Tag Archives: Nephrologist in Delhi

Health Care for a Chronic Kidney Patient

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 Pain

Kidney Pain May Indicate Infections or the Presence of Calculus

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

Kidney 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.

How To Take Care Of The Kidneys

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 anaemia 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

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?

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.

Diabetic Kidney Disease

Diabetic Kidney Disease

More and more people are suffering from diabetes globally. The prevalence of increasing diabetes means that the prevalence of diabetic kidney disease, one of the dangerous complications that increase mortality worldwide, also increases, explains nephrologist in Delhi.

What is diabetic kidney disease?

If high blood sugar persists, it will damage small blood vessels in the kidney. This can cause the protein to escape into the urine, resulting in symptoms such as hypertension, edema, and kidney damage. Finally, these injuries lead to serious kidney disease, end-stage kidney disease. Kidney disease caused by diabetes is called diabetic kidney disease.

Why is it important to know about diabetic kidney disease?

  • The worldwide prevalence of diabetes is increasing rapidly.
  • Diabetic kidney disease is the most common cause of chronic kidney disease, and 40-45% of newly diagnosed patients with end-stage kidney disease are diabetic.
  • Treatment of end-stage renal disease is more costly for patients in developing countries.
  • Early diagnosis and treatment can prevent diabetic kidney disease. Even with chronic kidney disease, proper treatment can delay the treatment of renal replacement therapy such as dialysis or kidney transplant in Delhi for a considerable period of time.
  • Management of diabetic kidney disease is more important because of the high mortality from cardiovascular disease.

Therefore, early diagnosis of diabetic kidney disease is very important in the treatment of patients, says the best nephrologist in Delhi.

How many diabetic patients lead to diabetic kidney disease?

There are two categories of diabetes, depending on which category it is likely to progress to diabetic kidney disease.

1) Type 1 diabetes-insulin-dependent diabetes mellitus

Type 1 diabetes occurs mainly in children, and insulin is essential for the treatment. Approximately 30-35% of patients are known to lead to diabetic kidney disease.

2) Type 2 diabetes – non-insulin dependent diabetes mellitus

Type 2 diabetes mellitus is predominantly in adults and is often treated without insulin in most patients. It is known that about 10-40% lead to diabetic kidney disease. Type 2 diabetes is the most common cause of chronic kidney disease in more than one of three chronic kidney disease patients, says kidney specialist in Delhi.

What type of diabetes leads to diabetic kidney disease?

Although it is difficult to predict which diabetes will lead to diabetic kidney disease, several key factors are known.

  • Type 1 diabetes mellitus that occurred before the age of 20
  • Unregulated blood sugar (high glycated hemoglobin)
  • Uncontrolled blood pressure
  • In the case of visual impairment such as diabetic retinopathy or nerve damage such as diabetic neuropathy
  • Proteinuria, obesity, smoking, hyperlipidemia

When does diabetes mellitus (diabetes) develop in diabetics?

Diabetic kidney disease (sickness) takes years to develop, so it rarely develops within the first 10 years. In type 1 diabetes, soybean red mildew symptoms occur between 15 and 20 years after the onset, and if it has not progressed to kidney disease for 25 years after the onset, the likelihood of developing kidney disease is lowered, says a doctor for kidney in Delhi.

When should a diabetic patient suspect a diabetic kidney disease?

Diabetic kidney disease (sickness) can be suspected if you have any of the following symptoms.

  • When foamy urine or urinary albumin/protein is present (observable early on)
  • Worsening of high blood pressure or previous hypertension
  • Edema of the ankle, foot or face; Decrease in urine volume or weight gain (due to the accumulation of water)
  • The decrease in insulin or diabetic drug requirements
  • Frequent hypoglycemia, or diabetes that has not been controlled in the past,
  • Drug-free diabetes: Many people think that diabetes has been cured because of good blood-sugar control, but in fact, it can mean kidney disease. In kidney disease, the duration of action of the diabetes drug is long.
  • Symptoms of chronic kidney disease at the end-stage (helplessness, fatigue, anorexia, nausea, vomiting, itching, pale, shortness of breath)
  • Elevation of creatinine and urea nitrogen in the blood test

How do you diagnose diabetes (kidney disease)?

  • Ideal: Diabetic patients should be tested for microalbuminuria and blood creatinine (or glomerular filtration rate) every year.
  • More practical: every three months blood pressure and urine dipstick tests are done. And every year we perform a blood creatinine (or glomerular filtration rate) test.

How can I prevent diabetic kidney disease?

The following are important to prevent diabetes (kidney disease).

