A nephrologist in Delhi treats patients with kidney disease, but also tries to prevent disorders. When the kidneys (suddenly) do not work at all, there are renal function-replacement treatments, such as hemodialysis ('blood flushes'), hemofiltration ('filtering of excess substances in the blood'), peritoneal dialysis ('abdominal lavage') and kidney transplant in Delhi. Other symptoms of disease may also be caused by kidney disease, eg very high blood pressure (severe hypertension), disturbances in the composition of fluids in the body and regulation of certain salts (disruptions to the environment of the interior). These symptoms are also treated by the best nephrologist in Delhi. Nephrology is a specialization within internal medicine. A nephrologist in Noida is therefore also specialized in nephrology after general training as an internist. Reference center in hereditary renal diseases, systemic nephropathies and hypertension. It gives a personalized and comprehensive response in Chronic Renal Insufficiency (CRI): from diagnosis to substitution treatment with dialysis techniques, from technical knowledge to support and accompaniment of chronic disease. Innovative capacity and leaders in kidney transplantation from living donors. Assistance area Nephrology is a medical specialty that aims at the morphological and functional study of the kidney, both in normal and pathological conditions. The nephrological benefits that are treated by kidney specialist in Delhi are: Diagnosis of kidney diseases Diagnosis of hematuria, hypertension, urinary tract infections, renal failure, diabetic and systemic neuropathies. Treatment of kidney diseases Medical treatment to preserve kidney function. Establishment of dietary standards. Substitute treatment of renal function by dialysis. Kidney transplant Medical preparation for kidney transplant. Post-surgery medical treatment of kidney transplant in Delhi. Periodic reviews Early detection of renal failure. Assessment of cardiac risk due to persistent hypertension. What is nephrology? Nephrology is concerned with kidney disease and is part of the Department of Internal Medicine. Nephro comes from the Latin word nephron, and means kidney. Logie stands for the doctrine in Latin. The literal translation is: " The doctrine of the kidneys." In the nephrology department, people with acute and chronic kidney disease are treated. From incipient kidney damage to kidney transplantation and kidney dialysis treatments. As a result of the kidney damage, other symptoms (complications) often arise such as:
What does the treatment team consist of in the nephrology department? If the kidney function is too affected, the nephrologist will check whether the patient is eligible for transplantation or whether dialysis treatment should be started. Especially at this stage of treatment, there are profound choices to make for the patient. That is why patients need intensive guidance at this stage. The treatment team in the nephrology department usually consists of: Internist nephrologist in Gurgaon, nurses, dialysis nurses, nursing specialists in the field of kidney transplantation.
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One of the main functions of the kidneys is filtration as urine, of excess water and toxins produced in the body besides regulating components such as calcium or vitamin D. When failures occur in this organ, the kidney stops filtering the blood, so the substances that were previously responsible for regulating, such as waste or excess water, begin to be retained in the body, causing toxic substances such as urea and creatinine accumulate in the blood. A kidney disease usually does not show symptoms until the condition reaches more advanced stages, which is why, according to Nephrologist in Delhi, it is called ” silent disease “. The Kidney Specialist in Delhi highlights the importance of an early diagnosis to avoid complications, so it is advisable to pay attention to the following early symptoms:
The diabetes mellitus along with high blood pressure are the two most common causes leading to kidney failure, reason why these diseases require regular monitoring of renal function of the patient to avoid aggravation, says Nephrologist in Gurgaon. In addition, there are other risk factors that increase the chances of suffering a failure of this type, such as hereditary diseases, immunological and some drugs such as anti-inflammatory or chemotherapeutic. How can kidney disease be prevented? One of the main tips that the Nephrologist in Noida proposes to avoid kidney problems is to adapt to a healthy lifestyle, that is, including “healthy-heart recommendations”, since the measures that help to take care of the heart serve to prevent renal failures. To avoid both kidney and coronary diseases, it is necessary to reduce salt intake, since foods already contain it, in the same way that you must choose to avoid excesses of fat and other harmful substances such as alcohol or the snuff. “Patients should not be anchored in a healthy diet and that’s it. This should be combined with physical exercise routines and moderate the consumption of anti-inflammatories, especially in the elderly, “says the Kidney Specialist in Noida. In the same way, it is important to perform continuous blood pressure and glucose levels, which will help to detect pathologies external to the kidneys and that may cause renal insufficiencies. Classification of renal failure Depending on the cause that originates them, the Kidney Specialist in Gurgaonconsiders three types of renal failure that must be differentiated.
