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Treatment of Kidney Stones
Treatment of Blood in Urine
Treatment of Blood Pressure Changes
Kidney Dialysis Treatment
Kidney Stones Treatment
Treatment of Kidney Failure
Treatment of Kidney Diseases
Treatment of Nephrotic Syndrome
Kidney Transplant Treatment
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Patient Review Highlights
The problem of my kidney disease was aggravating. His treatment suited me the best and now I am fine. Even in case of emergency, the staff is always willing to help. The complete process of kidney disease treatment was so painless and quick, and i am so relieved that I chose to consult him. My previous experiences were not so good, but Ravi Bansal has completely changed my opinion as he is very helpful and humble.
The kidneydisease problem in me was increasing day by day. It was an amazing experience as everyone in the PSRI clinic is so nice. No matter how critical be the situation, he is always very calm. One of my neighbour's recommended this Dr Ravi. In order to diagnose my problem completely he asked me a number of questions. Finally with his treatment, I am completely cured from the disease.
Due to my sensitive bladder my daily activities were suffering and I was quite worried about this issue. I consulted many doctors but nothing helped me to get rid of this probelm. Finally I chose to consult Dr Ravi. He helped me immensly to deal with this issue. THe treatment he gave benefitted me great extent.
I was shocked to know that I had to go through dialysis. hertreatment suited me the best and now I am fine. The overall cleanliness in the PSRI was amazing. The lab in the PSRI was very clean and well managed. He ensures that he gives enough time to each patient. I was quite impressed with Ravi Bansal concepts
Due to my lysinuric protein intolerance i was feeling very depressed and had no hope. My previous experiences were not so good, but Dr Ravi Bansal has completely changed my opinion as he is very helpful and humble. he has so much knowledge that for everything my family takes his reference.
Due to my viral hepatitis my daily activities were suffering. Thanks to Dr Ravi, I am totally satisfied with the results. He is so pleasant to talk to and always ready to answer your doubts. I am really grateful as his viral hepatitis treatment has give me a ray of hope.
I read about Dr Ravi Bansal on one of the social media platform. I had kidney failure. My case was extremely serious, but he really handled it very nicely. I was having very bad thoughts regarding my kidney failure. The entire PSRI was spotlessly, clean.
I referred to Dr Bansal for treatment of kidney stones. I feel so great after the completion of treatment. he doesn't just randomly prescribes medicines, but first properly diagnoses the problem. The overall atmosphere in the PSRI is very soothing.
My blood pressure was very high...it kept on fluctuating.I was very worried but after treatment by Dr. Ravi Bansal it is under control. I am very much satisfied with his treatment...He understood my problem and treated me.He is expert in his field
I was having kidney stones due to which I was in too much pain. I consulted Dr Ravi. His surgery helped me immensly to deal with this problem. He is an excellent doctor and has broad knowledge in his field.
I consulted DrRavi Bansal for my problem of alcohol addiction. I must say he gave his best for my treatment. And his clinic PSRI in Delhi is very hygienic. Thanks to him for lovely treatment,
Dr. Ravi Bansal is very cooperative....he understood my problem and treated me well...i am fully cured now
Sir, 8 months back I had 3 to 4 mm stone in kidney after 5 months treatment, stones are gone out, suggest me what kind of food habits to followed.
As important as your kidneys are to your overall well-being, symptoms of their malfunction can be less noticeable. Yet, early detection is vital to prevent future complications and permanent kidney damage. Here are eight warning signs to let you know that your detoxifying organ is not working right:
- High Blood Pressure: High blood pressure is the most common sign of kidney disease, all patients suffering from high blood pressure should know there kidney function status. There is a high chance that they might be suffering from a kidney disease.
- Swelling: Fluid retention is a warning sign that something is up with your kidney function. One of the prime function of the kidney is to keep your body balanced and deliver nutrients through proper regulation of water. If the kidney is not working right, fluid can accumulate in your tissues and you will notice swelling in ankles, feet, face, legs or hands.
- Urine: Afterall, producing urine is one of the main functions of the kidney, so it makes sense to pay attention to your urinary output. If you see the following changes in your urine, then it might signal a kidney problem
- Difficulty in urinating
- Blood in your urine
- Less frequent urination and darker output
- Increased urination and light-coloured output
- Foamy or bubbly urine
- Waking up during the night with urgent need to go, at times more than once
- Nausea: Without a proper outlet to disperse the toxins out of your body, your system may feel the need to expel them through other forms. You may feel nauseated or even vomit due to excessive toxin build-up in your system.