  • Receive regular medical care from top nephrologist in Delhi.
  • Blood sugar control thoroughly. It is advisable to keep the glycated haemoglobin below 7%. Maintain blood pressure below 130/80 mmHg. Antihypertensive drugs such as angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are used to control blood pressure and albuminuria.
  • Sugar, salt, protein and fat intake should be reduced.
  • The microalbuminuria test and blood creatinine test (or glomerular filtration rate) should be performed at least once a year to determine the function of the kidneys.
  • Lifestyle therapy: Regular exercise and maintain ideal body weight. Do not smoke with alcohol, and avoid indiscriminate use of drugs such as an analgesic.

How do I treat diabetes (kidney disease)?

  • Thorough management of diabetes
  • Proper management of blood pressure is most important in protecting the kidneys. Therefore, blood pressure should be routinely measured and maintained below 130/80 mmHg. Treatment of hypertension is known to slow the deterioration of chronic kidney disease.
  • Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers are antihypertensive agents that have particular advantages in diabetic patients. These antihypertensive agents have the advantage of slowing the deterioration of nephropathy and should be initiated from early nephropathy in which microalbuminuria is present for maximum benefit.
  • To reduce facial or back swelling, you should administer a drug that increases urine, such as diuretics, with salt and water restriction.
  • Diabetic patients with renal insufficiency have a greater risk of falling into hypoglycemia and need appropriate controls for diabetic agents. Fast-acting insulin is preferred for controlling glucose and persistent oral formulations are contraindicated. Metformin is at increased risk for lactic acidosis and should not be used in patients with plasma creatinine> 1.5 mg / dL.
  • In diabetic patients with high plasma creatinine, all treatments for chronic kidney disease should be performed (listed in Chapter 12).
  • Risk factors that can cause cardiovascular diseases such as smoking, lipid elevation, hyperglycemia, and hypertension should be assessed and managed.
  • Patients with advanced diabetic kidney disease eventually need treatment such as dialysis or kidney transplant in Delhi.

When should a diabetic kidney patient consult a doctor?

Diabetic patients with microalbuminuria must consult the best kidney specialist in Delhi. You should consult your doctor immediately if:

  • The sudden increase in body weight, sudden decrease in urine volume, worsening of the face or leg edema, or difficulty breathing
  • Chest pain, aggravation of hypertension, and very fast or slow heart rate
  • Severe placebo, anorexia, vomiting or pale
  • Persistent fever and chills, and pain or burning fever during urination, urine or hematuria
  • When there is frequent hypoglycemia or reduced demand for insulin or diabetes
  • When confusion, drowsiness or convulsions of consciousness occurs
Diet For Kidney Care

Diet Suggested By Nephrologist in Delhi For Kidney Care

What you should eat to cleanse and take care of the health of your kidneys

Learn to identify the essential nutrients that help us purify the kidneys, those in charge of “filtering” everything we eat. Between the excesses of summer and the higher caloric intake that we consume in the fall, we have to take care of them.

If we take into account that the main function of the kidneys is the elimination of waste substances from the body through urine and that these are generated mainly from the food we eat every day, imagine how important is the diet to care for these organs.

FOODS THAT TAKE CARE OF YOUR KIDNEYS

And not only that, the main enemies of the kidneys (blood pressure and high blood sugar, which are the leading causes of kidney disease) also have a lot to do with everything we eat or, at least, can stay at bay with an adequate diet. So, Nephrologist in Delhi suggests watching the diet is a guarantee of health for your kidneys.

Keeping cholesterol at bay

Heart and kidney are very related. Therefore, to protect the kidney is essential to control cholesterol, one of the main cardiovascular risk factors. You get it by reducing in your diet the foods rich in saturated fats (red meats, whole milk …) and increasing the unsaturated ones (bluefish, nuts …). Use olive oil to cook, raise the good cholesterol.

Do not overdo the proteins

The kidney cleanses the blood of waste to expel it through the urine, and one of the main ones is urea, which is formed by the decomposition of proteins. Therefore, if you exceed your kidneys have to work more to eliminate urea and this can damage them. According to WHO, only 10-15% of daily calories should come from proteins. Red meats, whole milk products, and eggs are rich in them.

Control the salt

If you take a lot of salt the kidneys have a hard time removing excess sodium and that causes, in addition to thirst, fluid retention and hypertension, which can damage the blood vessels of the kidney. Kidney specialist in Delhi advises not to exceed 1.5 g of sodium per day. And do not forget that there is hidden salt in many foods (sausages, pre-cooked, cured cheeses, pickles …).

