compromised.
4 people found this helpful
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I am suffering from a burning sensation when I urinate, which fluctuates on some days. Urine has foam. I had a uti 9 months ago.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
I am suffering from a burning sensation when I urinate, which fluctuates on some days. Urine has foam. I had a uti 9 ...
Hi lybrate-user, every burning or presence of some pus cell in the urine does not necessarily indicate UTI. I advise you to increase water intake to 3 liters daily. You should have a detailed consult with me audio/video online.
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My creatinine level in April was .9, in november creatinine level increase 1.0,is this any serious problem? Slight pain in legs since 6 days, no any problem ,uric acid level 6.1, talking skin and migraine treatment since 15 days,

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
My creatinine level in April was .9, in november creatinine level increase 1.0,is this any serious problem? Slight pa...
Hi lybrate-user, the serum creatinine levels you have mentioned are not suggestive of any serious problem .However what is important is to know the details of the treatment you are on and also any addictions, disease or condition you are suffering from.
6 people found this helpful
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Are of normal size and position with good cortical medullary differentiation. Left renal upper pole calculus 5 mm no hydronephrosis is seen. No evidence of perinephric collection or scarring is seen.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
Are of normal size and position with good cortical medullary differentiation. Left renal upper pole calculus 5 mm no ...
Hi lybrate-user, I have analysed your problem. You have a non-obstructive stone which has not yet affected your kidney significantly. However, you have to prevent further stone formation and get rid of this stone. You should take 3-4 liters water daily and take Cap Urimax 0.2 mg at night x 20 days. Not to take alcohol, paan-masala, sodt drinks, also avoid dairy foods, tobacco.
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My age is 20. I have seen a red colour urine on 1 day then from that my urine is clear and no other pains etc present. Its only one time I see the see the reddish colour on that time my abdomen is heated too much then I pass urine it is reddish in colour I only say it is normal thing because it only occur 1 time and no other pains discomfort. Please say it is normal.

FIMSA, MD-Nephrology, DM - Nephrology, MD-Medcine, MBBS
Nephrologist, Delhi
My age is 20. I have seen a red colour urine on 1 day then from that my urine is clear and no other pains etc present...
Hi lybrate-user, you most likely had this problem because of intake of less water. Keep observing the color of urine, however increase daily water intake to 3 liters daily in the mean time.
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