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Dr. Ashok Sarin - Nephrologist, Delhi

Dr. Ashok Sarin

90 (41 ratings)
MD, MBBS, FRCP - Nephrology

Nephrologist, Delhi

47 Years Experience  ·  1200 at clinic  ·  ₹300 online
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Dr. Ashok Sarin 90% (41 ratings) MD, MBBS, FRCP - Nephrology Nephrologist, Delhi
47 Years Experience  ·  1200 at clinic  ·  ₹300 online
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Kidney diseases can lead to end-stage renal disease (ESRD), a condition in which the kidneys fail...

Kidney diseases can lead to end-stage renal disease (ESRD), a condition in which the kidneys fail to work normally. The symptoms of kidney disease depend on the type of disease that a person has.Treatment of kidney disease depends on the type of disease, the underlying cause, and the duration of the disease.

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I am Dr. Ashok Sarin, senior consultant nephrologist at Apollo Hospital, New Delhi. The reason wh...

 

I am Dr. Ashok Sarin, senior consultant nephrologist at Apollo Hospital, New Delhi. The reason why I am speaking to you is that nowadays people are very concerned about their kidneys and awareness of kidney problems.

Let me tell you that the commonest causes of kidney disease are diabetes and hypertension. As you know that both these diseases are very common and they can give rise to kidney damage. But, there is a lot of prevention in this, and there are a lot of things we can do so that our kidneys remain intact even though we have diabetes and hypertension. Now, in diabetes we must maintain our blood sugar for our staying 100 mg/dL, postprandial, i.e., two hours after meal at 140 mg/dL.

If you are able to maintain your blood sugar at these levels, it is very unlikely that kidney damage will occur. Now the very important early test for finding out whether the kidneys are involved is Microalbuminuria. If your microalbumin is more than 20, then you can, under the supervision of doctors, take additional drugs known as ACE inhibitors or ARBs. But again this has to be under the consultation of your doctor. Now there are many ways which I want to tell you which can prevent you from becoming a diabetic, for example, your weight.

So, if your weight is well under control according to your height and your BMI is maintained, then this is a positive point. Coming to exercise, you must indulge in regular exercises every day, and we must take a diet which is not rich in sugar, sweets and carbohydrates, but a balanced diet of proteins, carbohydrates and vitamins. One should take a diet of about 1600-2000 calories, if a person is lean, a day. You must combine vegetables and appropriate foods in your diet. Of course, smoking is a complete no-no. So, if we adopt a good lifestyle, this will not only benefit our kidneys but also our heart, our brain and eyes. So the whole body benefits by these measures. And of course, the kidneys will always benefit.

The other common cause of kidney damage is hypertension. Very often, we ignore the idea of having regular checkups. Even after the age of 30 nowadays, regular checkup should be done, and at least once a year. If a person is about 40-50 years, then check up should be done after every six months. And very often, the things that we do not anticipate regarding high blood pressure or greater blood sugar is picked up on our blood test or during medical examination.

Today only I had a patient who was about 75 years old and he never knew that he was a diabetic. He was lean and thin, but his HP seen was 12 percent. Now that is double of what it should be, and he is a severe diabetic. And, this was picked up so late because he never went for a medical checkup. And this is very common in our country although on the other hand, there are a lot of people who are very aware and getting regular checkups done. Now our blood pressure should be around 120 over 80 mm Hg, i.e., the systolic pressure should be 120 mm and diastolic pressure should be 80 mm. And once it is 149 Hg, the blood pressure is high and it should be treated by the doctor.

Of course, the weight is a very important factor of hypertension and we find that these people who have put on weight also suffer from hypertension. In both these diseases, people wonder, “Why it has happened to me?” There may be symptoms to indicate that a person has got hypertension or high blood sugar problems. Blood sugar of 130 or 140 mg may not cause any symptoms to the patient, but it is enough to initiate an arterial pathology like diabetic arterial disease or hypertensive arterial disease.

