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Kidney Disease: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Nephritis is inflammatory kidney disease caused by infection but is mostly caused by autoimmune disorders and nephrosis is noninflammatory kidney disease. Treatment and management of nephritis depends on the cause provoking the inflammation of the kidney. In case of lupus nephritis, hydroxychloroquine can be used. Immunotherapy is most significant methods for patients to recover from lupus nephritis. Chronic kidney disease is loss of kidney function. It is a long term form of kidney disease. The main aim in case of chronic kidney disease is to slow down or stop the progression of chronic kidney disease. Control of blood pressure and treatment of original disease are the principles of management. At the last stage replacement therapy is done. Acute kidney injury is a sudden loss of kidney function that develops within seven days. Treatment depends on the cause. The main goal is to prevent cardiovascular collapse and death.

How is the treatment done?

Chronic kidney disease can be classified into five stages. Stage one is the mildest and stage five is the most severe condition. If the cause of CKD is vasculitis or obstructive nephropathy , it may be treated directly to delay the process of damage. In advanced stage treatments for anaemia, kidney bone disease or chronic kidney disease-mineral bone disorder may be needed. Treatment of blood pressure is also required. Usually, angiotensin converting enzyme inhibitors or angiotensin II receptor are used which slow the progression and reduce the risk of cardiovascular events like heart failure, stroke, etc. At stage five, renal replacement therapy is applied in the form of either dialysis or a transplant. In prerenal acute kidney injury without fluid overload, administration of intravenous fluids is the first step to improve kidney function. Myriad causes of intrinsic AKI require some specific therapies. Intrinsic AKI due to vasculitis or glomerulonephritis may respond to steroid medication, and in some cases plasma exchange. Renal replacement therapy such as with hemodialysis may be used in some cases of AKI. Dialysis is used in those who are suffering acute kidney injury or stage 5 chronic kidney failure. There are three types of dialysis- hemodialysis, peritonial dialysis, and hemofiltration.

Who is eligible for the treatment? (When is the treatment done?)

If a patient is detected with an increase in serum createnine or protein in the urine, then the patient must undergo treatment of chronic kidney failure. If there is accumulation of urea in the body which can lead to fatigue, loss of apetite, headache, nausea, vomiting and if there is increased potassium level leading to abnormal heart rhythms then the patient must consult a doctor. In order to get kidney transplantation patients must meet some standardized criterias which are based on lab tests and amount of waste product in a man’s blood. Age and health conditions are also considered.

Who is not eligible for the treatment?

As there are some adverse effects of certain treatments like low pressure is the most common complication of haemodialysis, it is better to consult a doctor. Patients with serious medical histories should seek suggestion before any treatment. Like if a patient has high sugar, liver transplantation may not be suggested to him.

Are there any side effects?

There are some side effects of dialysis and kidney transplantation. Low blood pressure is the most common side effect of dialysis. Nausea and vomiting are also associated with this. Patients undergoing dialysis in winter can experience dry or itchy skin. Another common side effect is that a patient keeps on moving their leg because their leg nerves and muscles create a crawly or prickly sensation. It also leads to muscle cramping. Hernia is a potential side effect of peritoneal dialysis. Patients also had to deal with anxiety and depression. Kidney transplantation carries risk of significant complications like- blood clots, bleeding, infection, failure of donated kidney, rejection of the donated kidney etc. Anti-rejection medicines have side effects like diabetes, bone thinning, high blood pressure, high cholesterol, infection, etc. Angiostenin-converting-enzyme inhibitor shows some adverse effects like hypotension, cough, hyperkalemia, fatigue, dizziness, nausea.

What are the post-treatment guidelines?

