Category Archives: Best Nephrologist

kidney disease

Habits That Affect Your Kidneys

The kidneys are two organs located in the upper abdominal cavity, just below the chest, one on each side of the spine.

They play a role in cleaning the blood and help the body filter waste products through the urine. When they are not functioning properly, the whole body suffers.

The kidneys produce hormones, filter blood, absorb minerals, produce urine and maintain a healthy balance between acidity and alkalinity in the body.

Common symptoms that indicate kidney problems

changing the color and quantity of urine;

  • dizziness;
  • vomiting;
  • anemia;
  • breathing problems;
  • cold sensation;
  • fatigue ;
  • itching of the skin;
  • bad breath.

What causes kidney problems

A number of habits are meant to affect the proper functioning of the body.

1. Drug overdose

Consumption of certain drugs, such as non-steroidal anti-inflammatory drugs that are known to relieve pain, can affect the kidneys, especially if there is already a sensitivity at this level. Therefore, it is important that the recommended dose should never be exceeded.

2. Salt abuse

Diets high in salt mean a high sodium intake in the body. It can increase blood pressure and, in turn, damage the kidneys. Being difficult to remove, the kidneys have to put much more effort into cleansing the body, which can lead to their disease.

3. Consumption of processed foods

Processed foods are important sources of sodium and phosphorus. Some studies have shown that high phosphorus consumption can be harmful to the kidneys and bones.

4. Insufficient water consumption

One of the main functions of the body is to remove metabolic waste from the body. In this way, the number of red blood cells becomes balanced.

But this can only happen in the presence of water because in its absence the kidneys do not work properly. The high water consumption also has the role of avoiding the formation of kidney stones.

5. Lack of sleep

Good sleep is very important for the well-being of the body and, implicitly, of the kidneys. The renal function is regulated by the sleep-wake cycle.

During sleep, the kidney cells regenerate, so that they can function properly and at maximum capacity during the active period.

6. Delay urination

Maintaining, for too long, the bladder causes kidney problems. Specifically, kidney injury.

In addition, bacteria in the urine multiply and can cause urinary tract infections or kidney infections. Maintaining urine increases the pressure on the kidneys, which can lead to kidney failure and incontinence.

7. Too much alcohol consumption

Toxins found in alcohol accumulate in the liver, damaging them. But a negative effect also has on the kidneys. Large amounts of alcohol can cause kidney failure or other chronic kidney diseases, warns nephrologist in Delhi.

8. Lack of magnesium

Magnesium is a very important mineral for the body. It plays an important role in the production of energy, in the synthesis of acids and proteins, relaxes the muscles and regulates the metabolism.

The lack of magnesium leads to the crystallization of calcium in the body, thus favoring the appearance of stones in the kidneys.

nephrologist in Delhi

Chronic Kidney Disease in The Elderly

Renal physiological aging is characterized by a reduction in the renal glomerular filtration rate. In other words, the kidney does its filtration work in a slower way, in the same way that the locomotion of an elderly person is also slower, but maintaining the preserved function, that is, reaching the same place.

“The elderly are the biggest consumers of medication.”

This situation must be distinguished from the effective presence of kidney disease in the elderly, a situation in which the functioning of the kidneys is not adequate and is not related to the physiological decline of age. In situations of illness, and as in any other young or adult patient, kidney malfunction can be so severe that some interventions are needed. One is the medication review.

The elderly are the biggest consumers of medication, as they also accumulate more pathologies, and some medications can impair kidney function. Pain medications from the group of non-steroidal anti-inflammatory drugs, often taken by the elderly due to their degenerative osteoarticular pathology, can be very harmful and their indications and alternatives reviewed.

The other substantial intervention by the nephrologist is to prepare the patient for renal replacement treatment if and when the kidneys “stop”.

In India, kidney transplant is rarely performed in patients over 65/70 years old, since the risk of intervention and immunosuppression is greater than its benefit. But aging in the elderly is highly heterogeneous: age is of little significance for the decisions to be made, since other more important factors can overlap, such as: associated diseases, functionality, autonomy and independence. Thus, an elderly person may be a candidate for transplantation, despite not being the norm.