As the arteries are afflicted with both these conditions, that is why slowly the arteries get damaged and the end organs or the target organs like the kidneys get involved. So, we must get regular checkups and if our blood pressure is well below 149 mm Hg, i.e., 155 mm or 125 mm over 80 mm Hg, then we are very unlikely to develop kidney disease because of hypertension. Of course when hypertension does develop, then blood pressure medication should be taken under the supervision of a doctor; even our diabetes dots should be taken under the supervision of a doctor. Of course, I want to add here again that exercise, i.e., regular exercise will help to mitigate the effects of hypertension and reduce the chances of hypertension and diabetes.

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I m Dr  Ashok Sarin, a senior consultant nephrologist at Apollo Hospital New Delhi. I trained in ...

I’m Dr  Ashok Sarin, a senior consultant nephrologist at Apollo Hospital New Delhi. I trained in Kidney Diseases at the Belfast City and Royal Victoria Hospital in Belfast, UK, which is in Northern Ireland. And besides having an MBA I’m also FRCP, Edenborough, fellow of the Royal College of Physicians, Edenborough.

We see a lot of kidney diseases today, and people are very aware. But they get very worried as to what is happening, and there is going to be kidney failure, or kidney damage, and we are going to go on dialysis and transplant. And I want to say here, that there is a lot of prevention we can do so that we do not develop serious kidney diseases. Now the most important is that we must have a good, proper lifestyle. Like,

  • We should not be obese.
  • We should not have a diet which is rich in saturated fats or very rich in carbohydrate.
  • We should maintain our weight, we should maintain our BMI at about 30, and we should also indulge in regular exercise.

This will keep us in a healthy situation and we will not develop serious diseases like diabetes and hypertension. But once we develop diabetes and hypertension, then we must take our treatment for diabetes very regularly, and keep our HPE1C at 6 percent, a fasting sugar of 100 milligrams percent. We should also control our hypertension, and make sure that our blood pressure is 120 by 80 millimetres of mercury. Then we should avoid smoking. As I said we should indulge in exercise.

And there are other conditions which can also cause kidney damage, which is kidney stones, urine tract infection.

So if we treat our kidney stones adequately, and avoid urinary tract infection from developing, or we treat it properly, then we are unlikely to have kidney damage, and that is how we prevent kidney disease. As I said, smoking is a complete no-no, and we should not indulge socially sometimes, but over indulgence of alcohol is forbidden. And when I said that regular medical checkups, say once a year, we will come to know if there is any indication of kidney disease, and if that happens, then we can take prompt action. For example, somebody is excreting a lot of protein, then remedial actions or further tests can be done. And kidney disease, if detected early, we have a wide range of medication at the moment, it can be treated very promptly. And we do not have to go into the stage where we say kidney failure or kidney damage, or dialysis or transplant. Now this is avoidable to a great extent. I will not say completely, but to a great extent it is possible, and that is why I am emphasizing over and over again, that this can be prevented. If we are very aware of kidney disease, and we make sure that we don’t develop kidney diseases at all.

Thank you, and in case you want to consult me, you could get in touch with Lybrate

. Thank you very much indeed.

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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Ashok Sarin

Dr. Ashok Sarin is an eminent Nephrologist from Delhi with an experience of over 46 years in health care. He completed his Bachelor of Medicine Bachelor of Surgery (MBBS) from Kanpur Medical College in 1971 and further completed MD in 1975. He has also completed a fellowship program in Nephrology from Royal College of Physicians of Edinburgh, UK in 2015.

Dr. Ashok Sarin notable service in healthcare has won him prestigious awards namely Certificate of Honor, Nepal, Chairman Nephrology at 'GP Conference' New Delhi and Gold Medal & Certificate of Honour for Distinction in Physiology. He is also a member of various medical Societies like Association of Physicians of India(API), Indian Medical Association (IMA), Delhi Nephrology Society, Indian Society of Nephrology etc. He currently practices at Apollo Hospital in Sarita Vihar, Delhi where he is available between 2 PM and 6 PM on Monday, Tuesday, Saturday and between 11 AM to 2 PM from Wednesday to Friday.