Some post treatment guidelines are required especially after transplantation and dialysis. In case of transplantation, anti-rejection (immunosuppressant) medications are given to prevent the body from rejecting new kidney. Treating infections is the best way to keep transplanted kidney healthy. As there remains a risk of getting heart disease, so it is better to control high blood pressure. Maintain healthy weight, stop smoking. In case of dialysis, a patient will need to limit certain food intake, doctors may recommend certain vitamins. Smoking is prohibited and medicines like ibuprofen, naproxen should be avoided unless the doctor prescribes.

How long does it take to recover?

Medications will be given in accordance with the disease. Time of recovery will thus depend on the disease and its stage. Dialysis does not cure kidney disease but does the function of normal kidney in case of kidney failure. Hemodialysis is generally done 3 times a week for four hours each. In case of chronic kidney failure patient will have to take dialysis for the rest of their lives. Nephritis is curable and will recover after right medication. If the symptoms recur then recovery will take time. Nephritis resolves completely in 60% adults and 90% children.

What is the price of the treatment in India?

Cost of treatment depends on the method chosen to treat the kidney disease and the health condition of the patient and the stage of the kidney disease. The cost of getting haemodialysis is around Rs.12000-15000 per month while in case of peritoneal dialysis it is around Rs.18000-20000 per month. Getting a transplant done costs around Rs.4 lakhs on an average.

Are the results of the treatment permanent?

There are various methods of treatment of kidney disease. In case of dialysis, it is usually permanent but not always. Acute kidney failure can get better with treatment but in case of chronic kidney failure the kidneys are severely damaged and cannot get better even after dialysis. In case of kidney transplant patient’s own body can reject the new organ.

What are the alternatives to the treatment?

There are some alternative treatments for chronic kidney diseases. Emphasis should be laid on dietary modifications. Foods rich in protein especially pulses, spinach should be taken in moderation. Use natural diuretics like Celery leaves, cucumber, tomatoes, grapes, watermelon when swelling is profound. There are certain herbal remedies used in treating kidney diseases. Punarnava is very useful herbal diuretic; varun is another excellent care for kidney failure; gokshur is used as a diuretic and a herbal tonic for genitor-urinary system. These herbal remedies are very useful for maintaining kidney health.

Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range: Rs.500-Rs.5 lakhs

Popular Health Tips

Best Diet For Patients With Kidney Problems!

DNB (Urology), MS, MBBS
Urologist, Gurgaon
Best Diet For Patients With Kidney Problems!

Patients suffering from kidney related disorders need to closely monitor their diets to be healthy. Certain changes in the diet such as limiting fluid intake, limiting certain electrolyte such as phosphorus, potassium, salt etc, consume just enough calories that are sustainable for the body etc is necessary. The purpose of the dietary changes is to ensure that the patient consumes only so much stuff that can be excreted with limited kidney function.

While a patient should seek a doctor’s or a nutritionist’s advice before following any diet plan, here is a generic diet plan that fits the bill:

  • Eat the right food with less or no salt: For a patient suffering from kidney ailments, the daily intake of sodium should be less than 2,300 mg. It is, therefore, advised to consume fresh food rather than packaged food. Instead of consuming prepared, frozen food, it makes sense to prepare food at home right from scratch so that the sodium level could be controlled right from the word go. To compensate for the salt, one can use certain spices, seasonings, and herbs etc to improve the taste of the food.
  • Eat the right type and the right amount of protein: Consuming protein accumulates waste and kidney end up removing this waste from the body. It is, therefore, pivotal to limit the protein intake in the diet so that kidney doesn’t have to overwork. A very limited portion of animal and plant protein such as chicken, eggs, dairy, nuts, grains should be consumed after prior consultation with the doctor with a medical professional.
  • Choose healthy food that supports the cardiovascular system: To ensure that fat does not build up in the heart, blood vessels, kidneys etc. it is necessary to choose a diet that is friendly to the heart as well. Following guidelines should help:
    • Instead of consuming deep-fried food, it makes sense to consume broil, roast or stir-fry foods.
    • Instead of consuming butter, olive oil helps the kidney to reduce work
    • Trimming the fat portion of meat is strictly advised
    • Some of the good-to-consume food include beans, fish, fruits, poultry etc

The next steps to eat healthily: If the kidney function keeps deteriorating, over time a patient will have to forego alcohol, smoke, trans and saturated fats. The level of potassium and phosphorus should be brought down to a considerable extent as well. Since phosphorus degrades the level of calcium in the body, there is a good chance that the bone and the teeth might become fragile. It is also important to get all the medicines checked as well. Certain medication can increase the level of potassium in the body.