Is Soda Really Bad for Your Kidneys? From sparkling cola to very berry, sodas in all manner of hues and flavours are just the kind of pick-me-up you need to beat the heat or to wash down that snack! But that fizzy drink you’ve been guzzling is under the scanner for a host of health hazards. Studies now show that the impact on our kidneys, in particular, is cause for major concern, says Kidney Specialist in Noida. Soda and Kidney Stones Sodas are a concoction of carbonated water, sugar or fructose syrup, and chemical additives. They also tend to have a great deal of fructose corn syrup and phosphorous. According to Kidney Specialist in Gurgaon, the high level of phosphoric acid in your favourite soda can actually cause urinary changes, raising your risk of getting kidney stones. As one study found, non-cola soda drinkers had as much as a 33 percent higher risk of developing kidney stones, while cola drinkers had a 23 percent greater risk compared to non-soda drinkers. Kidney stones usually have four possible constituents – calcium, oxalate, phosphate, and uric acid. Citrate and magnesium, on the other hand, are kidney stone inhibitors. Regular consumption of cola can create the ideal situation for kidney stones to form by decreasing the excretion of magnesium and citrate in the urine and increasing oxalate excretion. Colas and Chronic Kidney Disease According to Nephrologist in Gurgaon, Soda consumption is also linked to chronic kidney disease, a condition where the kidney gradually loses function and which may eventually lead to renal failure. One study uncovered that you could also increase your risk of chronic kidney disease by downing as little as two or more colas every day. Test subjects who had this amount of cola doubled their risk of kidney disease. And while this was true of both artificially sweetened and regular cola, researchers in this study concluded that other non-cola sodas did not present this increased risk. Unholy Trinity: Fructose, Non-Alcoholic Fatty Liver Disease, and Chronic Kidney Disease Kidney Specialist in Delhi says that non-alcoholic fatty liver disease is closely tied to kidney problems. It can increase your chances of developing metabolic syndrome, which in turn is a major factor in the pathogenesis of chronic kidney disease. And heavy soda drinkers put themselves at increased risk of developing non-alcoholic fatty liver disease due to the staggeringly high levels of fructose in the average soda. Phosphorus-Linked Kidney Damage A substantially high level of phosphorus in the blood can lead to an electrolyte disturbance known as hyperphosphatemia, which in turn can cause organ damage, significantly to the kidneys, says Nephrologist in Noida. Renal Dysfunction Also, worth noting is that renal dysfunction has been linked to sodium phosphate bowel cleansing preparations. Soda contains phosphorus, albeit in smaller quantities. But in the long run and with excessive consumption, the chance of renal dysfunction is a high possibility. Kidney Function Decline Among Women Women are said to be especially prone to kidney ailments that may result from excessive artificially sweetened soda consumption. These sodas are popular for their promise of “no sugar” or “low calories.” Unfortunately, while studies have made a connection between kidney dysfunction in women and the consumption of artificially sweetened soda beverages, they have not been able to pinpoint the exact sweetener that causes the risk. So how much is too much? The consumption of two or more servings of low-calorie artificially sweetened soda drinks per day by women is said to increase the risk of kidney function decline two-fold. What Sodas Can You Drink? The safest bet is to stop drinking colas and artificially sweetened sodas, especially if you have been advised by nephrologist in Delhi to keep your phosphorus levels in check. Light coloured sodas in flavours like lemon or lime are usually alright and may not have as much phosphorus. Better yet, make your own lemonade at home. Fruit punch and colas are packed with phosphorus so steer clear of those. Additionally, if potassium is also a problem in your case, stop drinking orange juice or sodas derived from it, and opt for cranberry, apple, or grape instead. Dialysis is a process by which artificial filtering of the blood takes place, replacing some of the functions of the kidney. In this way we get rid of toxic substances accumulated in the blood and excess fluid when the kidneys can no longer do so. There are two types of dialysis: haemodialysis and peritoneal dialysis. Peritoneal dialysis For this type of dialysis, the membrane that we use as a filter