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Kidney Transplant Health Feed

Sir im a renal transplant receipent 10 years ago, now im doing well, recently my sgpt level increased to 72 range, what I do sir, im take cholesterol medicine storvas ez, ecosprin 75 mg ,pangraf .5 mg ,wysolone 5 mg. Nicardia 10 mg, and azoran 50 mg. Im waiting for your valuable reply.

MBBS, DNB (Internal Medicine), DNB (Nephrology), MNAMS(Medicine), MD - General Medicine
Nephrologist, Delhi
Sir
im a renal transplant receipent 10 years ago, now im doing well, recently my sgpt level increased to 72 range, wh...
Get a complete cbc, rft, and lft done, to find out the pattern of liver enzyme derangement. Then get hep b and c viral markers. Post transplant patients are prone to many infections and other chronic ailments. please consult a nephrologist.
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I had done a kidney transplant patient 3 years ago. I am using tacrolimus drug for anti rejection of kidney. Yesterday I did tacrolimus drug level test and the result came 2.4ug/l.is it normal range or what is the normal range of tacrolimus level after 3 years of kidney transplant.

MBBS, MD - General Medicine, DNB - Nephrology, Clinical Fellowship In Nephrology, Clinical Research
Nephrologist, Mumbai
I had done a kidney transplant patient 3 years ago. I am using tacrolimus drug for anti rejection of kidney. Yesterda...
The trough tacrolimus level should be 4-6.
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M kidney donate karna chahti hu to iske liye kya terms hoti h kya m phone karke consult kar sakti hu.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
M kidney donate karna chahti hu to iske liye kya terms hoti h kya m phone karke consult kar sakti hu.
A large study of the long-term effects of kidney donation had good news for people who donate kidneys. Let's have a detailed discussion for better advice and healthy lifestyle.
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Doctor, should I undergo hla typing dsa test (cross match) after kidney transplant? The doctor we are consulting at the moment is asking us to do this test.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Doctor, should I undergo hla typing dsa test (cross match) after kidney transplant? The doctor we are consulting at t...
I am sorry to hear about your concern but will be happy to assist you. Hla typing allows a doctor to know how much variance there is between the antigens of donor and the recipient. The less variation, the lower the chance that the recipient body will reject the donor organ. This is necessary to ensure that the organ transplant does not end up being fatal. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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I'm 22 y/o kidney transplant patients. I have gone through kidney transplant on 5-9-2020. I have to take immunosuppressive drug daily. 4 mg tacrolimus 7 am-7m, mycophenolate sodium 720 mg at 9 am and 360 mg at 9 pm yesterday I forgot to take 9 pm mycophenolate sodium. Does it effect my new kidney.

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
I'm 22 y/o kidney transplant patients. I have gone through kidney transplant on 5-9-2020. I have to take immunosuppre...
Dear sir/madam, I have gone through your question. You are suggested to you can take next day usual dosage, but do not do repeatedly note:(1) in case of emergency you can contact doctor at your native place or you can come here for check up. (2) kindly get clinical evaluation time to time by your doctor as advice by question, can only be given by viewing the record, not by examining the patient.
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Organ Donation Day - How Can A Donated Organ Save Another Life?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
Organ Donation Day - How Can A Donated Organ Save Another Life?

Organ donation is the greatest way to save lives. While death takes a person’s life away, their organs can still be donated to save other lives. One organ donor can donate up to 25 organs and tissues, which can save almost 9 lives. Organs such as liver, heart, kidney and pancreas can be donated.

What is organ donation?

Organ donation is the method of surgically removing the organ of the donor and placing it into the recipient. Here, the recipient’s dysfunctional organ is replaced with the proper functioning organ of the donor. These transplants improve the quality of life for the patient and give them another shot at life.

How can it change lives?

Vital organs such as kidney, liver and heart can be transplanted with failing organs. This saves the patient from depending upon expensive treatments for surviving. They can return to their normal lives after a transplant. For example, if a person has a cornea transplant, he or she can regain the ability to see and move properly like others.

In organ donation, the person pledges during his or her lifetime, that their organs can be used for transplantation – after their death – to help other patients live their lives. With advancements in medical science, even the elderly people in their 80s can donate their organs.

Types of organ donation are –

  1. Living donation - Here, a live person donates their organ for transplantation to someone else. The donor can be a family member (living related donation) or a relative of the recipient (living unrelated donation). Those who have opted for this will be analyzed to ensure that the organs are functioning properly and are a match. You can give a part of your liver to someone having liver cancer and end-stage liver diseases. Kids with metabolic diseases can also be cured by a liver transplant. You can also donate a kidney to another person whose kidney has failed. This way, both lives are sustained, as a healthy person can survive with one kidney.    
  2. Deceased cadaver donation - Here, the patients register and get admitted to a hospital for transplantation. He or she will be put on a waiting list. Then, when the organ is available from a deceased patient, the patient will be notified. Then the transplantation will occur, and thus the patient will be able to live lie normally again.