Do you control what you drink? This is how fluids affect the kidney

  • Water. To perform well its function is not necessary to drink more than 2 liters per day unless you have calculations because it helps to expel them.
  • Refreshments. The best are natural lemonades. Dark-colored sodas, fruit-flavored drinks or bottled or canned teas can have a lot of phosphorus.
  • Juices. If there is a kidney problem, the doctor for kidney in Delhi may recommend limiting the consumption of orange juice and replace it with apple, grape or pineapple.

Choose hydrates well

They are the main source of energy, but you must reduce the consumption of the simple ones (sugar, honey, jam, pastries, confectionery …) and increase the intake of complexes (whole grains and legumes). The reason? The first ones quickly turn into sugars and increase the risk of type 2 diabetes. And the high blood sugar we have already said is one of the main causes of kidney disease.

PAMPER YOUR KIDNEYS

If you have not hydrated well in the previous weeks, your kidneys may complain. So you can take care of them:

  • They need water to do their job well: Drink two liters of water of low mineralization daily. This helps them mobilize waste to be easily eliminated in the urine.
  • Fresh fruit and vegetables every day: These are the foods that most favor the purification function of the kidneys since, in addition to containing water, they are rich in potassium that increases the production of urine.
  • Go out in moderation and protect the jousts: According to the best nephrologist in Delhi, we should not exceed 5 grams of salt a day. When taken in excess, the kidneys can not eliminate it well and increases the risk of fluid retention and high blood pressure.

As for proteins, in a diet of 2,000 kcal, you should not eat more than 65g per day of this nutrient. It is proven that its excess hinders the work of the kidneys.

THE VEGETABLES RICHEST IN POTASSIUM

  1. Fruits: The banana, the apple, the orange, the apricot, the peach, and the strawberries are the fruits with more potassium.
  2. Vegetables: Potato, onion, celery, broccoli, cauliflower, and eggplant stand out as sources of this mineral.
  3. Legumes and nuts: Take 2 or 3 servings of legumes a week and 25 g of nuts per day.

BEWARE OF PHOSPHORUS

It is also not convenient for you to drink a lot of phosphorus. It is necessary to have strong bones, but if the levels of phosphorus in the blood are high, the kidneys have a hard time eliminating the excess and this increases the risk of cardiovascular disease and osteoporosis. That is why it is not convenient to take it in excess. It is found in protein-rich foods and is also used as an additive in processed foods and soft drinks.

It is important to remember that dairy products provide phosphorus, so you should not take more than 2 a day. Look for ideas to replace them, you can, for example, include 3 pieces of fresh fruit (at breakfast and snack) and 2 servings of vegetables a day to keep your kidneys healthy.

Sexual complaints in men suffering from kidney disease

Many men with chronic kidney damage experience sexual problems. Like less sense of sex and erection problems.

Sex hormones play a role in sexual excitement. The hormone testosterone affects men and women in having (and getting) a sense of sex. In the case of kidney damage, testosterone decreases. The sense of sex can therefore decrease.

In addition, erection problems can arise.

Erection problems

With sexual excitement, more blood goes to the penis. This makes the penis stiff. Approximately 7 out of 10 men with chronic kidney damage or kidney failure get erection problems. This means that it is more difficult to stiffen the penis or keep it stiff.

  • Sometimes an erection is no longer possible at all.
  • Sometimes the sensitivity of the penis is reduced by neuropathy (nerve pain). To get excited then you need stronger sexual stimuli than you might have been used to.
  • If you do not have an erection, sexual intercourse is not possible, but enjoying sex and getting an orgasm is often possible. Due to the reduced feeling, the perception of orgasm can be different.

Sometimes there is orgasm but no ejaculation anymore. The sperm then ends up in the bladder. This is also called dry cumshot. It does not hurt: you just piss out the semen.

Causes of erection problems

There are several causes of erection problems:

  • high blood pressure
  • medicines
  • testosterone deficiency
  • overweight or an unhealthy lifestyle
  • fear of failure or other worrisome thoughts

Kidney damage often involves high blood pressure. That affects the blood vessels. As a result, there is insufficient blood in the penis during sexual excitement. The penis then only gets half stiff, or not at all. It is also possible that there is enough blood to go to the penis, but that it is drained too quickly. Then the penis will swell, but it will not stay stiff for long.

Medications can also prevent erection. Blood pressure-lowering drugs sometimes ensure that there is insufficient blood to the penis during excitement. This also applies to certain sedatives if you use them for a long time.

Sometimes medication for the treatment of kidney disease leads to a shortage of testosterone. Then your penis and your brain are less sensitive to sexual stimuli. Being overweight can worsen testosterone deficiency.

