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Kidney Transplant: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The kidneys are a pair of organs that are in the shape of two beans. Kidneys can be found in the human body in the lower back area. Toxic wastes are eliminated from the body by the kidneys when you are urinating. A person is diagnosed with kidney failure when his/her kidneys cannot remove the toxic wastes from the body like it used to.

Over time various health issues keep damaging your kidneys to a point where they stop working. The reasons that harm the kidney slowly are acute infections or illnesses, extreme dehydration and long-standing exposure to environmental pollutants. Other factors responsible for kidney damage are urinary tract infections, nephrotic syndrome, genetic disorders, heart diseases, autoimmune diseases, an infection such as sepsis, diabetes and hypertension or heartburn.

Symptoms of kidney failure do not show all of a sudden. It is a process much like slow poisoning where these organs are damaged a little every day. Therefore, you will only experience the symptoms when the kidneys are failing. The common signs of the body to indicate this will be itchy sensations, reduced appetite, shortness of breath, difficulty sleeping at night, muscle aches, and inflammation in the limbs. In very severe cases if your kidneys suffer acute failure then you will experience diarrhoea, bleeding, vomiting, back pain, fever and skin rash.

How is the treatment done?

kidney transplantation is generally prescribed to patients who are in the last stage of their chronic kidney failure problem. Kidney transplantation is dependent on a donor. This can either be a dead or living person. When the kidney is gathered from a dead person it is called a deceased donor kidney and when it comes from a living person (usually it comes from a family member) it is called a living donor kidney. In case of the former, only healthy people are allowed to donate their kidneys and they need to be fully aware of the transplantation rules. In case of the latter, the kidney comes from a person who has passed away because of brain death.

Before the surgery begins, blood tests need to be run in order to match the blood type recipient and donor kidney. Next a tissue typing test is run to match the tissue type. Then tests are carried out on the donor to check if he/she has any viruses such as hepatitis, CMV or HIV.

After passing all these tests the patient undergoes surgery in the next stage. The surgery is performed under the administration of general anaesthesia and goes on for about 3 hours. The transplanted kidneys are placed in a location which is different to the location of the existing ones. This is called heterotopic transplantation. Usually the original kidneys will only be removed if they are extreme troubles such as infections or very blood pressure. The artery is surgically connected to the kidney.

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

People who are in the last stage of Chronic kidney damage are eligible for treatment.

Who is not eligible for the treatment?

People who do not pass in any one of the tests conducted prior to the surgery are not-eligible for this treatment.

Also, people who have had a recent case of cancer, cardiovascular disorders, liver disease or severe infections such as bone infection or hepatitis are should not opt for this surgery treatment.

Are there any side effects?

During the course of your kidney transplantation you may be given certain immunosuppressant to stop the body from rejecting the donated organ. These immunosuppressants could cause long-term side effects such as higher chances of infections, diarrhoea, excessive hair growth or hair fall, bleeding, swelling, abdominal cramps, acne, mood swings, anemia, arthritis, seizures, susceptibility to diabetes, risk of cancers and weight gain.

What are the post-treatment guidelines?

As a follow up to the transplantation surgery the patient will be kept under strict monitoring to see if he/she is experiencing kidney rejection or any infection. For this reason the patients will be asked to take various anti-rejection medications in order to prohibit the body to reject the donated kidney and also ensure proper functioning of the transplanted kidneys.

How long does it take to recover?

After the transplantation surgery a person is usually held back in the hospital for about a week to notice any signs of infections or rejection on the part of the body.

After this the patient will be further asked to take rest for about 1-2 months during which time he cannot do any form of rigorous exercises or lift objects that are heavy in weight.

What is the price of the treatment in India?

Kidney transplant surgeries in India cost around 2-3 lakhs approximately and the anti-rejection medications prescribed by the doctor will cost you around 300 to 3000 rupees.

Are the results of the treatment permanent?

Although the success rate of kidney transplantation surgeries are high, there are a few cases where a transplant can fail and not have permanent results. The reasons are formation of blood clots, the formation of an infection in the kidney, certain problems with the donated organ, rejection of the new kidney (this can be either acute or chronic). S, you can see that the results of the treatment are not always permanent.

What are the alternatives to the treatment?

The alternatives for kidney transplant surgery are haemodialysis or peritoneal dialysis or conservative management treatment.

Safety: Low Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: High Time For Recovery: Medium Price Range:

Rs. 300- Rs. 3, 00000

Popular Health Tips

Diabetes - A Major Risk Factor for Kidney Disease!

