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Overview

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

4 Reasons Why An Ectopic Kidney May Kill You

DM - Nephrology, MBBS Bachelor of Medicine & Bachelor of Surgery, MD - Medicine
Nephrologist, Gurgaon
4 Reasons Why An Ectopic Kidney May Kill You

Though it is well known that maintaining a healthy kidney becomes increasingly difficult over the years, there exists one particular kidney disorder that begins to affect the body very early on. Categorized as a genetic defect, an ectopic kidney refers to the misplacement of a kidney; it often occurs in the womb itself when the kidney somehow shifts upwards or crosses over to connect to the second kidney. Though an ectopic kidney may not be detected for a long time, it may lead to the onset of a number of fatal dysfunctions.

1. Urinary Tract Infection
Since one of the primary functions of the kidney involves clearing out waste products, an ectopic kidney could massively affect the process. Particularly, the flow of urine can be disrupted by the presence of an ectopic kidney as it will tend to retain the bacteria for far longer than is usual. If the urine remains in the system for too long, then it is subject to the development of a urinary tract infection. The symptoms of this may include painful urination, nausea and bouts of high fever.

2. Kidney Damage
Similarly, an ectopic kidney can also cause the urine to back up and invade the kidney region. This brings with a host of complications for the kidney and its standard functions. Though a single ectopic kidney may not lead to immediate kidney damage, the responsibilities for the other kidney doubles as it is subject to a greater load than usual. Should something happen to the other active kidney, your system may be under the threat of the much-dreaded kidney failure.

3. Kidney Stone
As one of the most common kidney disorders that continues to afflict major portions of populace year after year, a kidney stone is accompanied by a great deal of pain and discomfort. These stones are formed by means of substances such as calcium and oxalate that build up in your urinary tract. As an ectopic kidney has the tendency to interrupt the functioning of your urinary tract, the development of these urinary or kidney stones is much more likely.

4. Hydronephrosis
This particular disorder refers to the swelling of the kidney due to an over-saturation of urine. As an ectopic kidney proves more room for the bacterial substances in the urine, they tend to multiply and block the safe drainage of urine from the kidney to the bladder. It can also occur on part of blood clotting, pregnancy, kidney stones and various cancers or tumours.

The above reasons demonstrate the extent to which your body may be affected by an ectopic kidney so make sure you are able to detect it as soon as possible. In case you have a concern or query you can always consult an expert & get answers to your questions!

3194 people found this helpful

Kidney Disease - 8 Signs You Might Be Suffering From It!

DM - Nephrology, MD-Medicine, MBBS
Nephrologist, Delhi
Kidney Disease - 8 Signs You Might Be Suffering From It!

As important as your kidneys are to your overall well-being, symptoms of their malfunction can be less noticeable. Yet, early detection is vital to prevent future complications and permanent kidney damage. Here are eight warning signs to let you know that your detoxifying organ is not working right:

  1. High Blood Pressure: High blood pressure is the most common sign of kidney disease, all patients suffering from high blood pressure should know there kidney function status. There is a high chance that they might be suffering from a kidney disease.
  2. Swelling: Fluid retention is a warning sign that something is up with your kidney function. One of the prime function of the kidney is to keep your body balanced and deliver nutrients through proper regulation of water. If the kidney is not working right, fluid can accumulate in your tissues and you will notice swelling in ankles, feet, face, legs or hands.
  3. Urine: Afterall, producing urine is one of the main functions of the kidney, so it makes sense to pay attention to your urinary output. If you see the following changes in your urine, then it might signal a kidney problem
    1. Difficulty in urinating
    2. Blood in your urine
    3. Less frequent urination and darker output
    4. Increased urination and light-coloured output
    5. Foamy or bubbly urine
    6. Waking up during the night with urgent need to go, at times more than once
  4. Nausea: Without a proper outlet to disperse the toxins out of your body, your system may feel the need to expel them through other forms. You may feel nauseated or even vomit due to excessive toxin build-up in your system.
  5. Fatigue: Everyone has a day when they feel tired, but long-term fatigue is definitely not right. Tiredness or fatigue is produced by a lack of hormone called EPO or erythropoietin that stimulates the production of red blood cells. Stressed kidneys do not produce enough erythropoietin, thereby making you feel very tired.
  6. Itchy Rashes: When the garbage piles up in the system, it can result in itchy patches in your skin. Unlike normal rashes, these are deep and topical treatment will not help that much. At times they can also manifest as small red bumps.
  7. Anaemia: If kidneys do not produce enough red blood stimulating EPO, it can lead to anemia. Anemia can make you feel dizzy or winded out.
  8. Poor Appetite and Bad Taste in Mouth: The excessive build-up of toxins can cause a metallic taste in your mouth, producing bad breath. Your sense of taste can also fall because of this, leading to dull appetite.