Info

Education
MD - Kanpur Medical College - 1975
MBBS - Kanpur Medical College - 1971
FRCP - Nephrology - Royal Colleges Of Physicians Of Edinburgh, Uk - 2015
Languages spoken
English
Hindi
Awards and Recognitions
Gold Medal For Best Speaker In The Annual Seminar Competition
Chairman Nephrology at GP Conference New Delhi, 27 Nov
Certificate of Honor - Nepal
...more
Gold Medal & Certificate of Honour For Distinction In Physiology
Dr Sarin Receiving The FRCP From The President of The Royal College of Physicians of Edinburgh On 26 June
Professional Memberships
Life Member of Indian Society of Nephrology
Life and Executive Committee Member of Delhi Nephrology Society
Life Member of North Zone Society of India
...more
Member of Haemodialysis Society of India
Life Member of Association of Physicians of India(API)
Life Member of Indian Medical Association (IMA)
Life Member of Peritoneal Dialysis Society of India
Life Member of Indraprastha Apollo Hospital Consultant Forum

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Sarita Vihar, Delhi Mathura Road, Gate No.10, Room No.1006, Ground Floor, Sarita ViharDelhi Get Directions
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kidney Diseases

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Play video

Kidney diseases can lead to end-stage renal disease (ESRD), a condition in which the kidneys fail to work normally. The symptoms of kidney disease depend on the type of disease that a person has.Treatment of kidney disease depends on the type of disease, the underlying cause, and the duration of the disease.

3162 people found this helpful

What Happens When Kidneys Fail & Signs That Indicate It

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
What Happens When Kidneys Fail & Signs That Indicate It

A lot of bad things can and do happen when the kidneys fail.  The kidneys are vital for proper bodily functioning because they filter liquid and solid waste products out of the blood and allow vital chemicals (which the body needs for functioning) to flow into the body through the bloodstream.  People can become very sick when the kidneys either fail to perform these functions or fail to perform them properly.  Many people will get chronic kidney disease, therefore, they need to know what the causes and symptoms are in order to treat, and even prevent these diseases from occurring.

People who suddenly experience the following symptoms should see a nephrologist as soon as possible for a medical examination:  blood or protein in the urine, kidney stones, acute kidney injury, kidney infections, and/or pain, and Hepatitis C and kidney disease.  

Blood in the urine can be a sign of kidney problems which can lead to kidney disease.  Additionally, people who urinate frothy or bubbly urine, or have swelling in the hands, face, and feet should see a doctor because this is a sign of protein in the urine.  Protein in the urine can be detected by a urine test.  Kidney stones can be very painful and are problematic.  They are caused by mineral buildup in the kidneys.  Men and white people tend to get kidney stones more, and they can cause blood in the urine, painful urination, sharp lower abdominal or back pain, and nausea and vomiting.

Acute kidney injury occurs when the kidneys stop functioning altogether in a short period of time.  Because this disease can be deadly, those with this disease should get immediate medical help.  Usually, the very sick patients in hospitals get this disease, but it can also be caused by certain medicines, injury, or infections.  This type of kidney disease is easily reversible. 

Symptoms include

  1. Not passing enough urine when urinating
  2. Leg, ankle, or feet swelling
  3. Fatigue
  4. Breathing problems
  5. Confusion
  6. Nausea, and chest pressure or pain

Kidney infections tend to be caused by bacteria that have spread from the urinary tract.  Women, because of their anatomy, tend to get kidney infections more than men. 

Symptoms include:

  1. Fever
  2. Vomiting
  3. Back, side or groin pain
  4. Chills
  5. Nausea
  6. Frequent urination
  7. Frequent urges to urinate
  8. Painful or burning urination
  9. Pus or blood in the urine
  10. Cloudy or foul-smelling urine

Kidney pain in the lower back or sides can signify more serious kidney problems.  They can be caused by urinary tract infections, polycystic kidney disease, kidney infections, blood clots, and/or bleeding in the kidneys.  
Hepatitis C is a disease that attacks the liver and can cause kidney disease.  

