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Dr. Sandip Bhurke - Nephrologist, Mumbai

Dr. Sandip Bhurke

88 (120 ratings)
MBBS, MD (Med), DNB (Nephrology)

Nephrologist, Mumbai

18 Years Experience  ·  2000 at clinic  ·  ₹200 online
Dr. Sandip Bhurke 88% (120 ratings) MBBS, MD (Med), DNB (Nephrology) Nephrologist, Mumbai
18 Years Experience  ·  2000 at clinic  ·  ₹200 online
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Causes and treatment for Diabetic Nephropathy
Diabetic Nephropathy

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sandip Bhurke

Dr. Sandip Bhurke is a renowned Nephrologist who has a vast experience of 17 years across various fields in Nephrology (kidney). Currently, he is working as a senior consultant Nephrologist in Bhurke Clinic, Andheri West Lokhandwala, in Mumbai. He also works as a nephrology consultant & Physician in Nanavati Hospital and Thunga Hospital.Prabhakar Bhurke Clinic is the one of the best kidney treatment centre in Mumbai.

Dr Burke opened the clinic with the vision to provide quality treatment at an affordable cost. The clinic provides a wide variety of kidney services.Dr. Bhurke graduated (MBBS) from the prestigious college of TNMC & BYL Nair Hospital in 1996. He earned his MD (PG degree) from KEM Hospital in Internal Medicine in 2002. He was awarded the title of Diplomate of National Board (Nephrology) TNMC & Nair Hospital in 2008. His area of expertise includes Kidney Diseases, Kidney Transplant, Hypertension, Dialysis, Renal Biopsy, Vasculitis and CKD & Chronic Kidney Diseases.

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Education
MBBS - Nair Medical College,Mumbai - 1999
MD (Med) - Kem Hospital Mumbai - 2003
DNB (Nephrology) - Nair Medical College,Mumbai - 2008
Awards and Recognitions
Certified Organ Donation And Brain Stem Death Awareness Interactive Talk Volunteer Of ZTCC Mumbai
Professional Memberships
International Society of Nephrology
Indian Society of Nephrology
Mumbai Nephrology Group
...more
Zonal Transplant Coordination Committee

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Prabhakar Bhurke Clinic

#6B of B, Ground Floor, Crystal Plaz, Landmark : Behind Kailash Parbat, Gate No.1 Opposite Infiniti MallMumbai Get Directions
  4.4  (120 ratings)
2000 at clinic
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8 Causes Of Chronic Kidney Diseases!

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
8 Causes Of Chronic Kidney Diseases!

Chronic Kidney Disease (also known as Chronic Renal Failure) is the progressive loss of kidney function occurring over a span of several months to several years and is characterised by the replacement of kidney architecture with nonfunctional fibrotic shrunken tissue. Chronic kidney disease is classified into five stages on the basis or proteinuria (presence of protein in large amounts in the urine) or Glomerular Filtration Rate (GFR) 1 being the mildest with no distinct symptoms and 5 being end stage renal failure. 

Causes and Risk Factors of Chronic Kidney Disease 

The various reasons (called risk factors) that can increase chances of Chronic Kidney Diseases are: 

  • Diabetes mellitus, hyperlipidemia (excess fat proteins in the blood) 
  • Hypertension 
  • Family history heritable renal disease 
  • Older age smoking 
  • Autoimmune disease 
  • Past episodes of acute renal disease 
  • Kidney Stones 
  • Excessive self-medication especially pain killers 

The direct causes of Chronic Kidney Diseases are: 

  • Diabetic nephropathy (leading cause) 
  • Hypertensive nephropathy Glomerulonephritis (swelling of the glomerulus in the kidneys) 
  • Reno-vascular disease (ischemic nephropathy) 
  • Polycystic kidney disease 
  • HIV-associated nephropathy 
  • Transplant allograft failure 
  • Exposure to drugs and toxins 

Diet that you must maintain in Chronic Kidney Disease: 

It is essential to make dietary as well as lifestyle amends once you are diagnosed with CKD. The main purpose of this diet is to maintain the levels of carbohydrates, fluids and minerals. This is done to prevent the buildup of waste products in the body as the kidneys are unable to fulfil its function properly. It is recommended to refer a dietician who can make you a diet chart that helps you adhere to your diet. 

