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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

Kidney Diseases

Dr. Murugananth S 91% (75 ratings)
DM - Nephrology, MD - Medicine
Nephrologist, Coimbatore
Kidney Diseases
Genetically Indian ethnics have more chance of getting diabetes and hypertension. We know these are the common causes of chronic kidney disease. From the onset of diagnosis of both these diseases one has to be aware that he or she has a chance of getting a kidney problem but one should not get frightened of this fact. Prolonged life expectancy Average life span of persons even in the developing world is increasing due to advancement in the medical field and quite naturally the rate of chronic disease will be rising over the years to come Indian stats Various statistics from Indian studies show a prevalence of kidney disease may be from 2 -3 % though there may be variations. Diabetes Diabetes is an epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. It is predicted that by 2030 diabetes mellitus may afflict up to 79.4 million individuals in India. Diabetes is a multisystem disease and kidney problems may occur even at the diagnosis of type2 diabetes mellitus. Indians develop diabetic nephropathy earlier than the western population. Hypertension Recent studies have reported that shown that hypertension is present in 25-30% urban and 10-20% rural people in India. This translates into an approximate population burden of 100-110 million persons with high blood pressure. If hypertension is not going to be adequately controlled all the blood vessels of the body is going to get affected including the tiny blood vessels of the kidney culminating in permanent kidney failure. Other causes A family history of kidney disease Obesity Smoking Older age Having protein in the urine

Chronic Kidney Disease

Dr. Suraj Kumar Gupta 92% (54 ratings)
DM - Nephrology, MBBS Bachelor of Medicine & Bachelor of Surgery, MD - Medicine
Nephrologist, Gurgaon
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This is a type of disease wherein there is gradual loss of kidney function over a period of months or even years. About one in ten people have Chronic kidney disease.

Why do young people are more prone to kidney disease?

Dr. K.S Shiva Kumar 88% (373 ratings)
MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Why do young people are more prone to kidney disease?
Those two, small bean-shaped organs are indeed essential for a perfectly healthy life. To check if a person is dead or living, medical practitioners need to confirm response from three organs of the human body heart, brain and kidneys. Kidneys absorb impurities from the blood, thus, purifying it and lead to the production of urine. Urine is necessary to rid your system of body wastes. Kidneys play a key role in maintaining hormone balance. The presence of any factor that could impede free functioning of this organ should be diagnosed, treated and eliminated at the earliest possible. Kidney diseases and subsequent kidney failure see no age bar. It affects both young and old people. In case of younger folks, the symptoms take years to surface and thus the chances of a fatal outcome are even higher. Causes of kidney failure at a tender age: Chain smoking is a trigger: Smokers suffer from a higher risk of kidney failure. Smoking is a bad habit that has engulfed almost ninety percent of young adults. Irrespective of awareness programs and warning messages, there are millions who smoke nonchalantly. Smoking is known to impair kidney function which again can have frightening implications. High blood pressure levels must be controlled: Since stress is a common phenomenon among most individuals high blood pressure is also prevalent among a majority of these individuals. Younger people suffer from high blood pressure due to workplace politics and familial tensions. High blood pressure should not be taken lightly. Exercising and regular medications should be opted for in order to counter the threat of kidney failure at a young age. If you are obese, you are stepping closer to the threat: If not optimal; being close to the optimal body weight is very necessary to keep health disorders in check. If you are obese, you are not safe; one must make efforts to lose weight or else face the alarming situation when his or her kidneys fail to function properly. Consumption of junk food can cause complications: Junk food is fatty. One must keep away from high-protein and high-fat diet. Food items rich in protein and fats can push you towards chronic kidney diseases. Genetics may discern the health of your kidneys: The incidence of kidney failure in your family history can make you prone to a similar condition. Extra care should be taken to avoid any such possibility. Regular health check-ups should be undertaken.
1482 people found this helpful

Kidney - 5 Tips To Keep It Fit and Healthy!

Dr. Srinivas Rao 90% (10 ratings)
MBBS, MS - General Surgery, MCh - Urology
Urologist, Bangalore
Kidney - 5 Tips To Keep It Fit and Healthy!
When we talk about health, the kidneys are rarely spoken of. These unsung heroes are responsible for filtering waste out of our bodies and ensuring that only clean blood flows through our system. The kidneys are a pair of small, bean-shaped organs located at the back of the abdomen. Along with removing waste from the blood, the kidneys also balance electrolytes and control the fluid balance in the body. Thus, keeping the kidneys healthy is as important as keeping the heart and lungs healthy. Kidney stones are the most common condition that can affect these organs. Other conditions that can affect the kidneys include inflammation of the kidneys, renal failure, nephrotic syndrome and cysts. Thankfully, keeping the kidneys healthy is easy. Here are a few things you can do to improve the health of your kidneys. Drink plenty of water: Keeping your body hydrated is crucial to kidney health. Ideally, a person should drink a minimum of 8-10 glasses of water a day. Water helps control the production of aldosterone- a hormone that regulates blood pressure- by the adrenal glands and helps the kidneys retain enough water and sodium to balance blood volume levels. If the kidneys do not get enough water, the adrenal glands are stressed into increasing blood pressure levels. Limit consumption of caffeine: We drink caffeine in many ways- sodas, coffee, tea etc. While caffeine may act as a stimulant and keep you focused on what you are doing in the short run, in the long run, it dehydrates the body. Dehydration can also lead to the formation of kidney stones. Hence reduce your caffeine intake and instead drink more water and fresh juices. Quit smoking: Smoking not only affects the lungs but also damages blood vessels thus decreasing blood flow to the kidneys thus preventing the optimal functioning of the kidneys. Smoking can also increase one s risk of suffering from renal cancer. Get regular exercise: Exercise benefits all parts of your body including the kidneys. Regular exercise reduces blood pressure and helps keep the blood moving. This can help prevent kidney diseases and a number of other conditions. Ideally, aim for half an hours exercise a day at the least. Eat plenty of fresh fruits and vegetables: Fruits like grapes, apples and blueberries and vegetables like spinach, beets, garlic and red bell peppers help improve kidney functioning. Women should also include oestrogen boosting foods like chickpeas, fennel, tomatoes, cherries and carrots in their diet to protect themselves against kidney damage and fibrosis. Foods that are low in gluten, sugar and soy also help reduce the risk of kidney inflammation.
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World Kidney Day - 7 Step Guide to Protect Your Kidney Health!