“ There are kidney patients who, due to the advanced comorbidities they have, do not benefit, in terms of time or quality of life, from any renal function replacement therapy. “

As for dialysis modalities (hemodialysis or peritoneal dialysis), there is no difference between them, similarly to what happens in young patients. The only point to note is that peritoneal dialysis is a modality that depends on the patient to be performed, unlike hemodialysis that is performed by a nurse in a hemodialysis center. Therefore, if the patient is not able to perform the technique, he may need a caregiver to do it for him, or, if he does not have it, this modality should not be an option.

Finally, there are kidney patients who, due to the advanced comorbidities they present, do not benefit, in terms of time or quality of life, from any renal function replacement therapy. These patients should be offered palliative care. Therefore, patients should be followed up by nephrologist in Delhi in order to control the symptoms of kidney disease, promoting quality of life, but without being subjected to more invasive techniques.

The choice of these options should always be made in conjunction with the assistant kidney specialist in Delhi, who should clarify the particularities of each elderly person, in order to better adapt the treatment to the person in question.

renal failure

Symptoms And Causes of Renal Failure

Acute renal failure

We say that we are facing acute renal failure when its onset is relatively early, less than three months. It can be reversible if it is treated in an appropriate and timely manner.

The chronic renal failure, the acute exacerbation is the installation of acute renal failure in a patient with chronic renal failure.

Chronic renal failure

We say that we are facing chronic kidney failure ( CRF ) when it is possible to determine that kidney failure has existed for more than three months.

The name of this entity was changed to chronic kidney disease as there are situations of kidney disease/injury without failure. Examples of such situations are albuminuria/proteinuria, changes in urinary sediment, renal ultrasound changes, anatomopathological kidney lesions in renal biopsy or even a kidney transplant.

Stages of chronic renal failure

Chronic kidney disease has several stages or phases, causes, and degrees of albuminuria. The stages of chronic renal failure are as follows:

Stage 1 – Glomerular filtrate> = 90 -normal or elevated renal function;

Step 2 –  glomerular filtrate 60-89 – decreased renal function with mild;

Stage 3a –  Glomerular filtrate from 45 to 59 – renal function with mild to moderate decrease;

Stage 3b –  Glomerular filtrate from 30 to 44 – renal function with moderate to severe decrease;

Stage 4 –  Glomerular filtrate from 15 to 29 – renal function with severe decrease;

Stage 5 –  Glomerular filtrate <15 -Renal failure (add D if the patient is on dialysis).

Glomerular filtrate values ​​in (mL / min / 1.73 m2).

Pathophysiology of renal failure

The pathophysiology of renal failure, acute or chronic, can have different levels. If the pathology that damages the kidneys is found “before” the kidneys, it is called the renal failure of a pre-renal cause, as for example in cases associated with heart failure or the removal of volume in the vessels.

In turn, if the pathology is intrinsic to the kidneys, as is the case of acute glomerulonephritis or pyelonephritis, renal failure is considered to be of renal cause.

Finally, if the cause of renal failure is related to obstruction of urinary drainage, such as prostate hypertrophy, it is called post-renal.

Find out below what the symptoms of kidney failure are.

Symptoms in renal failure

The signs and symptoms of kidney failure are usually late, so they appear in the more advanced stages of chronic kidney disease. They can result from decreased glomerular filtration, such as edema (swelling), decreased urinary elimination or high blood pressure.

In stage 4, or more commonly in stage 5, more evident signs or symptoms may appear, such as generalized weakness (asthenia), lack of appetite (anorexia), nausea, vomiting, and changes in the central nervous system (slowness of reasoning, drowsiness) and rarely seizures).

These initial symptoms of chronic renal failure are explained to patients who are already being followed up with nephrologist in Delhi. In most cases, however, kidney disease is detected in routine tests without previous suspicion of its existence.