Here is a list of food items that you may avoid or may consume if you are suffering from Chronic Kidney Disease: 

  1. Carbohydrates: Carbohydrates are a good source of energy. If the intake of protein has been restricted, then it is recommended to replace that with carbohydrates as a source of energy. Fruits, vegetables, grains and bread can be consumed as they are rich source of fibres, minerals and various types of vitamins. You can indulge in some hard candies or sweets as well. 
  2. Fats: Fats can provide a good amount of calories as well. Ensure that you only stick to healthy fats such as the monounsaturated and polyunsaturated fats that are good for your cardiac health. 
  3. Reduce your phosphorus intake: A diet with no more than 800 mg of phosphorus can help reduce the risk of too much phosphorus building up in your blood. Limit intake of foods with high levels of phosphate or phosphate additives such as organ meats, whole grain breads, processed foods, cola beverages, cheese, dried beans, liver, peanut butter, dairy products and chocolate. Many beverages and processed foods have these additives. Other high-phosphorus foods to limit include: 
    • Ice cream 
    • Legumes 
    • Milk 
    • Nuts 
    • Yogurt 
  4. Monitor your potassium levels: Usually, potassium is not restricted in stage 3 CKD unless lab tests show potassium is too high. Your doctor may make medication changes or prescribe a low-potassium diet. Reduce an elevated potassium level by limiting some high-potassium foods and potassium chloride (found in salt substitute and many low-sodium processed foods). Some high-potassium foods to limit or avoid include: 
    • Avocado 
    • Bananas 
    • Cantaloupe 
    • Honeydew melon 
    • Dried fruit 
    • Legumes 
    • Milk 
    • Nuts and seeds 
    • Oranges and orange juice 
    • Pumpkin and winter squash 
    • Tomato products (juices, sauces, paste) 
  5. Proteins: Usually, before undergoing dialysis, it is recommended to adhere to a low-protein intake diet. However, when you are undergoing dialysis, it is necessary to consume a certain amount of class one high-quality protein like nonvegetarian, paneer, soyabean, mushroom. This detailed information can be obtained from your dietician. 
  6. Fluids: In the early stages of CKD, your fluid intake is not monitored. But as the disease progresses, you need to check your intake of fluids as too much fluids may accumulate in your body and create swelling in your legs and cause pressure on your lungs and heart. 
  7. Sodium Or salt intake: Keeping a check on your salt intake reduces the risks of high blood pressure. Also, having food low on salt can reduce your thirst and prevent fluid retention in your body. If you wish to discuss about any specific problem, you can consult a nephrologist.
2994 people found this helpful

Diabetic Nephropathy

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
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Causes and treatment for Diabetic Nephropathy

3414 people found this helpful

5 Things About Kidney Transplant!

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
5 Things About Kidney Transplant!

A kidney transplant is a procedure that employs an operation to transplant properly functioning kidney in the body. The main job of the kidneys is to remove the excess waste from a person’s body with the help of a filtration process. When the kidneys stop filtering the toxins properly, they become diseased and harmful waste products and toxins begin to accumulate in the body. Following this, the patient has to go through treatment measures like hemo dialysis or kidney transplant.

Read on to know the five things you should keep in mind about a kidney transplant.