The following organs can be donated after death –

  • Heart

  • Liver

  • Kidneys

  • Pancreas

  • Tissue

  • Corneas

  • Lungs

  • Small bowel

People of all ages can become an organ donor. The doctors will check the age and past medical history of the potential donor.

Hello doctor I am a kidney transplant recipient. Couple of months back I did my tacrolimus test. The doctor letter reduced my dose from 3 mg to 2.5 mg. (1.5 -1.0) it's time for me to do the tacrolimus test again. (pangraf) I wonder, at which trough should I give my blood. (morning or night, when should I go to give my blood) trough of 1.5 mg or 1 mg. Or is it irrelevant? Please advise.

MBBS,MD(medicine), DNB (Internal Medicine), DNB (Nephrology)
Nephrologist, Delhi
Hello doctor
I am a kidney transplant recipient. Couple of months back I did my tacrolimus test. The doctor letter re...
Tacrolimus drug level testing is done just before the next dose ie trough that is usually in the morning hour before taking the tablet of 1.5. Testing should be repeated according to the timing post transplant. In the first year, repeated testing is to be done, in the later years, testing is done only after dose modification or any clinical event. Get the testing done with next creatinine monitoring to avoid any doubts. For more details please contact.
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I am a kidney transplant patient year 2008 aged 65 f taking reclimet 80 mg thrice with insulin and other medicines. Reclimet is safe or not, please inform.

Nephrologist, Chennai
I am a kidney transplant patient year 2008 aged 65 f taking reclimet 80 mg thrice with insulin and other medicines. R...
Usually reclimet is given twice a day. What is your s.creatinine level. If > 2 mg/dl avoid reclimet.
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Kidney Transplant - How To Identify Right Donor & Recipient?

DNB (Nephrology), M.D ( Internal Medicine), MBBS
Nephrologist, Noida
Kidney Transplant - How To Identify Right Donor & Recipient?

The kidneys are responsible for the elimination of waste from the body. The blood is filtered in the kidneys and all toxic wastes are filtered out and excreted through urine. When this filtration does not happen effectively, a lot of waste can be found in the blood, which affects normal body function.

Kidneys may lose their functioning either due to age, injury, or disease conditions. Whatever the reason, when kidney function is hampered, the body suffers. If there was an injury or congenital problem, it could be unilateral and the non-affected kidney could still do the function. However, if it is infection or old age, normally both kidneys are affected and then replacement should be looked for externally. This is where a kidney transplant comes into the picture.

What is it?

It is a surgery where a healthy, functioning kidney is placed into the body. The donor could be

  1. Living: These donors have to be related or unrelated. Related is often termed someone, who is a family member and is willing to donate one kidney (one kidney is sufficient for normal, healthy individuals) to the diseased person.
  2. Cadaver: If a person is willing to donate kidneys post death, these are used for transplant, within a specified time.

Identifying the right donor and recipient:

  1. Blood type and tissue type should be matched; a good tissue type match improves the chances of success
  2. Overall health of the donor to ensure there is no heart disease, lung disease, or diabetes
  3. The recipient also should be healthy

What to expect during surgery?

  1. Once a donor is identified, in living donors, the surgery to remove the kidney and to transplant it are done simultaneously
  2. The surgery usually takes about 3 to 4 hours
  3. Antibiotics are given prior to the surgery to prevent infection
  4. The blood vessels and ureter are connected back to the kidney after the transplant
  5. Hospital stay can range from 5 days to 2 weeks, depending on the overall health of the patient and the anticipated risk of rejection.
  6. Most transplanted kidneys work effectively almost immediately. A kidney stored from a cadaver may take a little longer compared to a fresh kidney from a living donor
  7. People who have had transplants are put on immunosuppressants on a chronic basis to reduce chances of rejection. The new kidney will always be recognised by the body as a foreign body, and so this is essential.

Kidney transplant success rates are quite high, and more and more people are opting for transplants as opposed to dialysis.
 

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Dear doctor please help me to save my life. Recently I am under dialysis. My booth kindly aren't working. My urea level increased. creatinine level is 11. Is there any treatment without dialysis or kidney transplant?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Dear doctor please help me to save my life. Recently I am under dialysis. My booth kindly aren't working. My urea lev...
..kidney failure is also called end-stage renal disease. But, many people live long lives on dialysis or with a kidney transplant. urine level and creatine level can be control with some medication that may help to make your dialysis process easier or less complicated. you may need to discuss it in detail to get right medical consultation.
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