In India, cases of chronic renal failure that are diagnosed only at stage 5, using the emergency service to start hemodialysis on an emerging basis, have decreased. This improvement is mainly due to the improvement of primary health care with timely referral to kidney specialist in Delhi.

Causes of kidney failure

The causes of renal failure are multiple and vary according to the age group. As an illustrative example, the etiology of chronic kidney diseases that led to the beginning of regular dialysis in Delhi: diabetes mellitus 33.9%, arterial hypertension 13.1%, glomerulonephritis chronic 11.2%, polycystosis 4.9%, hypoplasia / renal dysplasia 0.7%, other causes 18.5% and unknown causes 17.7%.

Children only reach “normal” kidney function at two years of age, so below that age, the classification of chronic kidney failure at the stages mentioned above cannot be applied.

The vast majority of cases of kidney failure in early stages are, in general, related to congenital kidney diseases. However, the causes of kidney failure in pediatrics, requiring dialysis or kidney transplantation, also include glomerular diseases.

Diagnosis of renal failure

The diagnosis of renal failure can be made by family doctors, taking into account some aspects, namely:

  • The complete absence of diuresis (anuria) is not a characteristic of chronic renal failure, but of acute renal failure or acute chronic kidney failure;
  • Elevated creatinine and serum urea are characteristic of renal failure;
  • To better characterize the stage of chronic renal failure, creatinine clearance is used using 24-hour urine collection (determination of urinary volume and creatinine) and blood (determination of serum creatinine): creatinine clearance = urinary creatinine (mg / dl) / serum creatinine (mg / dl) X urine volume of 24 hours (ml) / 1440 (minutes). It is expressed in ml / minute (normal values: men> 90 ml / minute; women> 80 ml / minute). Formulas can also be used to calculate creatinine clearance, avoiding the 24-hour urine collection that is often not performed correctly or is not feasible;
  • The signs and symptoms of chronic kidney disease should lead to an assessment of renal function (serum creatinine and urea, as well as creatinine clearance using mathematical formulas or with 24-hour urine collection as already described);
  • Elevated serum potassium values ​​are not essential for diagnosis;
  • Other common analytical changes in chronic kidney disease in advanced stages (3 to 5) are anemia, metabolic acidosis, low serum calcium, and elevated parathormone;
  • Summary analysis of urine may reveal albuminuria and urinary sediment may show changes such as hematuria and erythrocyte cylinders;
  • Renal ultrasound is the exam indicated for initial imaging evaluation in suspected chronic kidney disease. It may reveal a decrease in kidney size, although in diabetes mellitus this change may not exist even in advanced stages of CRF. Another echographic abnormality typical of chronic kidney disease is the decrease in differentiation between the cortex and the renal medulla. If multiple bilateral renal cysts appear, we may be in the presence of a polycystic disease.

The early referral of patients with chronic renal failure to the best nephrologist in Delhi has had an impact on improving their follow-up, with implications for delaying their progression as well as for the adequate treatment of the various complications of chronic renal failure.

How to prevent kidney failure?

Renal failure can be prevented, essentially through the following measures:

  • Lifestyle changes to prevent frequent causes of chronic renal failure, such as type 2 diabetes or cardiovascular disease including high blood pressure;
  • Obesity (overweight) can also be associated with chronic kidney failure. Lifestyle should be changed in order to avoid obesity;
  • Avoid exposure to nephrotoxic drugs, especially non-steroidal anti-inflammatory drugs.
nephrologist-in-delhi

Health Care for a Chronic Kidney Patient on Hemodialysis

Why kidney care is important

We know that the kidneys are organs that make up the excretory and osmoregulatory system, performing vital activities for our health. They are responsible for filtering the blood, eliminating toxins from our body through the urine. Avoiding the increase in blood pressure and the appearance of edema, among other functions that contribute to the proper functioning of our body.