Dr. Anuj Maheshwari 88% (112 ratings)
MBBS, MD - General Medicine, FACE, FACP, FRCP (London)
Diabetologist, Lucknow
Diabetes - A Major Risk Factor for Kidney Disease!
At the point when our bodies process the protein we eat, the procedure creates waste products. In the kidneys, millions of tiny blood vessels act as filters since they have even tinier holes in them. As blood flows through these vessels, little molecules such as waste items may press through the gaps. These waste items turn out to be a part of the urine. Helpful substances such as protein and red blood cells are too enormous to go through the gaps in the filter and stay in the blood. Diabetes and kidneys: Diabetes can harm the kidneys. Abnormal amount of glucose make the kidneys filter a lot of blood. After a couple of years, they begin to spill and helpful protein is thereby lost in urine. Having low protein levels in the urine is called micro albuminuria. Medication: When kidney disease is analyzed on time, during micro albuminuria, a few medications may keep kidney disease from getting worse. Having elevated levels of protein in the urine is called macro albuminuria. When kidney disease is looked up some other time during macro albuminuria, end-stage renal disease (ESRD) usually follows. Causes: Strain on the organs may cause the kidneys to lose their filtering capacity. Waste items then begin to develop in the blood. Finally, the kidneys start to fail. This failure, ESRD, is intense. A patient with ESRD needs a kidney transplant or a blood filtration by a machine (dialysis). Other complications: Individuals with diabetes will probably have other kidney-related issues such as bladder infections and nerve damages in the bladder. Preventing complications: Not everybody with diabetes goes through a kidney disease. Elements that can impact kidney disease improvement include genetics, blood sugar control and blood pressure. The more a person keeps diabetes and blood pressure under control, the lower the chances of getting a kidney disease. Keeping your glucose levels high can counteract diabetic kidney problems. Research has demonstrated that blood glucose control diminishes the danger of micro albuminuria by 33%. For individuals who suffer from micro albuminuria have now a reduced danger of advancing to macro albuminuria. Different studies have recommended that blood glucose control can reverse micro albuminuria. Treatment: Essential treatments for kidney infection include control of blood glucose and blood pressure. Blood pressure dramatically affects the rate at which the condition progresses. Indeed, even a gentle increase in blood pressure can rapidly aggravate a kidney infection. Four approaches to bring down your blood pressure are: Shedding pounds Eating less salt Maintaining a strategic distance from liquor and tobacco Exercising regularly A low-protein diet can decrease the amount of lost protein in the urine and increase the protein levels in the blood. Never begin a low-protein diet without talking to your physician.
4324 people found this helpful

Renal Transplant - What Should You Know About It?

Dr. Waheed Zaman 88% (251 ratings)
MCh Urology, DNB Urology, MS-General Surgery, MBBS, Diploma In Laproscopy & Urology, Basic & Advance Robotic Urology Training
Urologist, Delhi
Renal Transplant - What Should You Know About It?
The kidneys are primarily responsible for filtering blood and removing waste from the body. They also regulate the fluid and electrolyte balance. If the kidneys stop functioning, a patient may need to undergo dialysis or have a renal transplant. Many patients prefer undergoing a transplant as it offers a better quality of life in the long run. A kidney transplant can be described as a procedure to replace one s own kidneys with a donor's kidney. In case of kidney transplant, there are two types of donors. The human body can function with one healthy kidney and hence family members and friends of the patient may choose to donate a kidney. Else, a kidney may be sourced from recently deceased donors who have chosen to donate their organs after death. In both cases, it is important that the donor kidney match the patient s blood and tissue type. A renal transplant surgery usually takes about 3 hours. The donor kidney is placed in the abdominal cavity and connected to the patient s arteries, veins and bladder. Usually, the donor kidney begins functioning immediately. The patient s own damaged or diseased kidneys may not be removed unless there is a severe infection, cancer or a diagnosis of large polycystic kidneys. The patient will need to be hospitalized for a few days after the surgery. In some cases, dialysis may be needed if the kidneys are unable to produce urine. In addition diuretics and other medication may be needed to remove excess water and salt from the body. Medication will also be prescribed to suppress the immune system so that the patient s body does not reject the donor kidney. These medications typically need to be taken for the rest of the patient s life. A renal transplant is considered a relatively safe procedure. Less than 20 out of 100 people reject a donor kidney. However, there are a few other risks involved. These include: Bleeding Severe infection Failure of the donor kidney Reaction to anesthesia Increased risk of infections due to suppressed immune system Kidney transplant is not advised for people suffering from diseases such as cancer or any significant lung or heart disease. If the patient is suffering from an infection, he or she may be advised to wait until the infection subsides before undergoing a renal transplant. A renal transplant may seem to be an expensive procedure but in the long run, this can work out to be more budget friendly than dialysis.
2930 people found this helpful

Kidney Transplant - Things To Remember!