Symptoms include

  1. Loss of appetite
  2. Nausea
  3. Fever
  4. Fatigue
  5. Vomiting
  6. Dark colored urine
  7. Grey colored stool
  8. Joint pain
  9. Yellow skin and eyes

While kidney diseases are at best unpleasant, and at worst, life-threatening, they can be avoided by drinking lots of water, eating a healthy low salt diet, and watching for any changes in health and urine over time. In case you have a concern or query you can always consult an expert & get answers to your questions!
 

2840 people found this helpful

Renal Hypertension - 5 Foods That Can Help You Manage It!

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Renal Hypertension - 5 Foods That Can Help You Manage It!

Renal hypertension is hypertension or increased blood pressure in the artery that supplies blood to the kidney. The high blood pressure in the renal artery is the result of deposition of plaque on the inner walls of the artery. Due to this deposition, the arteries become hard and the channel through which blood flows narrows down significantly. This causes the kidneys to function abnormally. As the kidneys receive less blood flow, they perceive it as dehydration and therefore, they release hormones that trigger water and sodium retention by the body. This results in filling up of the blood vessels with more fluid, thereby increasing blood pressure.

So, the treatment of renal hypertension would require treating hypertension or blood pressure of the whole body. Given are 5 foods that can help you manage renal hypertension:

1. Low-fat milk and yogurt
Low-fat milk or skim milk is very healthy for heart and is rich in calcium. Blood pressure is significantly lowered by regular consumption of sugar free yogurt and skim milk. You can also have fruits, nuts or muesli, mixed with yogurt for a healthy breakfast.

2. Green leafy vegetables
Green leafy vegetables are always very healthy for the body. They are rich in potassium which helps in removing excess sodium from the body. Vegetables like spinach, lettuce, green onions, beet greens, turnip greens, broccoli, green beans, squash etc. should be a part of your regular diet if you are seeking optimum health.

3. Fish with omega-3 fatty acid like Salmon, Tuna
Omega-3 fatty acids are responsible for lowering blood pressure, triglycerides and inflammation. There are fish like trout that is rich in vitamin D which also lowers blood pressure. Apart from vitamins and fatty acids, tuna is also rich in antioxidants, protein and minerals like selenium, magnesium, potassium and iron.

4. Ashwagandha
Ashwagandha is a medicinal herb that is used for its beneficial effects on the body, such as lowering blood pressure, reducing stress and anxiety, reducing hypertension and blood pressure. Ashwagandha has also been reported to have anti-cancer properties and has been successful in treating cancer in colon, lungs, ovaries, brain or breasts. A few studies have proved that ashwagandha has been able to reduce some of the symptoms of depression too.

5. Oatmeal
Oatmeal is a grain that is rich in soluble and insoluble fibre, protein, nutrients like magnesium, zinc, iron, selenium and phosphorous. It is quite beneficial in reducing cholesterol levels in the blood and thereby reduces the blood pressure level.

3 people found this helpful

Kidney Stones - 5 Ways To Treat It!

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Kidney Stones - 5 Ways To Treat It!

Kidney stones are also known as renal calculi and can be found not only in the kidneys but anywhere in the urinary tract such as the ureters, urinary bladder and the urethra. Kidney stones are solid masses of crystals or minerals and salts. These crystals can vary according to size and even shape. The stones are formed when the waste salts and minerals in the urine accumulate and form a solid mass. They get stuck in the urinary tract and result in a very painful condition. Kidney stones normally do not create too much problem unless they get blocked in the passage of urine. Treatment options depend upon the size of the stone. Small calculi pass easily through urine by consuming plenty of water. Larger stones require treatment; whether it is only medication or surgery depends on the severity of the condition.