It is always a good idea to heed early warning signs and prevent damage. So, pay attention to these signs and keep your renal system up.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2064 people found this helpful

End Stage Renal Disease - Things You Need To be Aware Of!

MBBS, MD - General Medicine, DM - Nephrology
Nephrologist, Delhi
End Stage Renal Disease - Things You Need To be Aware Of!

All humans have kidneys and they are necessary to purify the blood and rejuvenate.  Blood carries important nutrients to vital body organs, and it carries waste products away from these organs.  People who are born without kidneys, or when their kidneys fail to work, must go on dialysis in order to survive.  While dialysis can continue indefinitely, it is very expensive and cumbersome. This article will explain what end-stage renal disease is (kidney failure) and how to prevent it.

People with end-stage renal disease have kidneys which are unable to purify and rejuvenate blood.  They become very sick and can die without medical intervention, usually in the form of dialysis, but sometimes in the form of medications.  People are considered to be in end-stage renal disease when their kidneys function at below 10% of their normal capacity. End-stage renal disease (ESRD) tends to be progressive and doesn’t reach its full extent until people have been living with the disease for 10-20 years after diagnosis.  People with ESRD are in the fifth stage of kidney disease, with the severity of it being measured by their glomerular filtration rate (GFR).

Many diseases, including diabetes, can cause ESRD by attacking the kidney’s nephrons, which are tiny devices which filter toxic substances out of blood.  High blood pressure can also attack the kidneys nephrons, which leads to them not filtering the blood to the extent or capacity that they should be. Diabetes causes ESRD because your body lacks the insulin it needs to break down sugar in your blood into nonharmful substances.  The blood sugar levels remain high and attack the nephrons as they pass into the kidneys through the bloodstream because sugar has a tendency to poison vital organs. High blood pressure causes ESRD because the increased pressure damages the kidney’s small blood vessels which leads to them being unable to filter blood properly.

People with ESRD often experience many of the following symptoms:  decrease in urine output, inability to urinate, fatigue, feeling sick all the time, headaches, appetite loss, unexplained weight loss, nausea and vomiting, dry skin and itching, bone pain, changes in skin color, confusion, and the inability to concentrate, easy bruising, frequent nosebleeds, numbness in the hands and feet, frequent hiccups, bad breath, being thirsty all of the time, no period, sleep problems, and restless leg syndrome, impotence, swelling of the hands, legs, and feet.

Watching one’s diet, limiting sugar intake, regular exercise, drinking lots of water, and controlling blood pressure are the best ways to prevent end stage renal disease, however, this disease is not always preventable, especially if it is hereditary.  However, if one is diabetic, one must exercise regularly and control sugar consumption to reduce the chances of getting ESRD.

While there is no one magic bullet for preventing ESRD, and the long-term outlook for those with ESRD is good for those who are on dialysis, living a good lifestyle, and making healthy diet choices is the best medicine for ESRD prevention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1948 people found this helpful

Suffering From Kidney Problems - What Type Of Foods Must You Avoid?

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Suffering From Kidney Problems - What Type Of Foods Must You Avoid?

Eating right has never been more emphasized than today where people around the world are affected by several medical conditions. Be it any condition, the diet has an essential role in effectively managing the problem, and kidney diseases are no exception.

The primary function of the kidneys is to purify the waste from the blood along with maintaining the right balance of fluids in the body. They also play a critical role in regulating blood pressure.
If your kidney functions have been impaired to the slightest extent, it is essential to shift to a diet that supports healthy blood pressure and allow you to manage the issues. This invariably means you will have to avoid excess protein, sugar, salt and trans fats.

Let’s take a look at the foods you should steer clear of when you are suffering from kidney problems.