Following a diet chart at various stage of the kidney function can help a patient mitigate any drastic risk involved with the kidney.

10 Essential Foods For A Healthy Kidney!

DM - Nephrology, MBBS Bachelor of Medicine & Bachelor of Surgery, MD - Medicine
Nephrologist, Gurgaon
10 Essential Foods For A Healthy Kidney!

Maintaining a strong and healthy kidney becomes rather challenging over the years as most people engage in a variety of activities and habits that slowly but steadily damage these vital organs. Furthermore, the symptoms of kidney failure are quite broad, ranging from leg swelling to high blood potassium; the extensive but confusing nature of these symptoms make it one of the more difficult disorders to identify and then treat. Thus you must make certain that you are going for food items that will prevent the disruption of your kidney functions.

  1. Red Bell Peppers: Since red bell peppers contain a very low amount of potassium, they will enable the kidney to perform all of its functions in a safe manner. They also contain an important antioxidant by the name of lycopene that fends off cancer growth in the body.
  2. GarlicThis particular root vegetable also holds within it numerous medicinal properties. Not only does it add a lot of flavour to cooking, it has also proven to reduce renal reperfusion, a condition linked to kidney failure.
  3. Bamboo Shoots: As strange as it may sound, bamboo shoots bolster your immunity levels to an impressive extent. It also helps with cholesterol and blood sugar.
  4. Onions: Though you might already be familiar with numerous forms of onion in your daily assortment of dishes, you must also note down how onion aids in reducing blood viscosity and blood pressure, both of which can lead to kidney damage.
  5. Lemon Juice: Normally thought of as refreshment for the hot summers, lemon juice is actually a surprising safeguard against the onset of various kidney diseases. It maintains your pH level, promoting stronger immunity within your body.
  6. Berries: Through a combination of strawberries, blueberries, raspberries, and cherries in your diet, you will be able to avoid the build-up of toxic substances in your kidneys. They also provide a healthy amount of fibre, vitamin C, and folic acid.
  7. Watermelon: This wildly popular summer fruit is filled with lycopene, which, as mentioned before, is a strong antioxidant that sees to the avoidance of renal injuries. It also picks out certain oxygen radicals and clears them out.
  8. Turmeric: This essential spice that you may already be acquainted with is, in fact, a surprising source of antioxidant. It also protects your body from the accumulation of certain cancer cells. It is also said to improve your digestive tract.
  9. Carrots: Carrots are a good source of vitamin A, which enables your kidney to clear out the harmful toxins from the urinary tract. They also reduce your creatinine levels, which makes you prone to numerous kidney diseases.
  10. Water: An essential item that controls your body in more ways than one, water is one of the most effective ways to clear out all sorts of suspect substances from your system.

Thus, by including most if not all of the foods mentioned above, you will be able to protect your kidney to the best of your ability and ensure the best renal health for yourself.

24 people found this helpful

Surgery For Kidneys - Know The Benefits!

MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
General Surgeon, Delhi
Surgery For Kidneys - Know The Benefits!

Surgery is basically the most important treatment for majority of kidney cancer and without undergoing surgery, the chances of survival for the patient are very small. Surgery for kidney tumor is also beneficial for the people who has cancer in different other organs of the body. People also live longer with the help of the removal of the kidney which contains cancer thus even if cancer has spread beyond just the Kidneys, the doctor might suggest kidney surgery.