Following are 5 ways to treat kidney stones:

  1. Medication: Medication is used to relieve pain and also help in easy passage of the stones. Medication using alpha adrenergic blockers and calcium channel blockers are normally prescribed as they provide faster clearance rates for the stones. But medication is effective only for stones that have diameters ranging from 4mm to 10mm. Medication using anti-emetic drugs is useful against nausea caused due to kidney stones.
  2. Open surgery: Kidney stone removal by open surgery is not very common and is recommended only when the stone is very large or there is any abnormality in anatomy. By open surgery the stone is removed from the ureter or the kidney, wherever it gets stuck.
  3. Ureteroscopy: Ureteroscopy is done to remove stones stuck in the ureter. In this procedure, a thin tube is passed from the urethra into the urinary bladder and then into the ureter near the stone which is stuck. The stone is removed either using a laser energy or by another instrument. The procedure is done while the patient is under general anaesthesia. Sometimes a temporary plastic tube may be inserted into the ureter to drain out the stone fragments (as done by laser energy) into the bladder.
  4. Percutaneous nephrolithotomy (PCNL): PCNL is a procedure wherein larger stones are plucked out from anywhere in the kidney where they are stuck with the help of an instrument called nephroscope. The larger sized stones are first broken down using pneumatic or laser energy and then pulled out using the telescopic instrument.
  5. Home remedies: The first step towards naturally flushing out small stones from the kidneys is drinking plenty of water. At least 10-12 glasses of water must be consumed every day to flush out the stones. Other natural remedies for flushing stones out of the system are lemon juice squeezed in water, basil juice mixed in tea, apple cider vinegar stirred in water, pomegranate juice, kidney bean broth etc.

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

2637 people found this helpful

Chronic Kidney Disease (CKD)

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Play video

 

I am Dr. Ashok Sarin, senior consultant nephrologist at Apollo Hospital, New Delhi. The reason why I am speaking to you is that nowadays people are very concerned about their kidneys and awareness of kidney problems.

Let me tell you that the commonest causes of kidney disease are diabetes and hypertension. As you know that both these diseases are very common and they can give rise to kidney damage. But, there is a lot of prevention in this, and there are a lot of things we can do so that our kidneys remain intact even though we have diabetes and hypertension. Now, in diabetes we must maintain our blood sugar for our staying 100 mg/dL, postprandial, i.e., two hours after meal at 140 mg/dL.

If you are able to maintain your blood sugar at these levels, it is very unlikely that kidney damage will occur. Now the very important early test for finding out whether the kidneys are involved is Microalbuminuria. If your microalbumin is more than 20, then you can, under the supervision of doctors, take additional drugs known as ACE inhibitors or ARBs. But again this has to be under the consultation of your doctor. Now there are many ways which I want to tell you which can prevent you from becoming a diabetic, for example, your weight.

So, if your weight is well under control according to your height and your BMI is maintained, then this is a positive point. Coming to exercise, you must indulge in regular exercises every day, and we must take a diet which is not rich in sugar, sweets and carbohydrates, but a balanced diet of proteins, carbohydrates and vitamins. One should take a diet of about 1600-2000 calories, if a person is lean, a day. You must combine vegetables and appropriate foods in your diet. Of course, smoking is a complete no-no. So, if we adopt a good lifestyle, this will not only benefit our kidneys but also our heart, our brain and eyes. So the whole body benefits by these measures. And of course, the kidneys will always benefit.

The other common cause of kidney damage is hypertension. Very often, we ignore the idea of having regular checkups. Even after the age of 30 nowadays, regular checkup should be done, and at least once a year. If a person is about 40-50 years, then check up should be done after every six months. And very often, the things that we do not anticipate regarding high blood pressure or greater blood sugar is picked up on our blood test or during medical examination.

Today only I had a patient who was about 75 years old and he never knew that he was a diabetic. He was lean and thin, but his HP seen was 12 percent. Now that is double of what it should be, and he is a severe diabetic. And, this was picked up so late because he never went for a medical checkup. And this is very common in our country although on the other hand, there are a lot of people who are very aware and getting regular checkups done. Now our blood pressure should be around 120 over 80 mm Hg, i.e., the systolic pressure should be 120 mm and diastolic pressure should be 80 mm. And once it is 149 Hg, the blood pressure is high and it should be treated by the doctor.

Of course, the weight is a very important factor of hypertension and we find that these people who have put on weight also suffer from hypertension. In both these diseases, people wonder, “Why it has happened to me?” There may be symptoms to indicate that a person has got hypertension or high blood sugar problems. Blood sugar of 130 or 140 mg may not cause any symptoms to the patient, but it is enough to initiate an arterial pathology like diabetic arterial disease or hypertensive arterial disease.