How the chronic kidney patient keeps the kidney healthy

The kidney patient, like anyone else, must have a normal life in order to be able to carry out their day-to-day activities without worrying about health. For this, balance is the keyword to keep the kidney healthy

Care that chronic kidney patient should take with food

Care in feeding should start with liquids. The renal patient undergoing hemodialysis should be careful with the excess fluid ingested since it can accumulate in the body and force the activities of the lungs and heart.

Knowing this, some tips for curbing thirst are important;

  • Avoid salty or very sweet foods;
  • Rinse with water;
  • Use a small glass to drink liquids;
  • Suck ice;

kidney specialist in Delhi

Sodium – The care that chronic kidney patients should take with salt intake

Reducing the amount of salt that is ingested can decrease chronic kidney failure. To reduce salt consumption, it is important to avoid processed foods, such as: preserved foods, sausages (ham, sausage, bologna, salami), ready-made spices and salty cheeses. At mealtime, give preference to natural spices that are healthier and give more flavor to foods: onion, garlic, pepper, bay leaf, basil, etc.

Chronic kidney patient and blood pressure 

The patient with renal failure tends to raise his blood pressure for two reasons. The first occurs because the kidney cannot properly eliminate the ingested salt, and the other happens due to the kidney’s disruption of hormone production, which regulates our blood pressure. Therefore, hypertensive patients or those with chronic kidney disease should avoid salt intake, suggests nephrologist in Delhi.

Renal patient and the consumption of Calcium and Phosphorus

Kidney failure causes the levels of phosphorus and calcium in our body to be altered, so it is important to be aware of their intake. This is because the kidney is unable to expel these elements properly, causing them to accumulate in our body, which can be very harmful to health.

Hyperpotassemia in chronic renal patients

Potassium levels in the blood increase when the kidney cannot eliminate its excess from the body, causing hyperkalemia. Because it is a mineral that acts on muscles and nerves, the accumulation of potassium can cause muscle weakness and change in a heartbeat.

Is carambola toxic to chronic kidney patients?

Chronic kidney patients should not eat star fruit because it is toxic. Research indicated that carambola’s toxicity was due to the presence of oxalate in the fruit. However, new studies show that the fruit is toxic due to the caramboxin toxin. This toxin contributes to the inhibition of GABAergic, the main inhibitory system of the central nervous system, which can cause serious complications for the health of chronic kidney patients, warns kidney specialist in Delhi.

Chronic kidney patient and skincare

Some chronic kidney patients may experience some discomfort due to dry and itchy skin. This can occur due to high levels of minerals and hormones in our body or due to changes in sweat and oil glands. As a way to prevent itching it is important to be aware of the levels of calcium and phosphorus that are being ingested in the diet.

Venous access is done before hemodialysis, which can be permanent or temporary. Chronic kidney patients tend to choose definitive access because it allows treatment to be long-lasting and to have a low rate of complications. To prevent complications from happening some care with the fistula is necessary. In the first sessions, it is important to save as much as possible the member who receives the access, avoiding sudden movements and great efforts. On a daily basis, nephrologist in Delhi recommends avoiding impacts and trauma in the area, so as not to hurt or infect the area.

Physical activity and chronic renal patient

In general, patients with chronic renal failure on hemodialysis have little tolerance for physical activities, due to some weakness or because they are inactive. There are still no in-depth studies on the risk of physical exercise in these patients, but there are no reports of serious problems resulting from physical training. There are descriptions of aerobic training interventions that have been used to increase maximum oxygen capacity in pre-selected patients. Studies suggest that aerobic training can improve blood pressure and mental health in chronic kidney patients. The study also concludes that physical and aerobic exercise benefits the patient in the dialysis and interdialytic phase, benefiting the cardiorespiratory capacity, physical conditioning, muscle strength, and functional capacity.

We can see that the care that the chronic kidney patient must have covered different situations in our life. Following these steps, the quality of life of the chronic renal patient tends to increase considerably. The care, balance, and monitoring of a qualified and specialized medical team is an important differential for effective renal treatment and a happier life for the patient.

kidney stone pain

Kidney Pain May Indicate Infections or the Presence of Calculus

Back pain is very common and, in most cases, it is not of renal origin but of spinal diseases, generically called low back pain.