The removal of kidney tumor can also be used to prevent or reduce symptoms like abnormal bleeding or pain. Some of the tissues surrounding the kidney or the entire kidney might be removed depending on the location or other factors involving the tumor for cancer.

Risks or Side-effects of the Surgery
Surgery of any type might have some risks which can be short term like abnormal bleeding, blood clots which will eventually lead to infection. Majority of people does tend to have pain after undergoing the operation which usually could be benefited with the help of pain medicines. Some other possible risks are:

  1. Some internal organs such as spleen, pancreas, large or small bowel or some blood vessels might be damaged after undergoing the operation.
  2. Internal organs might observe some bulging near the area of surgery because of the issues with the healing of the wound which is known as incisional hernia
  3. If the remaining kidney is unable to operate then there might be the risk of Kidney failure.
  4. Is the chest cavity lets in unwanted air then there is a risk of Pneumothorax.
  5. There is always a risk of urine leaking into the abdomen.

Advantages of Kidney Surgery
Transplantation surgery tends to have some benefits. Which minimises the need for dialysis and helps the patients enjoy life at its best which more freedom productivity and energy. Although majority of the patients before being first evaluated for surgery are on dialysis. But the patients who are undergoing end stage renal disease might be referred for surgery even ahead of dialysis.

A successful kidney surgery can provide you with more than just your health back. It can also provide you with an even better quality of life. There are several cases where the majority of patients return home and also good work and still lead a quality life after the transplantation therefore this treatment is preferable for several patients.

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!

2843 people found this helpful

Kidney Health - Foods That Are Good For You!

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Kidney Health - Foods That Are Good For You!

Kidneys play a vital role in maintaining the healthy balance between the body fluids by filtering out the harmful chemicals and toxins out of the body and the blood which gets flushed out with the urine. Thus, proper functioning of the kidney is vital to ensure a sound health. At times, some diseased conditions or unhealthy lifestyle habits (such as uncontrolled alcohol consumption, not drinking sufficient water, suppressing the urge to urinate regularly) can have deleterious and threatening effects on the kidneys. In addition to the above-mentioned triggers, the diet can also have an impact on the kidney health.

Some foods are known to work wonders to keep the kidneys healthy and disease free. In this article, we will discuss some of the foods that are indeed a blessing for kidney health and should be a part of our diet. Healthy foods for the kidneys Zeroing upon the right type of foods (both solids and fluids) can go a long way to keep the various kidney ailments at bay, ensuring that the kidneys function optimally. 

  1. Red bell peppers: Low in potassium and laden with Vitamins (A, B6, C, folic acid), Fiber and Lycopene (an antioxidant that comes with many health benefits), red bell peppers can do the kidney a world of good. 
  2. Garlic: Garlic comes with anti-inflammatory, anti-clotting, and antioxidant properties, all of which are essential to keep the kidney healthy. 
  3. Onion: Onion, on the other hand, is rich in flavonoids, chromium, and quercetin and is the right and healthy choice for the kidney. 
  4. Cauliflower: Cauliflower is known for high fiber, Vitamin C, and folate content and contributes towards keeping the kidney healthy. 
  5. Berries: The berries, especially Strawberry, Blueberries, Raspberries, are all rich in Vitamin C, folate, manganese, antioxidants and fibers and are considered extremely beneficial for the kidney. Cranberries are equally healthy and keep a host of kidney and urinary tract infections at bay. 
  6. Omega-3: Fish that are a rich source of antioxidants and Omega-3 fatty acids are considered to be kidney-friendly and should be a part of your diet. It is also a healthy option to include cherries (high in antioxidants and phytochemicals), apples (high in fiber and comes with anti-inflammatory properties), and olive oil (rich in oleic acid and antioxidants) into the diet. 