As the arteries are afflicted with both these conditions, that is why slowly the arteries get damaged and the end organs or the target organs like the kidneys get involved. So, we must get regular checkups and if our blood pressure is well below 149 mm Hg, i.e., 155 mm or 125 mm over 80 mm Hg, then we are very unlikely to develop kidney disease because of hypertension. Of course when hypertension does develop, then blood pressure medication should be taken under the supervision of a doctor; even our diabetes dots should be taken under the supervision of a doctor. Of course, I want to add here again that exercise, i.e., regular exercise will help to mitigate the effects of hypertension and reduce the chances of hypertension and diabetes.

2594 people found this helpful

10 Facts About The Kidneys You Are Not Aware Of

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
10 Facts About The Kidneys You Are Not Aware Of

Kidneys are among the chief excretory organs of the body. The main function of the kidneys is to filter blood. It filters the blood and retains the toxic materials from it to excrete them in the form of urine. The filtered and thus purified blood is sent back to heart. The urine collected is carried by the ureter to the urinary bladder. Here the urine is stored till the bladder is full and triggers the sensation to urinate. Kidneys are two bean-shaped, about 11 cm long organs that are located behind the digestive system near the lower back. The kidneys function by maintaining the fluid balance of the body, creating hormones like the activated form of vitamin D called calcitrol that helps in calcium absorption in the intestines, erythropoietin that helps in production of red blood cells in the bone marrow and helps in regulating blood pressure as well.

After getting an overview of why and how kidneys function in the human body for maintaining acid-base balance, fluid balance and several other crucial functions, let us take a look at some lesser known but interesting facts about them.

Following are 10 facts about kidneys that you may not be aware of:

  1. For the body to function properly, the excretory system to work appropriately and for all the functions of the kidneys, both of them are not required. The functions can be smoothly carried out by a single kidney.
  2. The first successful kidney transplant was done in Boston by Joseph E. Smith and team in 1954.
  3. Each kidney is composed of around 1 million nephrons and each nephron is a filtering unit of the kidney.
  4. Kidneys produce around 1 to 2 litres of urine every day.
  5. Every day around 1,500 litre of blood is pumped by the kidneys to the heart.
  6. If a child has only one kidney at birth, till adulthood that single kidney is quite efficient in performing the functions of two kidneys while weighing the same as the combined average weight of two kidneys.
  7. The largest kidney stone was recorded to weigh a massive 1.1 kg and resembled a coconut in shape and size.
  8. Kidneys have the highest flow of blood as compared to heart and brain.
  9. On reaching 40 years of age, 1% of the nephrons start degenerating every year.
  10. The kidneys are very prompt in triggering more red blood cells production when they sense lees amount of oxygen in the body. So, when the red blood cell count increases, oxygen level also increases.
2679 people found this helpful

How Can You Treat A Kidney Infection?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
How Can You Treat A Kidney Infection?

Kidneys are responsible for the removal of waste and unwanted particles from the bloodstream. They are part of the urinary tract and are responsible for the formation and excretion of urine. It is the filtration and waste disposal system of the body. And as such plays a pivotal part in our health and well-being.

A kidney infection, more often than not, starts with a bladder infection and then spreads to the kidneys. It is caused by the presence of bacteria, specifically a bacteria called E.Coli. Though extremely rare, it is possible to get a kidney infection through your skin. It might make its way into your blood and then travel to the kidneys. You might contract an infection after surgery but that is extremely uncommon as well.

A kidney infection is diagnosed by running a urine test to check it for the presence of bacteria, blood or pus. Other tests may include a CT scan, an ultrasound or a kind of X-ray called voiding cystourethrogram, which involves injecting a contrast dye to image the bladder while urinating.