  1. Foods high in phosphorus and potassium: Depending on the type as well as the severity of the kidney issues you are going through, you may be advised by your dietician to limit the intake of foods which contain copious amounts of phosphorus and potassium. This is because these minerals can start accumulating in the blood when the kidneys are not able to function correctly. Your doctor may also suggest you avoid salt substitutes which may contain potassium and limit rich products. You should limit the intake of avocados, milk, yogurt, bananas, and other seeds and beans. Foods rich in phosphorus include nuts, liver, soft drinks, and beans.
  2. Too much protein: Excessive protein intake may prove to be detrimental to the kidney disorders. According to the National Kidney Disease Education Program, people with chronic kidney disease should limit daily protein consumption to about 0.36 grams per pound of body weight. The moderate approach to the consumption of protein can allow about 54 grams of protein daily for a person weighing around 150 pounds.
  3. Processed foods: Fast and processed foods are said to contain high amounts of sugar, salt, and unhealthy fats. It is important to avoid them when you have kidney disorders. This means that you will have to bid farewell to crackers, chips, cookies along with frozen meals, canned soups, and other convenience foods. It is important to note here that even foods that appear to be healthy such as canned fruits and vegetables tend to contain high amounts of salt and sugar. Thus, fruits packed without added sugar is the best option for people affected by kidney diseases.
  4. Soda and Soft Drinks: Soda and soft drinks offer absolutely no nutritional benefits, but they contain hordes of sugars, which are either natural or chemically produced. Studies have shown that sodas can lead to various health conditions such as osteoporosis, metabolic syndrome, kidney diseases and dental problems. Diet sodas may contain a lesser amount of calories, but they can still offer no nutritional values and often come with harmful additives that may prove detrimental to your overall health.

Thus, you should try to avoid these foods to manage your kidney disorder better.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3485 people found this helpful

How Can You Treat A Kidney Infection?

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
How Can You Treat A Kidney Infection?

Kidneys are responsible for the removal of waste and unwanted particles from the bloodstream. They are part of the urinary tract and are responsible for the formation and excretion of urine. It is the filtration and waste disposal system of the body. And as such plays a pivotal part in our health and well-being.

A kidney infection, more often than not, starts with a bladder infection and then spreads to the kidneys. It is caused by the presence of bacteria, specifically a bacteria called E.Coli. Though extremely rare, it is possible to get a kidney infection through your skin. It might make its way into your blood and then travel to the kidneys. You might contract an infection after surgery but that is extremely uncommon as well.

A kidney infection is diagnosed by running a urine test to check it for the presence of bacteria, blood or pus. Other tests may include a CT scan, an ultrasound or a kind of X-ray called voiding cystourethrogram, which involves injecting a contrast dye to image the bladder while urinating.

Treatment :

  1. Antibiotics: The first lines of treatment for a kidney infection are antibiotics. Depending upon the bacteria that has been found in your urine tests and your personal health, your physician will prescribe you specific drugs. The symptoms usually abate after a few days of treatment, or you might need to continue the antibiotics for a week or so more. It is advisable to continue with the entire course of the drugs even if you feel better after only a few days. Another sample of your urine will be tested afterwards to ensure that the infection has cleared up.
  2. Hospitalization: For a severe case of kidney infection a physician will insist on hospitalization. The treatment will include antibiotics and a copious amount of fluids that will administered to you intravenously. The severity of the infection would dictate the length of the course of drugs required.
  3. Surgery: Kidney infections can be symptomatic of a much more serious underlying medical condition. Kidney infections may recur with increasing frequency due to a structural defect of the urinary tract. A nephrologist or a urinary surgeon (urologist) should be consulted for an evaluation. You will most likely need surgery to repair the structural abnormality to ensure that the infections desist.

Kidneys are vital organs that perform important functions of waste removal, and maintain the balance of the body’s fluids. Infections should thus be diagnosed and treated promptly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2594 people found this helpful

Popular Questions & Answers

Hi doctor, I had fever on 13th and 14th of May, then on 15th no fever but I observed 2 drops of blood from urine. I had blood test for uric acid, urea, BUN, creatinine, Calcium, phosphate, sodium, which all was normal. I showed a general physician, he asked me to have usg and urinalysis, usg showed everything normal with distended gall bladder and urinary bladder. I am having pain while urinating at the tip of glans since last 4 days but it has increased since last 24 hours. urinalysis reports have not come yet. Is it kidney stones or urinary tract infection? Doctor has given me nifty sr 100 for 7 days. Should I start it?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly. This is urinary tract infection Needs antibiotic to cure it, start the nifty sr 100 drink more liquids Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care
1 person found this helpful

Two weeks before my ecosprin was changed to aspisol. But my creatinine is 1.9. In my past history it was up to 1.1 only. Aspisol increases creatinine level?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Usually aspisol does not cause creatinine rise, but still any adverse effect can happen with any of the molecule not previously mentioned with any one even then. I recommend to stop it at present, drink plenty of liquids and consult your physician for the same. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
1 person found this helpful

My father has infection in kidney and also diabetic patient. Dr. has prescribed Amlong 10 and Telma 20? I want to know how to take these medicines?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. Both are anti hypertensive medicines Has to be taken with breakfast or lunch. Total how many times in a day has to be asked to the treating physician. Hope this clears your query. Wishing him fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.
2 people found this helpful

My age is 56 I am a diabetic and BP patient, today I went general check up of my kidney, creatinine was 2.2. What are effects and how reduce the value please help me.