A well-hydrated body enhances the functioning of the kidneys by several folds. Thus, one should sip water throughout the day. Limit your daily intake of sodium to less than 2,300 milligrams. Avoid processed foods as they contain preservatives and high amounts of salts. The intake of animal proteins, foods rich in phosphorus, dairy products, caffeinated drinks, and beverages should also be in moderation as these foods can trigger inflammation of the kidneys as well as the formation of kidney stones. Foods rich in LDL or the bad cholesterol are best left avoided. In case you have a concern or query you can always consult an expert & get answers to your questions!

1948 people found this helpful

Popular Questions & Answers

My father in-law was diabetic patient, and also kidney problem, creatinine is 2.6, yesterday for him hydrocele operation was happened, after wards he got water bubbles around navel, skin became black. He is taking insulin injection daily. What was happened to him, is anything serious?

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
Hi sir, Kidney is not functioning, as creatine is on higher side. And further advice can be given to you after examination only.

My RBC, WBC & HgB is higher than normal value. Creatinine = 1.3 HbA1c = 8.4 SGOT & SGPT is also high. Please explain me thanks.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
These reports suggest that you need strict diabetic control and also your blood pressure is also affecting kidneys since creatinine is on higher side.

Recently I got microalbumin test of my urine on spot and creatinine. creatinine vague is 0.7,eGFR 96abd albumin is 32. 0 mg/dl. What does that indicate? Is my kidneys are affected? What should I do. I am also diabetic.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Considering your age and having diabetes, the creatinine level, eGFR and microalbumin are well within the range. There is no reason to worry. Only thing is you have to keep a good control of blood glucose. Thanks.
1 person found this helpful

My small Right kidney with mildly raised renal cortical echo genicity with loss of corticomedullary differentiation in multi areas. Small areas of scarring noted.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
If your left kidney and serum creatinine is normal then nothing much to worry. You should consume plenty of fluid daily and avoid drugs which harm kidneys.
2 people found this helpful

Hello My father is suffering from kidney disease he is 70 years old and have weak kidneys. Taking medicine from Aims. But now he is feeling pain in back n shoulder n chest. According to recent test his creatinine is 5.2 and uric level is also high. What we need to do now? Should we go for dialysis? How much is the cost for 1 time dialysis? Please advise.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
If your nephrologist has advised about dialysis then please go ahead. He will start feeling better. Dialysis is not very costly these days.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Kidney Related Diseases
Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function.Treatment for chronic kidney disease focuses on slowing the progression of the kidney damage, usually by controlling the underlying cause.
Play video
Is It Dangerous For Kidney To Hold Your Pee?
Hello friends,

I am Doctor Anirudh Kaushik and senior consultant Urologist at Holy Family hospital and my clinic is complete family Clinic and program.

Today I will talk about stone disease especially the kidney stone disease. In Kidney Disease wants her very prevalent in North India and this part of Delhi Haryana and Rajasthan. The incidence of kidney stones is very high or simply because of hot weather kidney stones can be of many times it can be a renal stone which is a kidney stone and lying on one side not obstructing then it required only medical management system can be a kidney stone which is blocking the urinary passage most likely require surgery.

And many times when the patient comes with the stone is stuck in the ureters the urinary stones are the most troublesome because the cause severe policy the prevention of kidney stone why North India has so much prevalence of kidney stone is one should drink at least four to five litres of water in summer season or 3 to 4 litres of water in winters if you give yourself well hydrated anyone if you have a tendency to take excret certain salts in your urine those salts will remain hydrated has been detected and will not give rise to formation of Crystal and one thing very important to understand here is if you have been really very religiously taking care of your hydration but if even for 5 minutes if urine is concentrated then a crystal formation offering can precipitate formation of a stone because crystal forms that are the foundation stone laid of a stone in the future.