Dr. Jasneer Np 90% (146 ratings)
General Physician, Malappuram
Kidney Transplant - Things To Remember!
A kidney transplant is a surgical procedure that patients of kidney disease go through in order to replace a non functioning kidney with a live one that is healthy and functions well. Other methods to treat this disease also include dialysis, which basically is an artificial way of doing what our kidneys are designed to do. When dialysis does not work, many doctors recommend a kidney transplant. A replacement or donated kidney can come from a living donor or a non-living donor. This new kidney will mostly work towards keeping the blood clean, which is a function that stops when the old and diseased kidneys fail. So, here's a list of five essential facts that you need to keep in mind if you are looking at a kidney transplant: Donors: While there are living and non-living donors, the doctor will have to ensure that your donor is someone who has no medical history of complications, kidney disease or any other medical condition like diabetes or hypertension. Also, the donor would have to have two proper functioning kidneys. Further, one of the most important factors is the blood group. The blood group of the donor and the patient must match for the transplant to be possible. Procedure: During the surgery, the patient will be under general anesthesia. The surgeon will make an incision in the lower abdomen area and the blood vessels of the new kidney will be connected surgically with the vein and iliac artery of the patient. Thereafter, any excess fluid will be drained before wrapping up the surgery. Rejection: The patient's body may also reject the kidney. The immune system of the patient may mistake the new kidney as an attacking body and its natural defenses may work against it, which will lead to complications. For this, doctors usually prescribe immunosuppressant medicines that will help in preventing such an eventuality. Longevity: While a living donor's kidney may last longer, a non-living donor's kidney will not enjoy such a long life. In such cases, a second transplant can be conducted. Diet: After the transplant, the patient will be required to go through a number of measures like coughing to show that the lungs are clear, as well as administration of fluids and some amount of examination and dialysis. Also, the patient will have to have a special diet that includes raw fruits and vegetables, and plenty of non-fat dairy ingredients. A kidney transplant is a major operation that can change your lifestyle in the long run.
3372 people found this helpful

Kidney Transplant - Know The Risks & Procedure!

Dr. D.K. Agarwal 90% (200 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
Kidney Transplant - Know The Risks & Procedure!
When function of both kidneys are lost, Renal transplantation is needed. Kidney transplantation is performed by making use of a donor kidney and replacing the diseased one with it. Kidney transplantations are not conducted on patients suffering from other severe infections or life threatening diseases such as cancer, major lungs or heart condition. Diabetic or obese people usually cannot donate their kidneys as they bear a risk of malfunctioning in future. Procedure of Kidney Transplant Kidney transplant surgery takes about 3 hours time. Tests are conducted to make sure tissue typing match with the new kidney. This decreases the chance of the body rejecting the donor kidney and causing serious complications. Thorough evaluation of the medical history is made for both the receiver and the donor. This is to make sure that the donor kidney is healthy, functional and free of disorders. The procedure of the surgery includes placing the donor kidney in the lower abdomen. The blood vessels, important arteries are connected to the donor kidney. The bladder will also be connected to the ureter from the donor kidney. The new kidney generally begins to function immediately after the surgery is completed successfully. The blood begins to flow through the kidney, and it begins to function normally. It filters the blood, collects the waste that is then passed through the bladder as urine. A patient who has had a kidney transplantation surgery will need to remain in the hospital for a few days under intense care and observation. Medications to prevent the body from rejecting the new kidney will be prescribed. It is important that you continue with these medicines for the rest of your life. Risks of Kidney Transplantation Rejection of the new kidney by the body. Acute rejection in the initial days of surgery can be treated with medications and injections. However, chronic rejection is a serious condition that causes gradual loss of kidney function. There can be severe infections caused by the immunosuppression. It can also occur during the course of surgery, due to the inclusion of foreign tissues Reaction to the drugs or anaesthesia used for the purpose of transplantation surgery Excessive bleeding or haemorrhage caused due to injuries during surgery Any kind of leakage from the ureter or blocking of the ureter tubes, causing an obstruction in the smooth functioning of kidneys 6. The anti rejection drugs may lead to a decline in calcium, causing osteoporosis and other calcium deficiency infirmities Fluctuations in blood sugar, blood pressure levels Increased risk of cancer Infections in internal organs Obesity
2114 people found this helpful

