What is the conservative treatment? Conservative treatment consists of all the measures we use to delay the worsening of chronic kidney disease. A good diet, activities that contribute to a healthy lifestyle and use of medications, are part of the conservative treatment of chronic kidney disease. Because it is a progressive and irreversible condition, conservative treatment is super important for the progression of the disease to be slow or even to stabilize, giving more peace of mind for the patient to proceed with the treatment, says nephrologist in Delhi. When to start conservative treatment? Conservative treatment should be started when the patient is diagnosed with chronic renal failure. Thus, the chances of preserving and prolonging kidney functions are greater. This care contributes to the patient's quality of life, preparing him in the best possible way for the continuation of treatment, explains the best nephrologist in Delhi. Chronic kidney disease and conservative treatment The patient diagnosed with renal failure receives guidance from the nephrologist in Noida to take care of his kidney. The measures vary according to the clinical case of each patient, so we will address in general the strategies and tips used to care for kidney health through conservative treatment: Methods used in the conservative treatment of renal failure Lowering Cholesterol - Dyslipidemia Treatment By dyslipidemia, we mean the increase in cholesterol and triglyceride levels or the decrease in HDL in our bloodstream. The control of these levels is super important, not only for the renal health of the patient but also for his cardiovascular system. A good diet, avoiding fried and fatty foods, as well as the practice of physical activities, contribute to the treatment of dyslipidemia, nephrologist in Gurgaon explains. Control of blood pressure and blood glucose Control of blood pressure is very important to prevent the progression of renal dysfunction. The patient should avoid processed foods (ready-made spices, sausages, salt, preserved foods) due to the high sodium content. This care is essential to prevent the progression of renal dysfunction. For glycemic control, it is necessary to have a diet rich in whole foods and pay attention to the levels of glycated hemoglobin and fasting glycemia. The nephrologist in Delhi may limit your intake of carbohydrates with a high glycemic index. Adequate diet - Chronic renal patient The ideal diet for good kidney health varies according to the clinical case, stage of the disease and dietary restrictions of each patient. To preserve kidney health, the patient must pay attention to the intake of salt, protein, calcium, phosphorus, among other foods that can aggravate the kidney problem. The diet is always prepared with the participation of a kidney specialist in Delhi and a nutritionist. Healthy eating is undoubtedly one of the most important practices for good kidney health. Stop Smoking - The Harm of Cigarette for Kidney Health The harms of smoking go far beyond kidney health. Tobacco consumption is a major cause of death in the country, a serious problem for our public health. Tobacco affects blood pressure, blood circulation, causes coronary heart disease, cancer, among many other health and social problems. Today, there are drug treatments and psychological support to quit smoking, but the most important thing is the smoker's willpower, which suggests the best kidney specialist in Delhi. Medicines in conservative treatment In conservative treatment, medications are also used to slow the progression of chronic kidney disease. The patient suffering from kidney failure needs to decrease the loss of protein in his body and the medications contribute to this process. The drugs are also used to improve symptoms of kidney disease, such as swelling. The course of the medication, its dose, and frequency of use are defined by the kidney specialist in Noida responsible for the patient. Treatment of anemia Anemia occurs when the amount of red blood cells in the blood is low. These blood cells are responsible for transporting oxygen to the cells of our body, being fundamental for the proper functioning of our body. Renal patients suffer from altered levels of erythropoietin (a hormone produced by the kidneys that contribute to the production of red blood cells). Low levels of red blood cells can cause discouragement, poor appetite, weakness, and sleep. To supply this deficiency, it is necessary to replace erythropoietin and iron in our body, says kidney specialist in Gurgaon. Replacement of minerals and vitamins Chronic kidney disease causes changes in the levels of minerals, vitamins, and hormones produced in our body. There are treatments to address each of these deficiencies. Calcium is only absorbed in our intestines with the presence of vitamin D, which is formed in the kidneys. Renal failure can impair the formation of vitamin D and consequently the levels of calcium in our body. Calcium acts on bone formation and contributes to muscle contraction, including that of the heart. The kidney with kidney failure cannot properly eliminate excess phosphorus from the body, which accumulates in the bloodstream. Low levels of calcium and high levels of phosphorus in the body can lead to hyperparathyroidism, which causes weakening of the bones. Therefore, the replacement of minerals, vitamins, and hormones are essential for chronic kidney patients to prolong the health of their kidneys and have a better quality of life, suggests kidney specialist in Delhi. Hyperpotassemia Hyperkalemia occurs when blood potassium levels are above normal. At a very high level, hyperkalemia can manifest itself through muscle weakness and cardiac arrhythmias. Its main causes are chronic kidney disease and diabetes. Because it is present in fruits and vegetables, the best way to prevent the accumulation of potassium in the body is through a good diet. The doctor for kidney in Delhi responsible for the treatment will probably recommend a diet that contributes to the elimination of potassium from the body, aiming to improve the renal health of the patient. Acidosis treatment - Renal patient Acidosis is the accumulation of acid in the renal patient's bloodstream. Renal failure prevents the elimination of toxins from the body through the urine. In turn, acids and toxins accumulate in the bloodstream. Acidosis also contributes to the increase of potassium in the blood, which can lead to hyperkalemia. A doctor specializing in kidney health All of these measures that we cover are used in the conservative treatment of chronic kidney patients. It is important to note that the top nephrologist in Delhi is the only one who can check the real condition of our kidney health. Kidney health is directly linked to a good quality of life, which is why your care is so important.