MBBS, MD
Endocrinologist, Delhi
This suggests that your kidneys are not working normally and their function is reduced. Consult your Phsician, he will change some medicines which have bad effect on kidneys. Avoid unnecessary medicines specially anti inflammatory analgesics (pain killers). It is better to consult Nephrologist.
1 person found this helpful

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
Prevalence Of Chronic Kidney Disease
Chronic kidney disease (CKD) is more of a global health burden with a high economic cost to health systems. This is an independent risk factor for cardiovascular diseases and is usually asymptomatic until later stages.
Play video
Early Warning Signs of Kidney Disease
Chronic kidney disease is a form of progressive disease in which one's kidneys gradually declines to function. There are very few warning signals of kidney disease within the early stages. Few of them could be: feet or ankle swelling,nausea or vomiting , itching of skin and so on. It is actually important to address any unusual symptoms with your doctor.
Play video
Chronic Kidney Disease (CKD)
CKD depicts a slow and progressive loss of kidney function over a period of several years. It often goes undetected and undiagnosed until the disease is well advanced. Eventually, the patient has permanent kidney failure.
Play video
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.
Play video
Chronic Kidney Disease
Hello!

I'm Dr. Suraj Gupta. I m a consultant nephrologist and practicing in Kidney and hypertension clinic in Gurgaon and Narayana super speciality Hospital, Gurgaon.

Well, I would be going to discuss briefly about chronic kidney disease. Chronic kidney disease or CKD which s stand due to gradual decrease of kidney function. Kidneys are one of the important organs of the body. And the primary function of the kidney is to filter and clear the toxins from the body. What are the overtime conditions like diabetes, hypertension and sticky kidney disease or autoimmune disorders can lead dysfunction in our kidney and can reduce the ability and weakening the ability of our kidneys to filter or remove the toxins from our body. What are the most important causes of chronic kidney disease or CKD? Most important causes of chronic kidney disease of CKD is diabetes or hypertension. These are the most prevalence causes of CKD. Other causes or other people who are at risk are people who have a family history of chronic kidney disease or people who take lot of pain killers or over the counter painkillers, even something as insignificant like a brufen tablet can cause chronic kidney disease if used very (inaudible 1:26) and very long period of time. What are the symptoms of chronic kidney disease? Chronic kidney disease or CKD in majority of time is described as a very silent disease. There are no symptoms in the early stages of chronic kidney disease. Once it advances symptoms are very nonspecific. Most of the time it could be present with vague symptoms like nausea, vomiting, reduced appetite, gradually as it worsen it can cause swelling in your feet, swelling at your face, reduced frequency and alteration in urine. Other symptoms can be severe, can be fatigue ability because of anemia or uncontrolled blood pressure. These all can present as symptoms of chronic kidney disease. And in advance cases of chronic kidney disease they can be clinically present as shortness of breath, inability to lie down, and difficulty in sleeping, severe itching in your body. All these are common symptoms. How to detect chronic kidney disease? Majority of the times it present as a, a lot of time, it present by routine findings in the form of lab investigations. Most common investigation is the serum creatinine which is a routine blood test and it can be instantly detect by elevated serum creatinine. The other most important investigation is a very small investigation with very small and very less costly investigation which is urine routine and any loss of protein urine routine can signify chronic kidney disease or CKD. As we are coming in the era of rising prevalence of chronic diseases like diabetes and hypertension so we see more and more of chronic kidney disease as well. So it is important and it is important to pick up these disease at an early stage because once it reaches the advance stage it becomes irreversible and it becomes untreatable. And the different options which remains are either dialysis of kidney transplant or nothing else can be done further. So it is important to pick them early and that is what my message would be.

If you have any of these symptoms or if you want to contact me in person you can either book an appointment through lybrate.com or get the personal appointment by the contact details available on the site. Thank you!
Having issues? Consult a doctor for medical advice