Treatment :

  1. Antibiotics: The first lines of treatment for a kidney infection are antibiotics. Depending upon the bacteria that has been found in your urine tests and your personal health, your physician will prescribe you specific drugs. The symptoms usually abate after a few days of treatment, or you might need to continue the antibiotics for a week or so more. It is advisable to continue with the entire course of the drugs even if you feel better after only a few days. Another sample of your urine will be tested afterwards to ensure that the infection has cleared up.
  2. Hospitalization: For a severe case of kidney infection a physician will insist on hospitalization. The treatment will include antibiotics and a copious amount of fluids that will administered to you intravenously. The severity of the infection would dictate the length of the course of drugs required.
  3. Surgery: Kidney infections can be symptomatic of a much more serious underlying medical condition. Kidney infections may recur with increasing frequency due to a structural defect of the urinary tract. A nephrologist or a urinary surgeon (urologist) should be consulted for an evaluation. You will most likely need surgery to repair the structural abnormality to ensure that the infections desist.

Kidneys are vital organs that perform important functions of waste removal, and maintain the balance of the body’s fluids. Infections should thus be diagnosed and treated promptly.

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

2594 people found this helpful

Lower Abdomen Pain - Can It Be A Sign Of Kidney Problem?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Lower Abdomen Pain - Can It Be A Sign Of Kidney Problem?

The abdomen houses multiple organs and pain in the abdomen could indicate a problem with any of these organs. From a medical point of view, the abdomen and associated pain can be divided into nine areas or quadrants the right, middle and left sideways and the upper, middle, and lower quadrants from top to bottom. The doctor would usually ask the patient to point to the area of the problem for instance, right lower quadrant or upper left quadrant.

With a mental mapping of the organ in each of these quadrants, the diagnosis is arrived at, with confirmation by imaging if required. Some of the most common causes for lower abdominal pain are listed below, and the kidneys are important organs in this area.

  • Lower left abdominal pain is caused because of the problems in the large intestine, small intestine, spleen, left kidney, ureter, ovaries, fallopian tube, urinary bladder and their associated structures.
  • Some of the common issues in this area could be menstrual cramps, urinary tract infections (UTIs), left kidney stones, uterine disorders, intestinal obstruction, ectopic pregnancy, constipation, colon cancers, pelvic inflammatory disorder, Crohn’s disease, inguinal hernia, and a ruptured spleen.
  • Lower right abdominal pain can be due to appendicitis, right inguinal hernia, UTI, right kidney stones, colon cancer, menstrual cramps, uterine disorders, intestinal obstruction, ectopic pregnancy, pelvic inflammatory disorders, diverticulitis, Crohn’s disease, endometriosis, and lymph node inflammation.
  • As is evident from this list, many of these are related to the urinary tract and kidneys. Whether it is the kidneys per se, the urinary bladder, the ureters, or the associated nerves and blood vessels, UTIs are very common. And if one of these organs is affected, then the chance of the infection spreading to the surrounding organs is very high. There is a constant flow of urine through these structures, and so the infection can pass through easily.
  • A person who has had kidney problems would have very characteristic symptoms. The pain would be in the lower back, on either side of the spine, depending on which side is affected. While the pain experienced due to kidney stones is acute and can be stabbing in nature, the UTI would appear in bouts. The associated symptoms should always be kept in mind when identifying and treating kidney problems.
  • There could be nausea, diarrhoea, blood in the urine, fever, profuse sweating and severe fever, which could help in discovering the problem.
  • These should not be ignored and diagnosis should be confirmed with blood tests and imaging including X-rays and CT scans. The treatment would depend on the condition, and early identification of the problem leads to better prognosis and a simpler treatment. 

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

2959 people found this helpful

Kidney Infections - Factors That Put You At Risk!

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Kidney Infections - Factors That Put You At Risk!

The main task of the kidneys is to balance the electrolytes in the blood and maintain the pH homeostasis. The kidneys also remove waste products from the blood. Infections in the kidney aren’t uncommon and affect women (majorly pregnant women) and children below the age of two in most conditions.

Kidney infections are of two types:

  • Uncomplicated kidney infectionThe infections in this condition are minor and can be cured with minimal medication.
  • Complicated kidney infection: These infections are more complex and serious as compared to the uncomplicated ones.