However stones can again be treated with swl which is extracorporeal shock wave Lithotripsy but the stone sem enable for this modality of treatment are the one which is not very obstru ctive in nature and now we don't treat big stones with this because this modality the advantage meaning that the shock wave is given from outside no surgery of any kind is performed but it only brake system and the passage of all those broken down fragments is on the person so bigger the stone more the fragments more fragments will have to fast way we are seeing all these treatments main give you problem so that is why is wl is not so popular as we thought it would be the most commonly used mortality for treatment of kidney stone is PCNL in which a punctured is down to the skin write into the kidney and a guide wire is passed into the kidney and all that died by v dilator track and have access to the kidney through a tube through that you will pass a telescope in break the stone with laser and all the broken down fragments are immediately removed through that tube which has access from the skin to the kidney and at the end a stand double standard space inside and this is about the kidney stones the other states which are very commonly found unitrix stone for that the modality is like you refer scopic Lithotripsy or RIRS same principal telescope is passed into the ureter stone is seen and broken down with the laser and Statistics it so it requires only one or two days of hospitalization and one is free of the disease

Thanks you.

Play video
How To Protect Your Kidneys And Keep Them Healthy?
Good Evening Folks!

I am Dr. Sunil Prakash, nephrology. I want to talk to my friends about how to save our kidneys. Kidney diseases are becoming incrementally explosive in India. It is possible due to bad lifestyle and bad food habits and due to pollution and our food change and water change being poisoned by excessive use of fertilizers, chemicals and pesticides. That is why more and more patients are now coming with advanced renal failure. Some important causes of kidney failure are diabetes, high blood pressure and pyelonephritis. Pyelonephritis means inflammation of the kidneys. To prevent kidney disease, I would give you the small formula which I say avoid 5 S. First S is sugar. Avoid excess sugar because excess sugar causes diabetes.

And diabetes causes 50% of kidney diseases. 2nd S is extra salt to be avoided. Increased salt intake gives rise to high blood pressure which causes again lot of kidney failure. 3rd S is smoking. Smoking is bad for heart and kidney and causes damage of both. 4th S is stress. Modern lifestyle is full of stresses, but it is our ability to cope these stresses positively which will give us benefit in our life and inability to cope with stresses causes lot of damage to our organs. 5th is sedentary lifestyle. Sedentary lifestyle means couch potato. Such people will get high sugar. They will be obese, and they eventually get diabetes. Such patient also gets lot of kidney failure. So, if you can avoid these 5 S. Plus if you can avoid some Ds. What are these Ds? Ds are drugs. Like indigenous drug, homeopathic, ayurvedic and painkillers, allopathy should be avoided.

They damage the kidney. Even now some commonly used drugs like are also being implicated which causes kidney failure. Any drug which is taken without consideration or without consultation is competent to cause kidney damage. It is called interstitial nephritis. And sometimes it leads to irreversible damage. So, avoid drugs, avoid unnecessarily IV, angiography, CT scans. They should only be done when there is enough evidence that by doing this test and diagnosis, the patient will benefit. And the benefit is more than the risk of die. 3rd D is to avoid dehydration. Especially in summers, in India, especially north India, especially elderly people wo are diabetic, if anti-blood pressure medicines, they should avoid dehydration. Sometimes the dehydration will cause fall in blood pressure and will give rise to acute kidney failure.

So, if you can avoid all these things and live the good lifestyle or top of it I would recommend, people who are above 50 years of age, who are diabetic, hypertensive or whose family has the history of diabetes, kidney failure or any other hereditary failure, they should go for a routine check-up at least once in 6 months. And the check-ups are very simple. Like doing your blood pressure, measuring your blood sugar, doing your serum creatinine and ordinary urine examination. In fact, all healthy people, middle age people should also do it. So, at this point of time, I think I want to say that the treatment of chronic kidney disease by dialysis and transplantation is very expensive. In a country where average income is 15,000/- to 20,000/- of a family for four people.

For them, dialysis and transplant are not possible. The future of kidneys diseases and management in our country lies in prevention and that is what friends, let us lead a good healthy lifestyle. Let us avoid pollution. Let us eat normal foods and lead a good active life. Another important thing is to eat little bit less and walk more. Middle-aged people at least should walk 10,000 steps every day. If we can follow these simple rules, we can be safe from dialysis and transplant.