is natural and called peritoneum. This membrane is covering all the viscera and walls of the abdomen and forms the peritoneal cavity. To perform peritoneal dialysis, we need to implant a small soft flexible tube called a catheter into the abdomen. It is placed below the navel through a minor surgery intervention with local anaesthesia, and it is maintained while the technique lasts. The dialysis fluid is introduced into the peritoneal cavity through this catheter. This fluid stays in the abdomen for several hours (permanence). Once this time has passed, the dialysis fluid is drained (drained) and replaced with a new dialysis solution (infusion). This process, which lasts about 20 minutes, is called an exchange and is done three or four times a day. With this technique is achieved the elimination of toxic substances and excess liquid retained in the body that pass to the dialysis fluid through the peritoneal membrane during the time of permanence. Peritoneal dialysis is performed at the patient’s home, and medical check-ups by nephrologist in Delhi are performed periodically. It can also be done only at night, while the patient sleeps with the help of an automatic machine or cycler. Haemodialysis This technique is performed by an extracorporeal circuit through which the patient’s blood passes through a filter that has a membrane. Special artificial to be able to eliminate the toxins together with the excess of liquid. The blood, once clean of said toxins is returned to the patient. This process is performed by the haemodialysis machine. In order to perform haemodialysis, we need to have access to blood (vascular access) so that it can pass in the amount needed by the filter of the dialysis machine. Normal veins are not enough. The ideal vascular access is the arteriovenous fistula, which consists of the connection of an artery and a vein through a small operation that is performed on the wrist, elbow or arm, with local anaesthesia and that will allow the veins of the arm to develop. to be able to puncture them without difficulty. Sometimes own veins are not enough and it is necessary to place a graft (artificial vein). When it is not possible to use an arteriovenous fistula, it is necessary to use a catheter located in a central vein in the upper part of the thorax. Haemodialysis is usually performed in health centres and is carried out by a kidney specialist in Delhi that attends the patient at all times. It can also be done at the patient’s home. In this case the patient or a family member must go through a period of training to be able to perform the technique safely. The haemodialysis sessions have a variable frequency and duration depending on the needs of each patient. In the health centre it is usually four hours per session and three sessions a week, and at home they usually use 2-2.5 hours 5 or 6 days a week. Both dialysis techniques are applicable to the patient with diabetes. A detailed information on both, including the visit to the facilities, will allow the patient to choose the option that best suits their living conditions, in the same way as a patient who does not have diabetes. Other patient care in dialysis. Dialysis is not enough for the proper treatment of patients. To replace other functions of the kidneys are also needed drugs to lower blood pressure, correct anaemia, protect bones and circulation, among others. The peculiarities of the dialysis patient with diabetes have to do mainly with the diet, and the life and medication regimen for the optimal glucidic control suggested by the best nephrologist in Delhi. In chronic kidney disease and diabetes, we must consider food as one of the fundamental pillars in the treatment. An adequate diet plan can greatly improve the style and quality of life of patients, as well as prevent the complications of the disease. The dietary goals for patients with diabetes on dialysis are:
During the stay in dialysis it is important to maintain the greatest possible physical and intellectual activity, which allows an optimal social insertion according to the expectations of each person. In the meantime, they will be included in the waiting list for kidney transplant in Delhi, as long as it can be done according to the characteristics of each individual. In people with type 1 diabetes, the combined kidney-pancreas transplant, either in two stages or simultaneously, is the best therapeutic option that can be offered by the best kidney specialist in Delhi. One of the possible complications of diabetes is diabetic kidney disease or diabetic nephropathy. Although the majority of people with diabetes do not suffer alterations in the function