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Kidney Transplant Health Feed

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.

Dr.Mohit Naredi 88% (11ratings)
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?

Dr.Ravinder Singh Bhadoria 88% (10ratings)
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.
 

1475 people found this helpful

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?

Dr.Prakhar Singh 96% (4843ratings)
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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Transplanted right kidney size: 10.6 * 6 cm in right iliac fossa echo texture: cortical echogenicity is mildly raised ,cmd is maintained. How long will this transplanted kidney will last?

Dr.Prakhar Singh 96% (4843ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Transplanted right kidney
size: 10.6 * 6 cm in right iliac fossa
echo texture: cortical echogenicity is mildly raised...
Hospital recovery for a kidney transplant is usually 5 to 10 days if there are no complications. The length of stay depends on your medical condition and needs. You’ll spend 24-48 hours in extensive care immediately after surgery. You may need to connect over a call for further detailed consultation.
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I did kidney transplant and bec of medicines my sugar is high. Due to use of immuno suppressants, can this be reduced.

Dr.Sajeev Kumar 90% (39290ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I did kidney transplant and bec of medicines my sugar is high. Due to use of immuno suppressants, can this be reduced.
You might need to take insulin to reduce the blood sugar and can do in consultation with your treating doctor
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Dialysis Or Kidney Transplantation - Which To Opt For?

Dr.Amit Goel 91% (40ratings)
MCh Urology & Kidney Transplant, MS - General Surgery, MBBS, Fellowship in Uro-Oncology & Robotic Surgery
Urologist, Gurgaon
Dialysis Or Kidney Transplantation - Which To Opt For?

Severe disorders in one or more kidneys can be debilitating since the quality of life is severely affected. If you suffer from such a condition, you may already be undergoing dialysis. But, have you considered a kidney transplant yet?

Here is a look at some benefits of kidney transplant over dialysis.

1.Increased life expectancy

  • You may not know this, but dialysis restricts your life expectancy. For instance, a person undergoing dialysis at 30 will have a life expectancy of 15 more years. However, with a transplant, you can go on to lead a full life. The same 30-year old person will have a life expectancy of 30 additional years in case of a transplant from a brain-dead donor. If the donor is a healthy individual, life expectancy may extend to 40 years as well.
  • Therefore, if you want to live longer, you need to seek a kidney transplant.

2. Enhanced quality of life
Not only does severe kidney disorder mean relying on dialysis, but it also imposes other major restrictions in regards to diet and lifestyle. However, kidney transplant is a more permanent solution to the problem. Once the transplant is completed and you recover from the surgery, you can resume a normal life. Additionally, some of the dietary restrictions are also lifted in such a case. 

Why dialysis is more common?

Dialysis is more common for the following reasons-

•   The kidney to be transplanted may not be readily available. You would be placed on a list and it may take a while for a suitable kidney to arrive. During this period, you would need to undergo dialysis.
•   Since dialysis is a minimally invasive procedure, it is often preferred by patients. However, kidney transplantation is better in the long-term.

 

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Renal Failure - How Can Homeopathy Tackle It?

BHMS
Homeopathy Doctor, Surat
Renal Failure - How Can Homeopathy Tackle It?

Elimination of the waste products is the core function performed by our kidneys. Any failure or any infections to the kidney can hamper this process thus leading to a condition where the waste could accumulate in the body. These body fluids can rise to dangerous levels and are often life-threatening. In medical terms, they are known as acute kidney failure. Though there are countless options and medical treatments available in treating them, nothing can beat a homeopathy approach in treating the symptoms. Come, let us take a look at how homeopathy can be used in treating acute renal failure.

Acute kidney renal failure happens over a period of time and can be due to many reasons. Some of them are severe or sudden dehydration, toxic kidney injury due to certain medications, autoimmune kidney diseases, and urinary tract obstruction. Reduced blood flow can also damage the kidneys to a considerable extent, and these can include low blood pressure, internal hemorrhage, injury, surgery or a serious illness. Kidney failures are themselves, not a disease but they lead to many complications that may result in utmost discomfort and life-threatening consequences. The main symptoms of kidney failure can include bloody stools, generalized swelling or fluid retention, fatigue, pain in the ribs, hand tremor, prolonged bleeding, nausea, vomiting and high blood pressure. Urinary discharges can entirely stop or can flow continuously; often with a lot of pain.

In some extreme cases, the degeneration can happen very quickly and can be a medical emergency. Though conventional medicines can help in treating the symptoms, homeopathy offers the most practical solutions available in the market with a long-term focus in mind. Homeopathy uses a simple principle of treating the person as a whole. The complete nature of the individual is understood first before imparting the treatment. The medical history of the patient and his physical and mental constitution are all taken into the picture before the treatment is prescribed. The patient can find himself only talking with the homeopathic doctors initially in the sessions. This is done so that the patient is looked upon as a person - as an individual first and not as an element of the disease. This helps in imparting the best homeopathy treatment depending on the individual's vulnerability and their preferences.

Homeopathy has a high success rate in treating a person with acute renal kidney failure. The biggest advantage is that there are no side effects, unlike conventional treatments. The doctor focuses the treatment plan in such a way that the condition is arrested first and no further degeneration occurs. Then in the second stage, they start to estimate the root cause. A patient can feel the results mostly within a few weeks and if treatment is followed properly, a person can get completely cured within a few months. Many homeopathy medicines would be prescribed during the treatment. However, care should be taken to not exceed the dosage.

Conventional medicines can treat these renal failures. However, the biggest disadvantage is that in more chronic cases they lead to kidney transplantation and other complications. In other words, homeopathy can be your sensible choice of medicine in the long run. This medicine focuses more on the human value of the person rather than the medical condition.

1666 people found this helpful

Can I donate my kidney to some one? Who need the kidney I can donate my blood group is b+

Dr.Prakhar Singh 96% (4843ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Can I donate my kidney to some one? Who need the kidney I can donate my blood group is b+
There are several side effects of becoming a Living Kidney Donor. Be aware of the risk and weigh it against your decision to donate. Possible long-term risks to donating a kidney include hyper-tension (high blood pressure), hernia, organ impairment and the need for organ transplant, kidney failure, and death.
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I did kidney transplant last week, can I use mobile phone, will it cause any radiation to surgery spot.

Dr.Jyoti Goel 91% (7099ratings)
MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I did kidney transplant last week, can I use mobile phone, will it cause any radiation to surgery spot.
Use of Mobile has no connection with surgery but better to avoid long conversation on mobile and relax your mind and body
1 person found this helpful
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