Doctor in Dr L H Hiranandani Hospital
Submit a review for Dr L H Hiranandani HospitalYour feedback matters!
A kidney transplantation is a surgical procedure where a diseased kidney is replaced with a healthy one.
Once the surgery is over and you are recuperating, it is very important that you make certain alterations to your diet to facilitate faster recovery. You need to maintain your weight and exercise on a regular basis.
What Does a Balanced Diet Include?
After the surgery, eat meals or food items that are low in sodium. A properly balanced diet should include ample amounts of fresh fruits, lean meats, fresh vegetables, dairy products that are low in fat. Drink sufficient amount of water (2-3 litres) to keep yourself hydrated.
Post a kidney transplantation surgery the patient will need to take anti-rejection drugs which are also known as immunosuppressive drugs. These medications lower the risk of the new kidney being rejected by the body. On the flip side, these drugs suppress the immune system making you vulnerable to infections. A healthy diet will ensure that you don’t fall ill.
What Food Items Should You Avoid?
• Consuming undercooked or raw meat, poultry and seafood such as squid, crabs or prawns.
• Consuming dairy products that have been made from unpasteurized milk such as yoghurt and cheese.
• Undercooked or uncooked eggs or any food items that might contain such eggs
• Fruits such as pomegranates or grapefruits
• Unwashed salads, sprouts and vegetables.
Restrain Caution when Consuming Carbohydrates:
When you are taking drugs, it is difficult for the body to utilize all the extra carbohydrates that you consume. This can lead to high blood sugar levels. Carbohydrate-laden food items come from starches and sugars and provide fuel for the body.
In short right after a kidney transplantation surgery, you need to make sure that you are following a diet that is high in proteins but low in sugar. In order to avoid developing diabetes or any associated disease during this phase consult with your healthcare provider and chalk out a proper dietary plan.
I have multiple renal calculi in RK largest in mid calyx measuring 6.5 mm and in LK largest in mid valid measuring 4.3 mm. I.e bilateral nephrolithiasis. I want to avoid any kind of surgery. What to do.
Kidneys stones are a common condition. They are quite different from Gallstones which are formed in the Gall bladder. Gall stones are from bile concentration in the gall bladder. "Silent" Gallstones which are detected on an ultrasound done for another cause, can be left alone.
However, silent kidney stones should never be left alone. These can silently grow to a large size and cause kidney failure without the patient ever experiencing pain. Every patient of stone needs to be evaluated by blood tests, ultrasound and possibly CT-scan. Small stones 5 mm or less may pass out naturally, but should be monitored on Ultrasound to confirm clearance. Larger stones are cleared by a variety of Endoscopic Operations like Ureterorenorenoscopy, PCNL or ESWL. These need 1-2 days hospitalisation and have quick recovery. The stone removed should be analysed for contents so that appropriate preventive measure in diet and medicines can be started as soon as possible.
Infection caused in the kidneys, bladder, urethra or the ureters is known as urinary tract infection. According to doctors, women are generally more at risk of suffering from this condition than men. Some of the causes which contribute to the development of this infection are-
1. Invasion of bacteria
Like any other infection, one of the causes of urinary tract infection is the invasion of the bacteria Escherichia coli in the bladder. This type of bacteria is most commonly found in the gastrointestinal tract and is most often held responsible for urinary tract infection.
2. Spreading of the bacteria from anus to urethra
The spread of the gastrointestinal bacteria from the anus to the urethra leads to the infection of the urethra thereby causing urinary tract infection.
1. A nagging urge to urinate
One of the most predominant symptoms of urinary tract infection is a persistent, nagging urge to urinate. You would know your urinary tract is infected when you feel the urgency to urinate extremely frequently.
2. There is a burning sensation when you urinate
The symptoms of urinary infection are extremely visible and are felt intensely by the one suffering from it. If you feel a burning sensation while urinating, chances are extremely high that you are suffering from urinary tract infection.
3. Red colored urine
Sometimes your urine may contain perceptible amount of blood in them. In most cases, presence of blood in urine is a definite sign of urinary tract infection.
4. Foul smelled urine
An internal infection in the urinary tract manifests itself in different ways. One of the chief symptoms of this infection is discharging foul smelling urine.
5. Pain in the pelvic area
Women who suffer from urinary tract infection experience excruciating pain near the pelvic area, sometimes extending to the pubic bone.
Kidney transplant surgery is a surgical procedure where a healthy kidney is used to substitute a diseased one. The healthy kidney is obtained from either a deceased donor or a family member who has a good blood type match with the recipient. Usually, the recipient receives one kidney if the donor is alive and/or both the kidneys from a deceased donor.