Renal pains are usually on one side (right or left) and project in the lower back. They are cramps of varying intensity, which can go down the front of the belly to the groin and genital region, in addition to being accompanied by other symptoms such as nausea, vomiting, and changes in the urine.

To be sure that the pain originates from the kidney, it is necessary to look for a sign called Giordano, a situation in which the nephrologist in Delhi gives small pats with the closed fist on the lumbar region (percussion fist), from top to bottom, which provokes the appearance of pain. In this case, the signal is positive, that is, the pain is probably due to kidney disease.

What are the possible causes of this pain?

The most frequent cause is the presence of stones (lithiasis), which clog the urinary tract and dilate the affected kidney (hydronephrosis), causing very severe pain that requires administration of analgesics, antispasmodics, and injectable anti-inflammatories. They are the famous renal colic that, according to popular culture, are maddening and worse than those that women feel during labor.

Also, infections of the upper urinary tract, which directly affect one or both kidneys (pyelonephritis) are causes of pain such as those described. Typical cases are accompanied by changes in urine and general symptoms such as fever, cloudy and dark urine, malaise, poor appetite, nausea, and vomiting.
Acute nephritis due to kidney inflammation can also be responsible for pain. They are bilateral and accompanied by changes in urine and even high blood pressure.

Less frequent causes are real polycystic disease, kidney tumors, and trauma, for example.

kidney pain

When to get the kidney specialist in Delhi?

In the case of pain in the lumbar region of acute appearance, in colic, with the characteristics already described, especially if they are accompanied by dark or cloudy urine, with dust, in addition to pain or burning in urination, the urge to urinate all the time with the leaving small amounts of pee, personal or family history of eliminating stones or polycystic kidneys and the presence of general signs and symptoms are indicative that a nephrologist in Delhi should be sought.

diabetes-kidney-disease

Learn How To Take Care Of The Kidneys And Stay Away From Kidney Diseases

Kidney Health for All is the theme of World Kidney Day 2019. But, do you know how important this organ is for the proper functioning of the body? First, for those who do not know yet, the word kidney goes to the plural because we have two. And they are in the posterior abdomen, one on the right and one on the left. Their main function is to filter blood to control the amount of water and salt in the body, eliminate toxins, help control high blood pressure and produce hormones that prevent bone anemia and decalcification, and eliminate medications and other ingested substances.

It is precisely for its numerous functions that the kidneys need to be healthy. Sick kidneys cause so-called kidney disease, which is a cause of concern worldwide because of the growing number of cases.

According to the best nephrologist in Delhi, 850 million people have kidney disease worldwide. Chronic Kidney Disease causes at least 2.4 million deaths annually, with an increased mortality rate. And the most affected are people living in low- and middle-income countries.

According to Dr. Vinant Bhargava, kidney specialist in Delhi, the main risk factors for kidney disease are hypertension, diabetes, and a family history of kidney disease. But obesity, smoking and the use of toxic medications can also affect kidney health.

“In India, one in 10 Indians will have some kind of kidney disease. He has and does not know, because kidney disease is silent. It has no major symptoms. And since diabetes and hypertension are prevalent diseases in India, and also remembering obesity, these diseases lead to chronic kidney disease. And if the person has a very poor kidney function, below 10%, he will go on hemodialysis, peritoneal dialysis or need a transplant, ”explains the nephrologist kidney specialist in Delhiin Delhi.

 

Preventing

Kidney care means staying away from kidney disease. For prevention, one of the main tips is to adopt a less salty diet. “We here in India eat around 12 grams of salt per day when adequate would be around 2 grams of salt/day. Salt has a retaining effect on water. This causes the kidneys to work at higher blood pressure, leading to kidney disease or chronic kidney disease. And for those who are diabetic, the diet should also be controlled, especially in relation to sugar, ”draws the attention of Dr. Vinant Bhargava.