If not treated on time, kidney infection can prove to become a serious condition and lead to various complications including kidney damage and blood poisoning (sepsis).

The most common causes of kidney infections are:

  1. Weak immune system: If you have a weak immune system, you are prone to getting a bacterial or fungal infection on the surface of your skin which eventually enters the bloodstream. The infection might right reach the kidneys and cause an infection there.
  2. Bacteria entering from the urethra: The pathogen which causes an infection can enter the body through the urethra and multiply in the bladder. The infection spreads to the kidneys and causes renal infection.
  3. Kidney stonesPeople diagnosed with kidney stones are at a very high risk of developing kidney infections. Kidney stones are caused because of a build-up of dissolved minerals in the inner lining of the kidneys.
  4. Enlarged prostateMen with an excessively enlarged prostate are prone to developing kidney infections as compared to men with a normal-sized prostate.
  5. Intercourse: Engaging in sexual (anal or vaginal) intercourse with an infected person can be a major reason for kidney infection as the bacteria can enter the body through the anus or the vagina and affect the kidneys.

It is not difficult to detect infection in the kidneys as they have very visible symptoms. A few symptoms of kidney infection are:

  1. Excessive back pain
  2. Sudden chills or fever
  3. Nausea and puking
  4. Blood in the urine
  5. Pain while urinating

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

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Nephrotic Syndrome(NS) Diet - What To Eat And What Not Eat?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Nephrotic Syndrome(NS) Diet - What To Eat And What Not Eat?

Nephrotic Syndrome is a condition which is characterised by the loss of protein into the urine (called proteinuria) as a result of increased glomerular permeability and oedema. This results in low protein level in the blood. The low levels of protein in blood result in the drawing of fluids into soft tissues. A severe form ‘hypoalbuminemia’ can cause scores of secondary diseases such as ascites (retention of fluid in the abdominal cavity), pleural effusion (build-up of fluids between the lungs and the chest), or high cholesterol. It can also result in retention of fluid in other parts of the body such as eyelids, lower extremities etc.

What can cause this?
Nephrotic syndrome is mainly caused by damage to the kidneys. This leads to an increase in the concentration of protein in the urine. In adults, it can be caused due to glomerulonephritis or damage to the glomerulus of the kidneys while in children it is likely caused by minimal change disease (kidney disease marked by the abnormal loss of protein through the urine).

The other common causes of nephritic syndromes are:

  1. Genetic disorder
  2. Immune disorder
  3. Cancer
  4. Infection
  5. Use of specific drugs
  6. Certain diseases such as diabetes mellitus, lupus
  7. The incidence of this disease is seen more often in males than in females.

Diet that is recommended in Nephrotic Syndrome:
In patients diagnosed with Nephrotic syndrome, the intake of salt, fat and protein must be checked. There should be emphasis on the consumption of dietary fibres that are present in vegetables and fruits.

The intake of protein and fluid should also be monitored, but this solely depends on personal factors such as age, weight and condition of the patient. It is recommended to consult a renal dietician who can guide you appropriately.

  1. Sodium/salt intake: The sodium or salt intake must be restricted as it leads to high blood pressure and results in fluid retention in the body, thus causing oedema (build-up of fluids within the body cavities and tissues) in the body. Avoid processed food as it contains a lot of salt.
  2. Protein intake: Protein is an essential part of the diet as it helps in the general makeup of the body and development of muscles. The consumption of protein must be kept under check and it is the best to consult your dietician for this. Loss of protein in urine needs to be replaced by class 1 high quality proteins in nephrotic syndrome.
  3. Limit fat and cholesterol intake: It is always good to curb on bad cholesterol as it is the reason behind several heart diseases. But, with patients diagnosed with Nephrotic Syndrome, it is highly recommended to avoid food rich in fats. This means staying away from unhealthy fatty meat or junk food.
  4. Fluid intake: Fluid intake does not have to be necessarily reduced, but it is always good to consult your doctor for the same.

“You are what you eat”. Nephrotic syndrome can slowly progress to chronic kidney disease if the necessary steps are not taken to curb it in an early stage, and diet control is a major way to do so.

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

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