And thank you very much for your time.
Play video
Early Warning Signs of Kidney Disease

My name is Dr. Sudeep Singh Sachdev and I am currently working as a consultant nephrology in Narayana Super Specialty Hospital, Gurugram, Sec-24. Today I will be talking about the early warning signs of kidney diseases. Now millions of people on this earth are suffering from kidney diseases but most of them do not even have the idea about it. Why? Because most of the kidney diseases present with non-specific symptoms and are only prevalent when the patient prevents in advance stages of the disease. While the only way to confirm the presence of kidney diseases is to get confirmatory investigations done which include blood test, urine test and various form of image investigation.

However, the following are the few early signs of kidney diseases. One of the earliest sign is the appearance of swelling over the feet, ankle or legs. One will start to notice edema which pits on applying pressure and often termed as pitting edema. This is usually due to the fact, that when renal dysfunction advances, there is salt retention and accumulation of fluid in the extra vascular spaces of the body. Now another common and early sign is the presence of periorbital puffiness which is the appearance of edema on the upper and lower eyelid. It especially occurs in people who have protein leakage from their kidneys. And in often termed as nephrotic syndrome.

Another one of the early signs is the presence of early morning nausea. Now the patient would classically present to the bathroom at the time of brushing his teeth with the sensation of early morning nausea which leads to a separation of his appetite and decreases in taking of food during the day. This in turn can also be expedited if the patient also complaints during the later stages of disease with the sensation of metallic taste because of which he starts to deny even the most favourite products which he had loved to eat beforehand. Now another one of the early sign is anemia. By anemia I mean there is a fall in hemoglobin without any apparent blood loss from the body. There is no visible site of blood loss but the hemoglobin of the person starts to fall.

The reason for this is that kidney is a site where there is production of erythropoietin in the body. And erythropoietin is required for hemoglobin production. As renal dysfunction advances there is decrease in erythropoietin levels which present as low hemoglobin levels thus leading to anemia. Now another one of the early signs is the change in the frequency of urination of the person. One might start to urinate more often and it is often described as increase in the frequency of maturation during the night termed as notaria. This can also happen during prostate disorder in man and also urinary tract infection or could be the early sign of kidney disease.

Now one should also be very careful about any changes that occur in the nature, consistency or color of urination. As the filtering mechanism of the kidney fails, there is leakage of both protein or blood cells from the kidney. Thus the presence of blood could indicate the presence of prostate disorder, urinary tract infection or even presence of tumors of the kidney, presence of pus in the urine along with fever which indicates the serious infection of kidneys like pyelonephritis or excessive frothiness of the urine would indicate presence of great amount of protein leakage which needs to be evaluated in further detail. Another non-specific sign would be the presence of dry skin or psoriasis. As the renal dysfunction would advance there would be also associated itching and one can notice itch marks on the skin of the person. Now a non-specific early sign could also be either a backache which would present as pain along the side or below the rib or even lower abdominal pain which could be in pubic region.

This will either indicate the presence of stone, maybe in the kidney or in the bladder itself or the respective infections. Last but not the least, another presenting sign of kidney disease could be the high blood pressure. Often when high blood pressure detected it s not evaluated for kidney etiologies. Thus, it is very important for any person who presents with hypertension to get his kidney function test done along with imaging of the kidney to rule out renal etiology of hypertension. Lastly, I would like to mention that recognition and awareness along with timely intervention would lead to early detection and treatment of a kidney disorder which otherwise, could end up with dialysis, transplant or even an unfortunate circumstance as death.

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Chronic Kidney Disease: Causes You Need To Know
I am Dr Waheed Zaman principal consultant Urology and liver transplant Max Shalimar Bagh and Max Pitampura New Delhi. Mai yahan pe, I am the head of the transplant unit. I am looking after many CKD patients.