Hydration is indispensable. “We should not wait for thirst to drink water. Thirst already means dehydration. An increased amount of fluid should be taken to further filter the urine. The pathologies that can be harmed by lack of water are those who already have kidney stones, the kidney stone. You have to drink a lot more water, always trying to prevent the crystals from getting too long in the urine, forming increasing leg formation.”

Elderly people, patients with cardiovascular disease and patients with a history of kidney disease in relatives have great potential to develop kidney injury and should be investigated with urine screening and blood creatinine levels. “These are simple tests available that provide valuable information to tell how the kidneys are working. The recommendation is to take the exam once a year. And anyone who already has a family history, hypertension or diabetes is at least every six months.”

Serum Protein Analysis

Serum Protein Analysis

Definition of serum proteins

The proteins are in some ways the essential building blocks of our cells; they play a role in all the reactions of the body.

There are more than a hundred different proteins circulating in the blood, although albumin accounts for 60% of them.

In addition to transporting many substances (hormones, lipids, etc.), blood proteins are involved in coagulation, immunity, maintenance of blood pressure, and so on.

It is possible to perform a total serum protein assay, which provides information on the functioning of many organs.

Why do serum protein analysis?

Serum Protein Analysis

The analysis of serum proteins (serum) is useful in many situations to guide diagnosis, specify the severity of a disease or monitor the effectiveness of treatment.

It is a very common examination that can assess the function of certain organs (liver, kidneys) and highlight certain abnormalities (inflammatory syndrome, autoimmune diseases, lymphoma, etc.).

Thus, this dosage may be prescribed, inter alia, in the case of:

  • inflammatory syndrome
  • alteration of the general condition
  • CBC abnormalities (blood test)
  • unexplained bone or joint pain
  • liver problems
  • renal failure

What results can we expect from a serum protein analysis?

The serum or plasma proteins are measured by electrophoresis, after a simple blood test: the blood (serum) is placed in an electric field, which “migrates” the proteins. They separate according to their electrical charge and their weight, which makes it possible to distinguish them from each other and to identify anomalies.

This assay is usually performed at the same time as other basic tests, such as blood count or sedimentation rate. Indeed, the level of proteins in the blood (protidemia) does not only depend on the proteins, but also on the blood volume (the dilution may be greater or smaller).

What results can we expect from a serum protein analysis?

As an indication, the normal value of total serum proteins is between 65 and 80 grams / L. The albumin/globulin ratio is between 1.2 and 1.8.

An increase in total plasma protein (hyperproteinemia) is observed in many situations, such as dehydration (“heat stroke”, diarrhea, vomiting) or during various diseases such as myeloma that cause an increase in the mass of circulating proteins.

Decreases in total protein concentration (hypoproteinemia) may be caused by a lack of intake (malnutrition) or a lack of absorption, a lack of synthesis (liver failure), abnormal loss of kidney or by water overload (hemodilution).

The electrophoretic analysis shows the distribution of the main blood proteins and traces a characteristic “profile”, which can be interpreted by the doctor.

Thus, in the case of an inflammatory syndrome, for example, the “pattern” will be typical, showing an increase in alpha-globulins and a decrease in albumin.

The increase in beta-globulins, meanwhile, may mean the presence of iron deficiency, hypothyroidism or biliary obstruction.

The nephrotic syndrome (kidney dysfunction) will be characterized by hypoalbuminemia and hyperalphaglobulinemia.

Only the nephrologist in Delhi will be able to identify an abnormal line and prescribe the case of complementary examinations to make a diagnosis.

Treatment-of-Chronic-Renal-Failure

Treatment of Chronic Renal Failure

The chronic renal failure (CRF) is a disease characterized by the progressive deterioration of renal function which results in the kidney loses the ability to make urine, and in turn to remove toxins from the blood, among other functions they are necessary for life.

Treatment of Chronic Renal Failure

A patient is considered to have Chronic Renal Insufficiency when he has a glomerular filtration rate lower than 60ml / min / 1.73m2, resulting from structural or functional abnormalities of the kidney, for at least three months.