- Fatigue: Everyone has a day when they feel tired, but long-term fatigue is definitely not right. Tiredness or fatigue is produced by a lack of hormone called EPO or erythropoietin that stimulates the production of red blood cells. Stressed kidneys do not produce enough erythropoietin, thereby making you feel very tired.
- Itchy Rashes: When the garbage piles up in the system, it can result in itchy patches in your skin. Unlike normal rashes, these are deep and topical treatment will not help that much. At times they can also manifest as small red bumps.
- Anaemia: If kidneys do not produce enough red blood stimulating EPO, it can lead to anemia. Anemia can make you feel dizzy or winded out.
- Poor Appetite and Bad Taste in Mouth: The excessive build-up of toxins can cause a metallic taste in your mouth, producing bad breath. Your sense of taste can also fall because of this, leading to dull appetite.
It is always a good idea to heed early warning signs and prevent damage. So, pay attention to these signs and keep your renal system up.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Our kidneys are responsible for filtering blood in order to remove all the toxic waste and then clear them out through urine. These tiny filters are known as glomeruli. Like any other organ, the functioning of the kidneys could be affected due to acute reasons, which can lead to accumulation of toxins in the body.
This can be due to either age, injury, infection, or other diseases. Acute infection of the kidneys causing glomerulonephritis is a very common condition. Read on to know more about its types, symptoms, diagnosis, and treatment.
- Can be acute or chronic. Most acute cases follow an episode of viral or bacterial infection like skin or throat infection. Children are more likely to develop this compared to healthy adults. When presenting with reddish urine, it is always important to ask if there was a recent episode of throat or skin infection (bacterial or viral). A positive answer should lead to a suspicion for glomerulonephritis
- Can occur as a separate infection or as a part of other infections like a bladder infection, etc.
- Diabetics are more prone to develop chronic glomerulonephritis
- People with autoimmune diseases like lupus can also develop the chronic variety
- Vascular conditions like polyarteritis which affect multiple blood vessels also can lead to glomerulonephritis
One of the most common symptoms includes the release of blood into the urine, which gives it a cola colour. This red-tinged urine is one of the most obvious symptoms of glomerulonephritis
- Fluid retention can lead to swelling of the legs, hands, and face
- Higher levels of blood pressure
- Chemically, there could be increased amount of protein released into the urine, and urinalysis will reveal higher amounts of protein in the urine
As it can be asymptomatic, it can go untreated and can cause:
Diagnosis: The chronic condition can go unnoticed due to lack of symptoms.
- If the patient complains of red or foaming urine, a urinalysis should be done. This would indicate blood cells, increased protein levels, and increased creatinine levels.
- Blood tests would indicate higher creatinine and BUN levels
- Imaging studies (CT scan or x-rays) can be done in chronic cases to identify the extent of kidney damage
- In some cases, biopsy may be done
- Acute cases may subside on their own or may require a course of antibiotics
- Associated conditions like autoimmune disorders, diabetes, vasculitis, should be treated
- Long-term kidney failure patients may require dialysis or transplant to restore kidney function.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Early kidney disease does not have definite signs and symptoms. Getting tested is the best way to detect how your kidneys are functioning. It is important for you to get checked for early kidney disease if you carry high-risk factors including diabetes, high blood pressure or a family history of kidney problems. Early detection of kidney disease can help slow down its progress and even reverse the damage. Here’s a quick guide to the tests that are used to measure your kidney function:
- Blood Tests:
- Serum Creatinine: Creatinine is a waste product that is excreted because of normal wear and tear in the muscles of your body. If creatinine levels are greater than 1.2, it may be a warning sign that your kidneys are not functioning properly.
- Glomerular Filtration Rate (GFR): How well is your kidney removing wastes and excess fluid from your body? The GFR is a mathematical calculation of kidney function and the lower the GFR, the lower the kidney function. A normal GFR is 90 or above.
- Blood Urea Nitrogen (BUN): The breakdown of protein in the foods you eat is computed by the urea nitrogen value in your blood. A higher BUN value means the kidney is not working right. A normal BUN level is between 7 and 20.
- Imaging Tests:
- Ultrasound: In order to detect any abnormalities in the size or position of the kidneys, an ultrasound can be done as it would give a much clearer picture
- CT Scan: Any structural abnormalities and presence of obstructions need to be examined as well.
- Kidney Biopsy: A thin needle is used to make a small incision in the kidney for microscopic examination. It is done to identify the cause of the disease and assess the amount of damage. This test is needed to select the best treatment option for the patient and know how quickly the disease is progressing.
- Urine Tests:
- Urinalysis: Microscopic examination of the urine is done or a dipstick test can also be done to detect the presence of any abnormalities like excess protein, blood, bacteria, pus or sugar.
- Urine Protein: An excess amount of protein in the urine is called as proteinuria and used to measure the levels of protein.