of the kidneys, it is a known fact that diabetes is the most frequent cause of renal failure. According to the Best Kidney Specialist in Delhi, in India it constitutes about 25% of new cases who need renal replacement therapy by dialysis or transplantation. For this reason, knowledge of the course of the disease and the application of preventive measures is essential. Diabetic kidney disease (diabetic nephropathy) takes years to develop. In some diabetics over the years small amounts of albumin (a protein in the blood) begin to pass into the urine. This first stage of renal involvement is known as microalbuminuria. During this period the filtering functions of the kidney usually remain normal. As the disease progresses, more albumin passes into the urine. This stage can be called microalbuminuria or proteinuria. As time goes by and while the amount of albumin in the urine increases, the filtering functions of the kidneys usually deteriorate, and some substances such as urea and creatinine rise in the blood due to lack of elimination in the urine. As kidney damage progresses, blood pressure often increases as well. In people who develop kidney disease, damage rarely occurs during the first 10 years of diabetes, and it usually takes between 15 and 25 years before kidney failure occurs. People who have had diabetes for more than 25 years without showing any signs of kidney failure have a lower risk of developing it, says Kidney Specialist in Delhi. Prevention and delay of the course of kidney disease In the same way that other complications related to diabetes are prevented, a strict control of glucose is the main factor to prevent the onset of diabetic nephropathy, says nephrologist in Delhi. It is what is called primary prevention. Once the kidney injury is established, secondary prevention is aimed at the control of arterial hypertension, especially with drugs that block the so-called renin-angiotensin-aldosterone system, to the dietary advice with a decrease in the amount of proteins to "reduce the workload to the kidneys", which together with the Glucidal control are essential elements to stop or delay the progression of kidney disease. The best results are achieved when this secondary prevention is established very early in the microalbuminuria phase. The patient with diabetes with advanced kidney disease According to top nephrologist in Delhi, multidisciplinary care is key in the care of these patients. Primary Care Medicine, Endocrinology and Nephrology must act in combination for the establishment of preventive measures and the care of patients with diabetic nephropathy. When kidney disease has developed, the follow-up in a Nephrology clinic, and more specifically in a clinic for Chronic Advanced Kidney Disease (ACKD), time before the start of renal replacement therapy, has shown multiple advantages compared to patients who are submitted late. In the consultation, best nephrologist in Delhi focuses on diet, lifestyle habits and adherence to treatment. Alterations characteristic of kidney disease such as anaemia, or disorders of bone metabolism, among others, are also treated. A fundamental aspect of the consultation is that with sufficient time information is given on the modalities of renal replacement therapy, so that the patient and his family choose the technique that best suits their preferences and way of life. These are kidney transplantation and dialysis with its two variants, peritoneal dialysis and haemodialysis. Can a transplant be done before starting dialysis? Kidney transplant in Delhi is, without a doubt, the treatment of choice in cases of advanced renal failure when this is possible. The transplantation of a kidney from a living donor offers undoubted advantages; the organ that is going to be transplanted is "the best possible" since the donor has been studied meticulously from the clinical point of view and will be discarded before the slightest problem. On the other hand, the surgical procedure, elective and programmed, avoids all suffering of the organ to be transplanted, which improves the results. With a relatively low risk for the donor, dialysis is avoided with the consequent positive impact that this entails both in terms of morbidity and complications, and from the point of view of psychological adaptation to the disease, family and social relationships. For these reasons, from the nephrologist in Delhi consultation, and therefore, before the start of dialysis, the possibility of an anticipated live donor kidney transplant should be explored. |
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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