Among the kidney’s own functions that are altered in renal failure are:

  • The acid-base and electrolyte balance, necessary to maintain the pH and the amount of water and salts that the body needs (sodium, potassium, and phosphorus)
  • Elimination of toxins.
  • Endocrine functions, such as the production of erythropoietin necessary for the production of red blood cells, and avoid anemia.
  • Regulation of calcium metabolism (essential for the proper function of bones)

These are some of the substances that accumulate in blood product of cell metabolism and that in the case of suffering from renal failure are not eliminated properly, and can be harmful when they accumulate in the blood:

  • Urea
  • Creatinine
  • Ureic Nitrogen in Blood (BUN)
  • Sodium (present in salt): Favors the retention of liquids
  • Potassium (present in fruits, vegetables, and nuts): as a serious consequence among others can produce an irreversible cardiac arrest.
  • Phosphorus (present in bread, dairy, and pastries): In excess produces itching and contributes to vascular calcification.
  • Excesses of water (come mainly from drinks and meals): Increases blood pressure, and can lead to acute pulmonary edema, which is a serious condition, where the lung cannot exercise its function to oxygenate the blood because occupied by liquid.

Causes of the CRF

Causes that can cause Chronic Renal Insufficiency:

  • Infections of either the urinary, kidney or systemic pathways that affect the kidney (for example pyelonephritis)
  • Medications that affect the kidney (for example chronic interstitial nephritis, caused mostly by non-steroidal anti-inflammatory drugs, such as ibuprofen and diclofenac and some antibiotics, among other medicines)
  • Injuries, tumors
  • Acquired or hereditary renal diseases (for example, glomerulonephritis or polycystic kidney disease in more than 20%)
  • Diabetes mellitus (more than 20%)
  • Hypertension
  • Atherosclerosis (fatty deposits, as cholesterol, inside the arteries, in more than 15%)
  • Systemic hereditary diseases with kidney involvement
  • Urinary tract stones

Symptoms of CRF

The symptoms of advanced chronic renal failure (CRF) are mainly associated with the retention of urea and electrolytes such as phosphorus and potassium, and fluid retention, with edema in the legs (swollen legs) and shortness of breath (edema) in lung; also when the levels of urea are very high the following signs and symptoms may appear:

  • Tiredness
  • Nausea
  • Vomiting
  • Loss of appetite
  • Weight loss
  • Headache
  • Insomnia
  • Numbness or muscle pain in arms and/or legs
  • Spiked
  • Blurred vision
  • Heart problems
  • Anemia and malnutrition
  • Edema in the eyelids and legs (fluid retention)
  • Osteodystrophy (decalcification and fragility of the bones)
  • Stomach discomfort (gastritis)

Treatments: hemodialysis and peritoneal dialysis

Techniques of renal replacement therapy: Hemodialysis or Peritoneal Dialysis

Among the techniques of renal replacement therapy, that is to say, those that will supply kidney function, when they present a significant deterioration of between 5-15% of their capacity, it is necessary to choose the technique depending on the characteristics of the patient and the recommendations of your nephrologist in Delhi.

In both cases, once the treatment is started, both hemodialysis and peritoneal dialysis recover the feeling of well-being and improve the functioning of the body’s systems.

Kidney Transplant

Kidney transplant in Delhi is the best renal replacement therapy because it offers the possibility of a better quality of life by restoring all affected functions and eliminates the need for chronic dialysis in Delhi. A transplanted kidney can work well for many years, depending on the general health of the recipient and the characteristics of the donor’s kidney.

In any case, before being a candidate for a kidney transplant recipient, additional tests should be performed to ensure optimal performance, since it requires immunosuppressive drugs, that is, they depress the body’s natural defenses and predispose other diseases of an infectious nature, as well as the success of surgery, since it does not stop being a surgical intervention with its risks. So not all patients are suitable for such intervention, should be assessed by a nephrologist in Delhi and the transplant team.