  1. Treatment: Transplant is one of the best ways to treat chronic kidney disease stage-V, until unless it is contraindicated. Life becomes near normal after transplant as dialysis stops and person can go back to job. Though there is a possibility of rejection of transplant kidney. Patient has to take immunosuppressive medication life long.
  2. Medication: Medications are mainly for:
    1. To prevent rejection: Patient takes special immunosuppressive medications life long like steroids, tacrolimus, mycophenolate.
    2. Prevention of infection: Stay away from a person suffering of cough, cold, fever, skin rash. Alternatively you can use face mask.
    3. Other medication: To control diabetes, Hypertension etc.
  3. Family Only: The donors are from family or emotionally related (Spouse) or cadavers deceased donor (after brain stem death). HLA-matched donors are better because of less chances of rejections and faster reduction of immunosuppressive.
  4. Doing Your Part: Once transplant is done patient becomes normal and he/she lives a normal life. However, they have to take regular medications and to protect themselves from various infection.
  5. Need for Kidney Transplant in End Stage Renal Diseases: These diseases includes diabetes mellitus, Hypertension, polycystic kidney disease, chronic glomerulonephritis or interstitial nephritis etc. If you wish to discuss about any specific problem, you can consult a Nephrologist.
2806 people found this helpful

Can chronic kidney disease be be arrested and is there any restriction of water intake or protein intake which may reduce the intensity?

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Can chronic kidney disease be be arrested and is there any restriction of water intake or protein intake which may re...
Eating food or Drinking water does not harm the kidneys. Similarly starving does not correct weak kidneys. Protein restriction includes actually to increase class one proteins like nonveg or paneer to maintain health. Water is restricted if swelling of feet or less urine output.
56 people found this helpful
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Recommended Diet For Nephrotic Syndrome!

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Recommended Diet For Nephrotic Syndrome!

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. Infections
  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. If you wish to discuss about any specific problem, you can consult a Nephrologist.

2932 people found this helpful

Renal Hypertension - Symptoms, Causes And Treatment!

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Renal Hypertension - Symptoms, Causes And Treatment!

Renal hypertension is a disorder, which is characterized by a rise in the blood pressure that results from kidney disease. The blood flow to the kidney is impaired due to the narrowing of the arteries and this leads to renovascular hypertension. 

Symptoms
The various symptoms of renal hypertension are: 

  1. You may experience symptoms of high blood pressure.
  2. Your kidneys may not function properly due to the impaired supply of blood
  3. It may lead to presence of blood in your urine
  4. You may be affected by pulmonary edema that results in accumulation of fluid in the lungs
  5. It may result in severe headaches and confusion
  6. You may experience blurred vision
  7. You may have nosebleeds
  8. The impaired kidney function may also lead to chronic kidney damage. 

Causes
The various causes of renal hypertension are: 

  1. Accumulation of cholesterol in the body may lead to blockage of the artery due to plaque buildup
  2. Smoking may increase your chances of getting affected by narrow arteries

The narrowing of the arteries causes a reduction in the blood supply to the kidneys. This results in the kidneys to release various hormones that instruct the body to hold on to water and sodium. This causes the fluid to accumulate in the blood vessels, thus resulting in high blood pressure. 
The various risk factors renal hypertension are: 

  1. Excessive alcohol consumption
  2. Substance abuse
  3. Diabetes
  4. High blood pressure
  5. High cholesterol
  6. Aging

Treatment
Medications used to treat high blood pressure are used to treat renal hypertension. It is important that you get your blood pressure levels checked on a regular basis. You need to make certain lifestyle changes such as: 

  1. Exercise on a regular basis to keep your heart and body healthy
  2. Limit consumption of alcohol and reduce smoking
  3. Eat well balanced meals to keep obesity at bay
  4. Keep your mind free of stress
  5. Restrict consumption of salt
  6. Maintain optimal weight levels

    If you wish to discuss about any specific problem, you can consult a nephrologist.