- Microalbuminuria: A more sensitive dipstick test to detect tiny amounts of a protein called albumin in the urine. This is done for patients with diabetes and high blood pressure.
- Creatinine Clearance: Comparison of the creatinine levels in the blood and urine is done to show how much of waste the kidney is filtering out.
Be well-informed of all the diagnosis that can be done for kidney disease. Prevention is better than cure, so get your kidneys tested periodically to stay healthy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Chronic kidney disease is categorized under various stages and your doctor will periodically assess the severity of kidney damage. Thankfully, the good news is that kidney disease progresses slowly and early detection will help to deter further complications.
How stages of Chronic Kidney Disease are Determined?
The stages are determined by glomerular filtration rate or GFR that measures kidney function. The glomerular filtration rate is a calculation that estimates how well the blood is filtered by the kidneys. It is usually calculated using a formula that takes into account the individual’s age, gender, race and serum creatinine levels. The lower the GFR, the worse the kidney function and more the damage.
Five Stages of Chronic Kidney Disease
The National Kidney Foundation has created a guideline for nephrologists to help identify the severity of kidney damage and provide the right care accordingly. Each stage calls for different tests and treatments:
|Stage||Description||GFR||What Can Be Done|
|Stage 1||Early kidney damage||90 or above||The exact cause of the kidney disease will be determined by your doctor. Your blood pressure and sugar levels are to be constantly watched out for. Opt for a kidney-friendly diet.|
|Stage 2||Mild kidney damage||60 to 89||Continuously monitor your condition and check how quickly the disease is progressing. Manage high blood pressure and diabetes.|
|Stage 3||Moderate kidney damage||30 to 59||Any complications like anemia, bone disease will be checked and treatment will be administered by your doctor|
|Stage 4||Greater kidney damage||15 to 29||Continue treatment and monitoring. If you are progressing towards kidney failure, consult the best treatment options you have based on your condition|
|Stage 5||Kidney failure||Below 15||Start dialysis, consider kidney transplant and choose the right treatment|
How is Chronic Kidney Disease Treated?
The first step is to determine the cause of the disease and then take the right measures to alleviate it. In most cases diabetes and high blood pressure are the prime reasons. So, simple lifestyle changes can help to prevent the progression of the disease and reduce your symptoms. Here’s what you can do:
- Follow a diet that is easy on your kidneys: Watch your protein and sodium intake. Drink the right amount of fluids and incorporate super foods that will not deter your kidney function
- Weight Management: Make exercise a routine part and find the right exercise program that works for you. The more active you are, the lesser health problems you will have
- Avoid tobacco, smoking and alcohol
The first four stages of chronic disease focus on preserving the kidney function for as long as possible. The stages will help you analyze where you stand and what can be done to prevent kidney failure.
Having a kidney disease can make it feel as if your life has spun out of control. But having some knowledge about your kidney disease can save you the stress and trauma that you might experience. Knowledge about the same can also help you take better control over your condition. Here are some frequently asked questions about kidney diseases:
1. How do you know if you are at the risk for kidney disease?
Some basic things are to be monitored to keep away from the risk:
- Blood pressure levels to be monitored at least once a year
- Urine analysis to check protein levels
- Creatinine level in your blood
2. What can we do to take care of our kidneys?
The most important thing is to ensure that your blood pressure and blood sugar are under control. Essential lifestyle changes can help keep your kidneys working longer.
3. How long can I live with Kidney disease?
Many people think that if their kidneys fail, it is the end of their life. But with modern advances in health care, this is not the case. How long you live depends on age, your overall health and how involved you are in your care. Even if you reach kidney failure you can continue to live for a long time with dialysis or kidney transplants.
4. What can be done for fatigue when you have kidney disease?
Fatigue is a common symptom of kidney disease, but there are medications to deal with it. Talk to your doctor to assess your condition and deal with it.
5. Is kidney disease hereditary?
Genetical factors can contribute to kidney disease and around 10% of kidney failures are caused by hereditary factors.
6. Do I need dialysis?
If your kidneys don’t perform their function and the serum creatinine levels reach a certain point, dialysis can be done. The dialysis machine will take over the kidney function of filtering out the impurities from your blood.
7. How long can you stay on dialysis while waiting for a transplant?
There is no set upper limit for the amount of time spent on dialysis. Some patients have gone over 25 years and it all depends on your health condition.
8. What questions should I ask my doctor?
No two people are same. Asking questions is the best way to find where you stand. So, discuss with your doctor on what percent of kidney function you have and what can be done to improve.
9. Can Dialysis be done at home?
Yes, discuss with your doctor to know how it can be done and whether it is good for you.