Fear of failure or other worrisome thoughts

In the case of erectile problems caused by kidney damage, emotional problems often arise from fear of failure or other worrisome thoughts. If one fails to get an erection, the man can be afraid in advance that it will not work again next time. If all the attention goes to the erection, there is no attention to the love game. The man is more of a spectator who looks critically at whether the penis stays stiff. As a result, he does not notice sexual stimuli and loses his erection.

In case of fear of failure, there is also a good chance that the man (unwittingly) tightens the muscles of the pelvic floor too much. These are the muscles with which you stop your pee. If the muscle tension in the pelvic floor is too high, the blood circulation of the penis does not start with sexual excitement. Then there is no erection.

If the erection problems persist, there may be guilt that your partner suffers from your problems.

Discuss your problems

Are you less easily sexually stimulated? Or do you have other erection problems? Talk about it with your nephrologist in Delhi. Or discuss it with your best sexologist in Delhi. It can also help you to discuss sexual problems if you find it difficult.

Your best nephrologist in Delhi will talk to you about your problems, or refer you to a urologist or sexologist. Check whether the amount of testosterone in your blood can be measured. In a conversation, you will discuss together what causes your sexual problems. In addition to physical obstacles, emotional matters usually also play a role. Think of anxiety, fatigue, shame or guilt.

Treatment options

There are different treatment options for men with sexual problems.

  • more and stronger stimulation of the penis. For example, with lubricant, hand or mouth
  • a penis ring
  • erection pills
  • injections with a substance into the erectile tissues of the penis
  • good nutrition and enough exercise
  • the lovemaking plan at times when you are not too tired

Erection pills ensure that the erection lasts longer with sexual stimulation. Such medicines are only available on prescription. Erection agents are also offered on the internet, but that is not recommended: these resources are not reliable.

Always consult your kidney specialist in Delhi if you want to use resources to solve your erection problems. Your doctor knows which are safe for you and how to use them.

Solutions for fear of failure and worrisome thoughts

You can prevent fear of failure by (seeing) learning sex as something you enjoy. And not as something for which you have to perform.

  • Relax your body and your pelvic floor muscles.
  • Focus on what feels pleasant in your body.
  • Do not put yourself under pressure, for example with the idea that you should be able to have a community.
  • You and your partner may have just as much pleasure with stimulation by mouth or hand.

Because of worrying thoughts about sex, it is often difficult to pay attention to what you find exciting. It is then more difficult for you and your partner to enjoy sex.

Do you already suffer from fear of failure or other worrying thoughts? And keep it on? Talk about it with your partner. Feel free to ask for help from a healthcare provider if the problems persist. For example your top nephrologist in Delhi, or a sexologist in Delhi.

Chronic Renal Failure

Treatment of Chronic Renal Failure

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

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 the 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, such 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 defences 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 who are suitable for such intervention, should be assessed by a nephrologist in Delhi and the transplant team.

Acute 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, acute kidney 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 that 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, presenting 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 your 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.

Artificial Kidney dialysis

Dialysis: An Artificial Kidney

According to Dr. Vinant Bhargava, a Nephrologist in Delhi, perfectly working kidneys minimize excess water, waste material, and different harmful particles from gathering in your body. Kidneys also support regulating blood pressure levels and also control the amounts of toxins in the blood, such as sodium, salt, and potassium. Kidneys additionally trigger a type of vitamin D that boosts the ingestion of calcium.

Kidney Specialist in Delhi Dr. Vinant Bhargava further explains that whenever your kidneys are unable to execute these types of works as a result of disease or trauma, dialysis in Delhi can help in maintaining the body running as normal as possible. In the absence of dialysis, toxins and other waste products will gather in the blood and infect the body. Still, dialysis is not a permanent treatment for kidney disease or some other issues impacting the kidneys. Various treatments may possibly be recommended to handle those problems.

In general terms, Dialysis is a replica of kidney function which cleans your blood artificially. Dialysis is categorized into two types:

Hemodialysis

Hemodialysis is the most used form of dialysis. It utilizes a hemodialyzer, which is also called an artificial kidney, to eliminate waste material and toxins from your blood. A doctor will create an access point into your blood vessels to get the blood flow to the hemodialyzer. This access point enables a higher volume of blood to flow through your body during the course of hemodialysis treatment. This enables more blood to be filtered and refined.

dialysis in Delhi

Peritoneal Dialysis

Peritoneal dialysis consists of a surgical procedure to attach a catheter inside your stomach area. During the course of procedures, a specific liquid, referred to as dialysate, flows into your abdomen. As soon as the dialysate extracts waste product out of the blood, it is emptied from your stomach.