Post Kidney Transplant - 6 Diet Tips

Dt. Shwetaa Shahii 90% (63 ratings)
Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery
Dietitian/Nutritionist, Delhi
Post Kidney Transplant - 6 Diet Tips
The ideal diet after a kidney transplant A kidney transplant is a surgical procedure where your kidneys are cleansed and rebuild using the kidneys of a deceased person, in order to flush out the excessive waste fluids from the kidneys. It is of paramount importance and your dietary patterns and lifestyle should be altered after you go through a kidney transplant. Your dietician will help you out by preparing your diet chart to clearly list out the foods that you should consume and those which you should avoid after the surgery. The diet chart that would be prepared for you would be highly subjective and it would totally depend on your lifestyle, medical history, family health records, genetically transmitted conditions and such others. Apart from improving the condition of your kidney and assisting your transplant, the diet chart will also help you to lose weight, boost your metabolism and enhance your immune system. Some of the most common recommendations that your dietician may give you are as follows: -Eating at least 5 full servings of fresh fruits and vegetables each day as both are an important part of a healthy diet for a person who has just undergone a kidney transplant. The vegetables should mostly be eaten after cooking/boiling as per the suggestions of your dietician. -Having enough of fiber rich foods in your daily diet is essential as it speeds up the process of digestion and prevents constipation by promoting frequent and easy bowel movements. -If you are a non-vegetarian, then you should be going for lean meat alternatives which are low on fat and high on nutritional value. -Examples of such meat are fishes and poultry. Additionally, you should also avoid all kinds of red meat as it is high on fat. -Consume low-fat milk and dairy products as they help to prevent the fat accumulation inside the body and also maintain an acceptable level of calcium and phosphorus inside your body. -Maintain a low level of iodized salt in your meals, as it helps to keep your blood pressure under control. Over the counter health supplements like vitamins and proteins can also be taken, if recommended by your dietician. If you would like to consult with me privately, please click on 'Consult'
3582 people found this helpful

Popular Questions & Answers

Hello sir, my kidney transplant done 1.5 years ago know am all right all blood test are normal can I take tetanus vaccine.

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Warm welcome to I have evaluated your query thoroughly. Yes sir can take for sure without problems. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL Regards take care.
1 person found this helpful

Renal Transplant recipient in 2006 Recently started having problems and s.creatine rose to 8.2, urea 100. No dialysis presently. Is stem cell therapy available for patients like me? Want to avoid second transplant.

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Warm welcome to I have evaluated your query thoroughly. There are no cure from stem cell therapy in these issues. Dialysis or renal transplant are only 2 choices for you. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL Regards take care.

Sir/Madam, We have facing major problem in CMC to transplant kidney because doctor says donor, s parent having diabetics since 10 years. We want to know is there any rules or regulation? That is why hospital doctor deny to transplant. Its do or die situation, please help me out urgently.

Dr. Jatin Soni 93% (30882 ratings)
General Physician, Mumbai
There are many legal formalities to be considered for kidney transplant and which requires a little bit of time and till that time we can continue with hemodialysis

Got My kidney transplant done on 3 feb 2017, can I go to office without face mask?

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to I have evaluated your query thoroughly.* No not advisable at all to go to office without face mask at this stage. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.

Hi Sir, My kidney transplant done 15 months ago know I am all right all test normal can I fire pistol or gun.

Dr. Bhagyesh Patel 94% (5898 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Manjinder , hi Warm welcome to I have evaluated your query thoroughly . * Yes sir , surely you can fire pistol or gun without any problems . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards take care .

Health Quizzes

An Overview Of The Basics Of Kidney Transplant!

Dr. Yogesh Kumar Chhabra 89% (29 ratings)
MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
A kidney transplant can fail. True or False. Take this quiz to know now!
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Kidney - Ways You Can Keep It Happy!

Dr. Prashant C Dheerendra 89% (28 ratings)
MBBS, MD - Internal Medicine, DM - Nephrology
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There s no connection between diabetes and kidney health. True or false. Take this quiz to know more.
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