10. Do kidney stones lead to kidney disease?
No, they don’t lead to kidney failure. But long term obstruction of the kidney can cause kidney failure. If you wish to discuss about any specific problem, you can consult a Nephrologist.
Many of us take the role our kidneys play in keeping us healthy and sturdy for granted. Having your kidneys work well can go a long way keeping you in good shape. You can delay the progression of kidney disease and potentially prevent permanent damage to your kidneys. Here are some things that should be kept in mind in order to protect your kidneys:
- Keep your blood sugar and blood pressure in target range: High blood sugar and high blood pressure levels harm the nephrons in your kidneys and prevent them from functioning well. So, get tested periodically to monitor your levels. Improving them and keeping them under the target range will help to prevent further complications.
- Get moving: Being active will get your blood pumping and thereby, boost blood flow to your kidneys. It helps your heart to be fit too. So for your body, exercise is a win-win. It can help to slow the rate of chronic kidney disease. Keep a goal to get at least 30 minutes of physical activity each day.
- Eat less protein: It is good to avoid protein rich foods as they can stress the kidneys and lead to unnecessary problems. It is important to consume the right amount of protein in your diet and stay away from meat rich in proteins.
- Don’t drink soda: Studies have found a positive link between excessive soda drinking and kidney damage. Two or more diet sodas a day can lead to damage and make it progress quicker.
- Balance your blood pH levels: When the kidneys don’t function right, they fail to keep the acid balance in your body. A low acid diet with natural veggies will help the kidneys to last longer and restronger. Also, sodium bicarbonate can help protect your kidneys by neutralizing the acid content of your blood. You can mix a teaspoon of baking soda with a glass of water and consume it regularly. Consult with your doctor about it.
- Skip canned foods and processed foods: Stick with natural foods and avoid the artificial foods of fast-food joints, ready-made foods and more as they can contain high levels of sodium and other chemicals that deter the kidney function.
- Avoid painkillers: Nonsteroidal anti-inflammatory drugs can cause kidney damage. Since kidneys need a strong blood flow to function well, certain painkillers reduce blood flow and make things worse if you have kidney disease.
- Antioxidants to flush out toxins: Consider taking antioxidant foods that can help kidney function and protect your cells.
Follow the above tips and prevent your kidneys from damage to lead a happier and healthier life. If you wish to discuss about any specific problem, you can consult a Nephrologist.
Kidneys play an important metabolic role and are essential for balancing salt, minerals and water in the body. They also play a significant role in removing waste products from the body. They make urine, which contains all the waste materials that are eliminated from the body. They also play an important role in blood pressure regulation and in maintaining the balance of various minerals in the body. Any suspected kidney damage should be confirmed by a kidney biopsy, which will reveal the exact disease, thereby directing towards the appropriate treatment.
Why and when is it done?
A renal or kidney biopsy is done in the following situations:
- When there is abnormal protein in the blood or urine, which is indicative of a kidney disease, and the exact cause needs to be found out
- When kidney failure is suggested by blood tests but cause is not clear
- To find the cause of bleeding in the urine (haematuria)
- To identify and/or confirm diagnosis after a CT scan or ultrasound
- To check how well a transplanted kidney has been received
Know about the procedure
A renal biopsy is mostly done as an outpatient procedure and is a type of biopsy known as percutaneous biopsy (biopsy where a needle is inserted through the skin into the renal tissue). Very rarely, it may be combined with the CT scan or ultrasound and be done in the radiology department. This may be done on inpatients. The patient is made to lie on his/her back and a local anesthetic is used on the area of the injection. A thin, long needle is directed towards the area of the kidney from where some kidney tissue is removed for sampling.
In some cases, the direction of the needle may be decided by a CT scan or ultrasound. While this is a closed biopsy procedure, in some cases, as a part of the surgery, open biopsies may also be obtained, where a sample of tissue is extracted for analysis.
Recovering from a biopsy
The person would need some time to recover from the procedure, as there would be some discomfort at the site of a needle insertion. Vital signs would be monitored for the next couple of hours during which the person would also be monitored for internal bleeding. A pain reliever can be used if required. Haematuria or blood-tinged urine can be seen disappearing within the next 12 hours. Very rarely the bleeding can be severe and require angiography and further procedures. The person should also avoid strenuous activities for the next few days. 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.
No Blood, No needle, No visit to hospital, you can do yourself at home with water. 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 week before performing the procedure.
The catheter has numerous holes in order to facilitate the transformation 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 perform after a short training period and this can be done anywhere in 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 catheters 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 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.
Make sure you perform without giving way for infection and excess fluid and dextrose absorption. If you wish to discuss about any specific problem, you can consult a doctor.