Millions of adults suffer from chronic kidney disease. As the disease initially develops with little or no symptoms, as many as 90% of patients do not know that there is something wrong with their kidneys. Dialysis in Delhi may be necessary when this organ is damaged and cannot function properly, explains the Nephrologist in Delhi. What is? What are the indications for its implementation? What steps should be taken when dialysis is not enough? What is dialysis? Dialysis is a method that aims to replace the physiological functions of the kidney. This organ removes harmful metabolic products from the body (including metabolites of taken drugs), which ensures metabolic balance, normalizes blood pH, maintains normal blood pressure and helps to get rid of toxins from the body. The treatment uses the properties of a semi-permeable membrane, which allows for effective purification of electrolytes from colloidal solutions. This membrane retains some of the compounds and allows the rest to flow freely. This is possible thanks to a phenomenon called diffusion. Thus, the more blood reaches the membrane, the more effective dialysis will be, explains the Best Nephrologist in Delhi. What are the indications for dialysis? In most cases, patients with renal insufficiency and after poisoning, e.g. with ethylene glycol, are eligible for the dialysis in Delhi. It is worth noting that dialysis therapy completely disorganizes the patient’s life. Regardless of whether the procedures take place in a dialysis centre or at the patient’s home, the patient must take into account the need to spend about 15 hours a week (3-5 hours on average every other day). Dialysis is a heavy burden on the circulatory system, so the patient has the right to feel tired after the procedure and requires rest. If the catheter connection procedure is not performed under sterile conditions, there is a risk of developing an infection, warns the Kidney Specialist in Delhi. Dialysis is undoubtedly life-saving, but it is burdensome for the patient and ties him to the place of residence and the dialysis centre in Delhi. Types of dialysis and their course There are two types of dialysis:
Dialysis saves lives, but transplantation is definitely the better treatment option Kidney transplant in Delhi is an effective renal replacement therapy. It should be performed in patients for whom transplantation is not contraindicated. It is most beneficial for the patient to obtain a kidney from a living donor. After transplantation, such an organ functions on average for about 15 years and successfully performs all physiological functions. The best situation is when the donor is a closely related family member – a sibling or parent. It is not uncommon for the organ to be donated by people who are in an emotional relationship with the needy, e.g. spouses or friends. An organ for transplantation can also be obtained from a dead donor, however, it is associated with a slightly worse treatment effect. Such a kidney functions on average for 9-12 years. Before donating an organ, the donor must undergo a number of necessary diagnostic and laboratory tests. Not only is his general health assessed, but also a histocompatibility test. This reduces the risk of possible transplant rejection, says the kidney transplant doctor in Delhi. Contraindications to live kidney transplantation are:
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Kidney pain is typically felt in the flank area, which is located at the lower back region under the lowest point of the rib cage on both sides of the spine. Kidney pain is sharp, very intense and usually comes in unpredictable waves. Kidney pain symptoms vary with the type of medical issue it is associated with, says kidney specialist in Delhi.
What is Not Kidney Pain? Throbbing, dull, aching pain in the back is sometimes mistaken for kidney pain symptoms, but that is usually not the case. Ligaments, muscles or even vertebrae and disks in the spinal column typically cause such pain in the middle and lower back regions. Musculoskeletal pain can be relieved with heat and massage treatments, however the pain typically gets worse with movement and non-treatment. Common Causes Of Kidney Pain Causes of pain: Kidney Stones cause pain to your kidneys when kidney stones become lodged in the ureter. This slender tube connects the kidney to the bladder, and when the urine flow is blocked it causes the urine to back up in the kidneys. What to expect: The Kidneys will swell and enlarge the pain sensitive thin covering around it. The kidneys are stretched and causes “Colic” pain, which is described as pain that comes in waves. This type of pain can be compared to childbirth, where the patient finds being still is nearly impossible, and that constant motion, pacing, and writhing can help to lessen the pain. The intense severity of the pain can cause nausea and vomiting. The kidney pain may start on both the left and right flank area, although the pain might move as the stone migrates down the ureter. As the stones continue to travel through the lower abdomen in the front along to the groin, it may cause the patient further intense eye watering pain. Kidney Infection (also known as pyelonephritis) Cause of pain: Kidney Infection (pyelonephritis) pain is caused by inflammation and infection within the kidney tissue. The swelling and stretching of the pain-sensitive capsule that is around the kidney sends stabbing, sharp, aching pain again to the flank area. What to expect: Patients with infected kidneys usually have symptoms such as fever, vomiting, nausea and are extremely sensitive to touch in the area of the flank. Although they may be similar, kidney infections are much more serious than a common bladder infection. Kidney infection is a serious condition that needs to be treated quickly by nephrologist in Delhi. Intravenous antibiotics need to be started in order to prevent the infection from spreading into the bloodstream. Dull Aching Pains Kidney Cancer: Rarely does kidney cancer rarely grows tumors or cancer cells so large that they can stretch the capsule slowly, or that involve nerves in the kidney, thus causing usual stabbing, colic, sever pain related to kidney issues. Kidney cancer or tumors usually cause no pain at all, says nephrologist in Gurgaon. Polycystic Kidney Disease: Polycystic kidney disease is a hereditary condition that can lead to massive enlargement of the kidneys. If left untreated over a number of years, it can also cause dull aching pain in the front of the abdomen instead of the back. Blocked Urine Flow: The condition known as blocked urine flow causes a gradual blockage of urine flow. It is not the same as kidney stones, where there is a immediate blockage. This kidney pain symptom causes the kidney to stretch and causes a dull aching pain which is not a typical kidney pain symptom, explains kidney specialist in Gurgaon. Bladder or ureteral spasms that happen when the bladder is extremely full, just before or while urinating may cause great discomfort to the lower abdomen or on both sides of the flank. The discomfort or pain felt is most likely coming from a involuntary muscle contraction (peristalsis). This kidney pain symptom probably does not stem from the kidney itself, but instead by the brief periods of muscle spasms. These spasms may seem to be coming from the kidney, but after voiding the bladder the painful sensation should resolve itself relativity soon. Other Causes Some less common causes for kidney pain are due to injury that may cause bleeding, or infarction of the kidney which is a sudden blockage to the artery of the kidney where the blood supply is cut off causing pain. The various kidney pain symptoms described above all show that it is uncommon for the kidneys to cause dull aching pain. The facts also show that is it highly unusual for a slowly occurring blockage to associate itself with the medical issues listed including cancer. If you have any doubts about the possible problems with kidney, consult the best nephrologist in Delhi for diagnosis and treatment. The author Dr. Vinant Bhargava is one of the top nephrologist in Delhi, India for dialysis, kidney transplant, kidney disease management and other ailments of kidney. You can contact him at 09990610096. |
AuthorA passion for helping others led me down the path of Medicine into a career that allows me to provide my patients with high quality healthcare. As a professional Nephrologist in Delhi since 2008, I bring a holistic approach to medicine in order to find comfortable and effective solutions for everyone. Read on to learn more about my medical background. Archives
March 2023
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