3007 people found this helpful

I went for kidney stone surgery. At the time of surgical tests they said I have hepatitis b.what are best treatment for this and can It be cure Completely. I want to vaccinate my wife and my self. Can please any one suggest me best. And hospital people have collected extra amount of 25k because of hepatitis b.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
I went for kidney stone surgery. At the time of surgical tests they said I have hepatitis b.what are best treatment f...
Hepatitis B requires special care and separate instruments during surgery hence cost is more. Since you are already infected hence vaccination is not to be done for you. Gatroenterologist will investigate and treat you. Your wife needs to be tested for HBsAg and possibly also HBV DNA and then vaccinated if negative.
1 person found this helpful
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I am suffering from kidney disease for last 2 yes. Having potassium 5.6 & creatinine 1.7, BP: 134/76, Blood sugar within normal range. How to control potassium & creatinine. Kindly advise.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
I am suffering from kidney disease for last 2 yes. Having potassium 5.6 & creatinine 1.7, BP: 134/76, Blood sugar wit...
Dear lybrate-user Selected blood pressure drugs may cause high potassium. Get all drug strips checked by your Nephrologist. Dietician will assess your diet and help reduce your dietary potassium intake.
2 people found this helpful
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I am 36 years old man. I want to donate kidney to my sister. But my wife is against it. Could it be possible that stitching marks after operation may be invisible by any laser or any other technique using for operation. Please advise.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
I am 36 years old man. I want to donate kidney to my sister. But my wife is against it. Could it be possible that sti...
Dear lybrate-user Request your wife to meet Nephrologist for knowing the pros and cons of surgery. Transplant is safe surgery and your sister will be benefitted immensely.
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My friend's husband both kidneys have failed and 38 years old. Other than dialysis, transplant is there any natural method to retrieve kidney function by consumption of leave etc.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Dear lybrate-user, Allopathy has dialysis and transplant as only alternative. Dialysis should be started if kidney power calculated GFR is less than 10. Transplant is better than dialysis if age less than 60. For further Detailed consultation, you can consult with me privately.
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I am 38 years old male. I underwent blood tests through Thyrocare recently. On the morning of the test I had run 10 km for practice. My test results show high creatinine of 1.26 and egfr 72. Can this be because of the run?

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
I am 38 years old male. I underwent blood tests through Thyrocare recently. On the morning of the test I had run 10 k...
Dear lybrate-user, High creatinine is possible because of dehydration or because of myoglobinuria due to the run. Check urine routine and repeat creatinine after 24 hours. If less urine volume show to nephrologist on emergency basis.
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Dear Doctor, My baby has grade 5 vesicoureteral reflux in both ureters and mild inflammation of right kidney. She is only 2 months old and surgery cannot be performed till she is one year old. I'm very worried. Please help and give your expert advice. Thanks tejas.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Dear Doctor, My baby has grade 5 vesicoureteral reflux in both ureters and mild inflammation of right kidney. She is ...
Dear lybrate-user The baby would require close monitoring by urosurgeon and nephrologist for a long time. I agree with the opinion that weight has to increase before major surgery of baby. Reason for reflux in male child may be posterior urethral valves which may require corrective scopy. If required baby may be kept on long term supra pubic catheter to decompress system or on long term low dose antibiotics called as urinary antisepsis.
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My egfr is15. 4 creatine3. 86 bun 110. Dr. saying bun over 130 require dialysis. Any other way to avoid dialysis and lead healthy life. 1st dialysis done 15 days ago when creatinine was 5.02. What should i do now?

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Dear lybrate-user You possibly are having low weight hence GFR is low. Prefer to continue dialysis. The Nephrologist will discuss whether you have any recoverable factor. This may require kidney biopsy test if kidney size is normal.
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Hello sir, my sister facing a problem we have already consulted to a ganga ram hospital Dr. bt unhone kha ki kidney transplant krna padega nhi to dialysis ktna padega one weak me 2 bar please help me.

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
Dear lybrate-user If your sister is having Chronic Kidney Disease stage 5 then it is better to do kidney transplant.
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My wife aged 52, in her ultrasound in july 2016 in investigating result shows that her left kidney is small in size with reduced corticomedullary differentiation and thinned out cortex. What it means? Is it worry able? What should we do?

MBBS, MD (Med), DNB (Nephrology)
Nephrologist, Mumbai
My wife aged 52, in her ultrasound in july 2016 in investigating result shows that her left kidney is small in size w...
Dear lybrate-user Your wifes left kidney is not functional. To presrve other right kidney keep blood sugar and blood pressure under strict control. Continue high quality class one protein in diet.
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