Dr. Yogesh Kumar Chhabra 89% (29 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
World Kidney Day - 7 Step Guide to Protect Your Kidney Health!
If you are concerned about your health, it is important for you to protect your kidneys from several harmful conditions. There are several types of kidney disorders, which may develop if your kidneys are not well cared for. This may include an overload of toxins, acute renal failure, chronic kidney disease and end-stage renal disease. Along with these problems kidney cancer is another fatal threat. Steps to keep your kidneys healthy There are several ways you can take care of your kidneys and keep them safe, such as Take certain tests for obtaining the panel reading of your BUN or blood urea nitrogen and creatinine levels. The estimated glomerular filtration rate (EGFR) must be determined as well. The scores obtained from these tests will tell you about the condition of your kidneys at that point in time. Lower your amount of phosphorous intake. When the kidney does not function properly, phosphorus accumulation is likely to happen, which causes serious conditions like heart disorders and calcification of the tissues. You should avoid phosphorous rich food items and abstain from drinking carbonated drinks. You must consume foods that support and boost the health of your kidneys, which includes watermelon, cranberry, cabbage, cauliflower, blueberry, strawberry, apples, garlic, onion and olive oil. Obesity is related to kidney cancer and hence, you must maintain a healthy weight and carrying out regular exercises is highly advisable. Several pain relievers such as non-steroidal anti-inflammatory drugs or NSAIDS may have harmful side effects on the kidney and may lead to kidney cancer. Try to avoid these medicines. You can take an Epsom salt bath. This is a common measure for detoxification, as it enables in removing waste and toxins from the body and improves the overall health of your kidneys. Also, it is advisable to go for regular blood and urine check-up along with ultra-sound to know how your kidneys are functioning. You should keep your blood-sugar level and blood pressure under control as they can lead to kidney failure. You should quit smoking and stop using tobacco in any form as the toxins from nicotine will harm your kidneys. With proper care and management of your kidneys, you will be able to prevent several harmful conditions.One should get Kidney function test and Ultrasound done to check that the kidney is functioning normally. In case you have a concern or query you can always consult an expert & get answers to your questions!
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Popular Questions & Answers

My creatinine is 3.6 and urea is 47 and I am 22 year old. My kidneys are shrinking. What should I do.

Dr. Ambadi Kumar 91% (1919 ratings)
MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Go to the Nephrologist and find out the cause by doing specific testing stop animal proteins eat plant based diet do not eat outside food maintain adequate fluid intajke according to your drs advice.
1 person found this helpful

Sir my wife is suffering from kidney problems such as high creatinine which is 1.82 and protein which is 9.23.will this medicine help in reducing creatinine or protein. For suggesting this medicine doctor has said that it may reduce creatinine.

Dr. Bhagyesh Patel 93% (6094 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to I have evaluated your query thoroughly. The creatinine level is borderline, does not need medicines at present, except plenty of liquids. BP and blood sugar must be maintained. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL Regards take care.

I am 36 years old male, I do health check up every year, last March I did complete blood tests, urine analysis, echo, thread mill ,all are fine. Is it compulsory in my age to continue this same all tests every year. I am 63 kg and 172 cms I don't smoke I used to have beer often in limits weekly thrice or so on. Now I fear that kidneys will be affected by drinking beer will it do and also how often should I monitor my kidneys disease yearly once ,twice or so on please suggest Thanks in advance.

Dr. Nash Kamdin 95% (3819 ratings)
General Physician, Mumbai
Dear Lybrateuser, - If you follow a healthy lifestyle including a well balanced diet, regular exercise, proper 7-8 hrs of shuteye sleep pattern, low stress levels & do not have any health disorder then repeat the tests every five years till 50 years of age, every three years till sixty years then once in two years or yearly depending on your health status.
1 person found this helpful

My blood creatine is high and haemoglobin count is high. I have high pressure. What should I do.

Dr. Manoj Goyal 89% (23 ratings)
MD - Alternative Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
Punarwa mandoor 2 tab& goksuradi guggal 2 tab with pnarwasav 2 table spoon one cup of water after meal.

I am suffering from diabetes, hypothriod, hypertension having one stent since long. Now my KFT report is 24 and 1.86. What may I do?

Dr. Prabhakar Laxman Jathar 95% (12739 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. There is no mention of the name or the units with those numbers. You may be referring to urea and creatinin it appears. Both are on the higher side. Since there is no mention about other details like blood glucose levels, HbA1c%, TSH levels, BP readings, drugs being taken, it is very difficult rather impossible to suggest anything. The doctor treating you should be able to help. Thanks.
2 people found this helpful

Health Quizzes

Renal Diseases - How They Affect In Pregnancy?

Dr. Udaybhaskar M 89% (105 ratings)
MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Kidney transplant does not necessarily promote overall good health. True or false. Take this quiz to know more.
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35 people took this quiz

Most common kidney diseases - An insight

Dr. K.S Shiva Kumar 88% (373 ratings)
MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
Kidney stones cause extreme pain. True or False. Take this quiz to know now!
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302 people took this quiz

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