So I thought I will share my views on CKD, CKD is Chronic Kidney Disease and it has got 5 stages there are various causes of CKD and as we know in India diabetes and hypertension is quite common and CKD is the major cause of renal failure, patients are due to diabetes and hypertension. In India almost if you see 60% of chronic kidney failure cases are due to diabetes and hypertension, so we have to take care about the our lifestyle, you have to reduce weight, to exercise proper monitoring of weight and take less salt intake, control your sugar intake and do regular exercise, so we can prevent somehow these two diseases. The other factors are like stone disease, few congenital diseases that leads to kidney failure and a stone disease is quite common in India so that is another major cause of kidney failure or CKD can be divided into 5 stages, stage 1, 2, 3, 4 and 5. Stage 5 is that is the end state renal disease when GFR is less than 15 and hardly we can do anything with medicines, only option left is either hemodialysis or renal transplant. While in stage 1 to 4 we can have medicine, dietary modification and we can delayed this end stage renal disease. Once in a renal failure is diagnose and CKD is diagnosed within stage 5 then we have to consider about the hemodialysis, if patient is symptomatic. Kidney functions it filters the body toxins, it filters out the water from the body and it is responsible for the calcium metabolism, bone metabolism and blood formation. So it's a very important organ and if both kidneys are not functioning well that leads to kidney failure. If single kidney is ok, there will be no rise in serum creatinine that is the major blood test and very simply, simple blood test by this we can detect the kidney failure.

The other thing is urine protein that is another important, if urine protein urea is there is protein is coming out of the urine then you have to be alert consult your doctor. If renal failure is diagnosed stage 5 then plan for transplant, transplant is always a better option then hemodialysis, hemodialysis just temporary relief and it excrete de toxins and within 3 to 4 days again, we will back to the same. While kidney transplant will give the better quality of life, patient can lead normal life and average lifespan we can say with the transplant is around 12 to 15 years and there is myth in the society that somebody will donate, you will not have to take lifelong medicines that's not true, we are doing all donor nephrectomy laparoscopically and they are free and they are fit and up to work within 1 to 2 weeks. While kidney transplant is a standard technique worldwide and we have got excellent results now a days with the kidney transplant, that is around 90 to 95% success rate in our centres that is as part to the international level, and but one thing is very important they have to live discipline life, lifelong they have to be on immunosuppression. The another myth in the society that donors may lead to renal failure or later on but that is not true, because donors can lead normal life and of course discipline life then they can maintain the creatinine level don't take analgesic and unnecessary analgesic that also leads to kidney failure. For donation as far as the two types of donation one is live donation and other is cadaver kidney transplant and live donation of course only family members are allowed first degree and second degree relatives, wife and husband can donate while distant relatives are very difficult as per of the transplant law. Another is donor exchange we are doing that is the blood group match is not there in two groups then we are matching, predict transplant is possible in our centre, we are doing ABO incompatible transplant, elderly transplant, donors we are taking, so all sort of transplants we are doing and we have lot of excellent result. So transplant will definitely give better quality of life and I will request more and more people to come forward for donation that is when brain death is there, then donate your organs and even live after death that is the my request to all the audience because in India if you see we are lacking in the cadaver transplant program, so we need more and more donations, per year 2 lakh people are dying of roadside accidents if you use 10% of this we can get a huge bank of organs and from the brain death people and many-many people can be benefited with this. In India almost 2 lakh people are having renal needs renal transplant per year and hardly we are doing 8 to 9 thousand transplants per year. So definitely mai janta ko yahi kahunga ki jago aur, aur bhi organ aap donate kare, ang daan maha daan hai, aur isko samaj mein aap failaye. Yadi kisi ka brain death hota hai toh uss brain death se hum log 7-8 logo ko nayi zindagi de sakte hain. So jyada se jyada log organ donation kare isse donor badege aur jo organ failure ke patients hai unko benefit milega.

Thank you so much.
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