Certain reasons for going for a kidney transplant surgery might include:
1. Kidney failure due to diabetes
2. Infections in the urinary tract
3. Autoimmune disorders such as lupus (an autoimmune disorder)
4. Polycystic kidney disorders
5. Obstructions in the kidney
6. Glomerulonephritis, where inflammation occurs in the kidney
Preparation for the surgery
Before the procedure, certain tests are carried out to determine your suitability for the procedure. The tests start with a psychological evaluation followed by blood tests and diagnostic tests to check for health problems. Once the tests are done, you will be placed on the waiting list for kidney recipients. Once the donor is available, you will be asked to get ready for the surgery.
Procedure: The procedure begins with you being administered general anesthesia. An incision is made in the lower part of the stomach, through which the donated kidney is inserted in the body. The next step involves attaching adjacent blood vessels to the kidney so that it has a proper supply of blood. Finally, the ureter of the kidney is linked with the bladder, facilitating normal disposal of bodily wastes. A plastic tube, known as a stent, is placed in the ureter to facilitate urine flow. This is later removed by a procedure called cystoscopy. Once the surgery is completed, the incision is closed by stitches.
Aftercare: After the procedure is completed, you will be given painkillers to ease the pain. Immunosuppressant medications will be prescribed to prevent your immune system from destroying the cells of the donated kidney. Usually, the duration of stay at the hospital post-surgery is about a week.
My father's age is 67 years. He has chronic kidney disease. His creatine level is 2.1 to 2.3 since last two years. He has no diabetes or high blood pressure but the reason behind ckd is excessive use of painkillers. I'm really worried about my father please tell me can ckd stage 3 be controlled so that is won't progress to dialysis. What is the life expectancy of my father. His size of kidneys are just 30-40%.
Mujhe urine bar bar aata tha and pet ke neeche uncomfortable feel hota tha mre kidney me stone ki problm hai and yeh problem mujhe hui ar meri family me ladies ko v yehi problm ho gyi .Agar mujhe kidney me stone ke karan uti hua ho toh kya kisi ko yeh bimari meri wajh se ho sakti hai kya? Plzzz reply.
Our kidneys act as filters which constantly flushes out toxins and excess minerals with water in form of urine. Urine contains lots of minerals which may precipitate and form stones. Urine has lots of pro-precipitating agents and anti-precipitating agents. When their balance disturbs due to some disease, stones start forming. These stones may often lead to abdominal pain which is referred to as renal colic.
What exactly is renal colic?
Renal or ureteric colic is the term used for typical pain in one side of abdomen in flank region starting from back and radiating forward towards lower abdomen up to scrotum. This is usually associated with nausea, vomiting and urinary discomfort. There may be blood in urine.
How kidney stones are related to renal colic?
Kidney stones usually form inside kidney and lies there without causing any pain. But whenever they are dislodged and stuck at mouth of kidney (pelvis) or anywhere in ureter, they block the passage of urine of that kidney. This causes swelling in kidney termed as hydronephrosis. This swelling in kidney causes renal / ureteric colic. This colic is protective phenomenon and tries to push out the stones. Small stones do come out in urine by this natural process. This spontaneous expulsion of small stones is common and many local practitioners used to get credit of it feigning benefit of their medicine. However large stones need some form of intervention to come out. Otherwise, they do harm to kidneys in long term.
Symptoms of kidney stones along with renal /ureteric colic -
- Most stones which are lying in calyces of kidney are asymptomatic
- Nausea & vomiting
- Frequent urinary tract infections
- Fever with chills
- Foul smelling urine
- Hesitency, frequency and burning in urination
- Blood in urine (urine with a reddish, pink or brownish hue)
- Passage of small stones in urine
Treatment of renal colic
Treatment of ureteric/renal stones involves control of symptoms and stone removal.
- Expectant Treatment or Medical Expulsion Therapy: Small stones of less than 4 mm size usually pass on its own and some medicines like alpha-blockers and steroid hasten up their expulsion. Medium size stone (4-6 mm), sometimes passes with aid of these medications. But stones larger than 6 mm usually require intervention.
- Lithotripsy: This method involves breaking of stones by shock waves into small dusty particles which pass through urine on its own. This is usually suitable for stones upto 1.5 cm and lying in kidneys. This is non-operative treatment which can be done on OPD or Daycare basis.
- Ureteroscopy (URS): This method involves entry of very thin semirigid scope through urethra into ureter. Stone is broken by LASER and removed. This involves single day admission and spinal anaesthesia.
- RIRS- Retrograde Intra Renal Surgery: In this method very thin flexible scope in maneuvered through urethra into the upper ureter and pelvi-calyceal system of kidney. Stones in kidney or upper ureter are broken by LASER and removed. This is also done under anaesthesia and requires a day admission.
- Mini- PCNL: This method is suitable for large renal stones. In this technique, a small hole is made into the kidney through back and tiny scope is entered into the kidney. Stones are broken by LASER and removed. This is done under anaesthesia and require two to three days admission.