Kidney-Disease-Treatment

Acute Kidney Disease Treatment by Best Nephrologist in Delhi

Acute-Kidney-Disease-Treatment-By-Best-Nephrologist-in-Delhi

According to Best Nephrologist in Delhi Dr. Vinant Bhargava, an acute renal disease is basically a problem that lots of people have wherein the kidney does not separate waste from blood likewise it could. The kidney is a vital organ who performs many functions in our body, however, first and foremost it cleans waste material like potassium and calcium and roots it out from our body through urine. Many individuals suffer from acute kidney disease earlier than other people. Hypertension and diabetic issues are the most known problems that trigger individuals to develop acute kidney disease. Sadly, lots of people who are suffering from acute kidney disease also suffer from arthritis or chronic pain.

Various drugs are separated out of the body system by the kidneys. It indicates that once you develop acute kidney disease, few drugs are taken in a different way or perhaps disallowed completely. Drugs as essential as antibiotics could require kidney functionality adaptation, so it is extremely vital to consult with your doctor and understand your kidney functionality.

Acute kidney disease can furthermore lead to transitions in the human body, including anemia or bone disorder. The kidneys exude a hormone which induces bone marrow to generate blood cells. If the hormone is not exuded properly, anemia may possible to develop. The kidneys additionally support the human body to utilize calcium and vitamin D effectively. in absence of the complete functionality of the kidneys, individuals can suffer from a bone disease, like osteoporosis.

Well, presented all of these facts, what a person can do to avoid acute kidney disease? By far and away the most crucial thing a person can do is regulate blood sugar and pressure. Blood pressure should be checked often and diet should be built as recommended by a dietician.

The more salt, the steeper the blood pressure. High sugar also damages the kidney. If you are suffering from obesity, or have a family background of diabetes, it’s important to have blood sugar checked.

If acute kidney disease does not treat well it may lead to total failure of the kidney and then a person needs to go for a kidney transplant. For kidney transplant in Delhi, many patients visit Dr. Vinant Bhargava and his expert surgeon team.

best kidney specialist in Delhi

About us

dr-vinant-bhargava
Dr. Vinant Bhargava, M.B.B.S., DNB (General Medicine), DNB (Nephrology), MNAMS (Nephrology), FASN (Nephrology), is a specialist in kidney diseases. Presently, he is a Consultant Nephrologist in Delhi with the Institute of Renal Science at the esteemed Sir Gangaram Hospital, Delhi. He has more than 15 years of involvement in the field of Nephrology. He has been associated with elite medical organizations, such as Seth G.S Medical College and K.E.M Hospital (Mumbai), Sir Gangaram Hospital (New Delhi) and PGIMER (Chandigarh).

A sharp researcher with an eager enthusiasm for scholastics and mentoring fellow residents makes him a proficient academician. He is a member of scholastic occasions at courses in IGNOU (Indira Gandhi National Open University, New Delhi). He has introduced many research papers (in the course of recent years). He has delivered lectures at national and international conferences.

His special interests are

  1. Renal transplantation at an affordable cost (live/deceased donor transplantation, ABO-incompatible transplantation, pre-emptive transplantation, steroid-free transplantation).
  2. Glomerulonephritis (Nephrotic Syndrome)
  3. Acute kidney injury
  4. Prevention of progression of kidney disease
  5. Haemodialysis, Peritoneal dialysis
  6. Access for dialysis (AV Fistula, Permacatheter, CAPD catheter)

Memberships

  1. Medical Council of India
  2. Delhi Medical Council
  3. Delhi Nephrology Society
  4. Indian Society of Nephrology
  5. American Society of Nephrology
Medical Qualification
Observership in Nephrology and Transplantation PGIMER (Chandigarh) 2011-12
Diplomate National Board (Nephrology) Sir Gangaram Hospital (New Delhi) 2008-11
Diplomate National Board (General Medicine) Jagjivanram Hospital (Mumbai) 2004-07
M.B.B.S. Seth G. S. Medical College and
K.E.M. Hospital, Mumbai
1996-2002
Expertise
  • Kidney transplantation
  • Hemodialysis
  • Creating vascular access