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What is polycystic kidney disease? Polycystic kidney disease is characterized by the presence of multiple kidney cysts, which grow slowly and progressively and are filled with liquid as if they were several bladders or bubbles filled with water of different sizes. The most common type is adult polycystic kidney disease (PADD), which affects people aged 30 to 40 years, both men and women, of all ethnicities. Causes Polycystic kidney disease is inherited in 90% of cases and its cause is due to mutations in the PKD1 (85%) and PKD2 (15%) genes, which pass from parents to children in a dominant way, that is, if one parent has illness, your child has a 50% chance of having it too. When discovered of polycystic kidney disease in a family, all close relatives should be investigated after the age of 18 and advised by nephrologist in Delhi if they wish to have children. Symptoms of Polycystic Kidney Disease Symptoms of polycystic kidney disease usually occur due to the growth of cysts, which increases the size of the kidneys. This causes them to appear:
Diagnosis of polycystic kidney disease The simplest form of diagnosis of polycystic kidney disease is through ultrasound examination, however, sometimes the cysts are small and are not easily visible. If in doubt, a renal computed tomography or nuclear magnetic resonance will remove the doubt. A genetic test is the best way to detect the disease, but it is not universally available. Treatment of polycystic kidney disease According to the best nephrologist in Delhi, there is no specific treatment and polycystic kidney disease has no cure, although many studies are ongoing and may change this scenario in the future. However, it is part of the treatment to relieve the symptoms of polycystic kidney disease. It is necessary that the patient with polycystic kidney disease undergo regular medical monitoring with a nephrologist in Noida. The kidney specialist in Delhi will order blood and urine tests establishing the follow-up frequency. The nephrologist in Gurgaon will recommend remedies that you should avoid that can make your kidney function worse. In addition, it is important that the patient:
Possible complications A frequent complication of polycystic kidney disease is that the larger cysts can rupture leading to the appearance of blood in the urine, which can be frightening but is usually self-limiting. This means that rest and hydration usually stop bleeding. Patients with polycystic kidney disease may have episodes of urine infection, which must be recognized early so that they do not cause further damage than those already existing in the kidney structure. In addition, patients have a higher frequency of stones (kidney stones), which should be avoided with specialized medical monitoring, suggests kidney specialist in Gurgaon. Blood pressure tends to rise and almost 2/3 of patients with polycystic kidney disease have hypertension. Pressure control is essential so that the kidneys do not suffer the consequences of this further complication. Combining changes in structure due to the presence of cysts, plus urinary infections, kidney stones, and increased blood pressure, it is easy to understand why the kidneys may lose some of their function until it is necessary to replace their functions with dialysis in Delhi. This stage of the disease usually happens after the age of 60. Cysts can be present in other locations such as the liver, ovaries, and pancreas. Patients with polycystic kidney disease and a history of headache may have a cerebral aneurysm (a dilation in the cerebral vessel) due to malformation. Diverticular bowel disease and changes in heart valves are also associated with polycystic kidney disease, says nephrologist in Delhi. Prevention As it is an inherited disease, polycystic kidney disease cannot be prevented. Kidney transplant in Delhi aims to restore renal function by replacing a sick kidney with a healthy kidney from a healthy and compatible donor. Generally, kidney transplantation is used as a acute renal failure treatment in Delhi or in the case of patients who do several hemodialysis sessions per week. Transplantation usually lasts between 4 and 6 hours and is not very suitable for people who have injury in other organs, such as cirrhosis, cancer or heart problems, as it can increase the risks of the surgical procedure. How the transplant is done? Renal transplantation is indicated by the nephrologist in Delhi in cases of multiple hemodialysis per week or, more often, advanced chronic kidney disease after renal function analysis by laboratory tests. The transplanted kidney can be from a living donor without any disease, and may or may not be related to the patient, or from an already deceased donor, in this case the donation can only be made after confirmation of brain death and authorization of the family. The donor kidney is removed along with a portion of the artery, vein and ureter, using a small incision in the abdomen by the kidney transplant doctor in Delhi. Thus, the transplanted kidney is placed in the receptor, the portions of the vein and artery are linked to the veins and arteries of the receptor and the transplanted ureter is linked to the patient’s bladder. The non-functional kidney of the transplanted person is usually not taken away, as its little function is useful when the transplanting kidney is not yet completely functional. The sick kidney is only removed if it is causing infection, for example. Kidney transplantation is performed according to the patient’s health conditions, and is not very indicated in people who have heart, liver or infectious diseases, for example, because it can increase the risks of the surgical procedure, explains the nephrologist in Noida. How to assess whether transplantation is compatible? Before the transplant is performed, blood tests should be performed in order to verify the compatibility of the kidneys to thus reduce the chances of organ rejection. Thus, donors may or may not be related to the patient who will be transplanted, as long as there is compatibility, explains the nephrologist in Gurgaon. How is the postoperative? Recovery after kidney transplantation is simple and lasts about three months, and the person should be hospitalized for one week so that possible signs of reaction to the surgical process can be observed closely and treatment can be done immediately. In addition, during the three months it is indicated not to perform physical activities and perform weekly tests during the first month, spaced for two monthly consultations until the 3rd month due to the risk of rejection of the organ by the body. The use of antibiotics is usually indicated after surgery to prevent possible infections, and immunosuppressive medications, to prevent organ rejection. These medicines should be used in accordance with medical advice by the nephrologist in Delhi. Possible Risks and Complications Some complications of kidney transplantation may be:
To avoid serious complications, the patient should be aware of warning signs that include fever greater than 38ºC, burning when urinating, weight gain in a short time, frequent cough, diarrhoea, difficulty breathing or swelling, heat and redness at the wound site. It is also essential to avoid contact with sick people and polluted places and make a correct and adapted diet, advises the kidney specialist in Noida. Dialysis is a substitute treatment of kidney functions, in which substances that are harmful to the body and that the kidneys can no longer do are eliminated. The dialysis process is carried out through two ways hemodialysis and peritoneal dialysis and generally, the people who need this process is because they are in a phase of renal failure. In this article nephrologist in Delhi explains in depth what is dialysis, its care and complications. What is dialysis? Dialysis in Delhi is a treatment that replaces the function of the kidneys, when they are compromised in their process of cleaning the blood. People who need this procedure are because they have kidney failure and although at first glance it seems simple, the dialysis process can be quite stressful and the side effects generate enough discomfort in the patient. While dialysis occurs, the best nephrologist in Delhi will have placed the patient on a transplant list, when a compatible kidney appears, it will be the end of dialysis. Types of dialysis The function of the kidneys is to eliminate toxins and excess fluids from the blood, since the accumulation of these can be dangerous for our health. When this process cannot be accomplished, it will be necessary to help the kidneys through dialysis, explains the nephrologist in Noida. There are two types of dialysis :
Care after a dialysis session After a dialysis session it is normal for the following symptoms to appear:
The care that should be taken after dialysis and throughout the process will be aimed at preventing infections in the area where the catheter is located. Some of them are:
Complications of dialysis The complications of dialysis They are not very frequent, however there are many risks of infections:
Recommendations Starting a dialysis process, produces a significant change in lifestyle and routines, so we give you some recommendations to make the treatment more bearable:
When to contact the doctor
We suggest you to see a kidney specialist in Noida in case of presenting any type of condition or discomfort. In India, one in ten Indians suffer from kidney disease. Drinking more water and reducing salt content can avoid the problem. The kidneys are responsible for controlling the elimination of fluids and excretions, as well as producing hormones that can interfere with blood pressure and red blood cell production. The malfunction of this organ so essential to the human body may be a sign of some kidney disease. According to Dr. Vinant Bhargava, Nephrologist in Delhi, the most common kidney diseases are kidney stones, infections, cysts, tumors and loss of kidney function, better known as kidney failure. Diseases settle from common habits in most people's lives and can be prevented by simple lifestyle changes. Examples are low fluid intake, salt and protein intake (including supplements), recurrent urinary tract infections, diabetes, high blood pressure, and high analgesic intake. The most common types of kidney disease 1. Kidney stones (kidney stone) According to the doctor for kidney in Delhi, kidney stones are mainly formed by low fluid intake (characterized by dark urine), high salt and protein intake, among other problems. When stones move down the urethral canal, they cause a lot of pain due to obstruction of the urinary flow and dilation of the kidney. They can be complicated by urinary tract infection and can be life-threatening. Treatment may be drug or surgical, however, clearance of the kidney should be within the first 2 to 3 weeks to prevent permanent loss of renal function, suggests kidney specialist in Delhi. 2. Renal Infection or Pyelonephritis It is usually caused by a bladder bacteria, cystitis, which eventually rises to the kidney, causing fever and pain on the compromised side. Treatment should be with antibiotic and often requires hospitalization. Sometimes it can complicate with pus accumulation in the kidney and may require drainage intervention. 3. Renal Cysts They are "blisters" that form in the middle of the kidney. Very common after age 40, cysts are diagnosed by routine examinations and usually do not cause problems or symptoms or require treatment and may only be followed up by the best nephrologist in Delhi. They can sometimes be mistaken for kidney tumors, so tests are needed. 4. Tumor or kidney cancer Rare, the tumor occurs due to the high frequency of renal cysts. It is very common to have to order diagnostic imaging exams for the correct exclusion of this possibility. Tumors are solid lesions different from cysts that contain fluid inside. They are often malignant, but if treated early, there is a good chance of cure. Treatment is almost always surgical and most often with kidney preservation and less invasive surgery, says the best kidney specialist in Delhi. 5. Loss of renal function (renal failure) Renal insufficiency occurs when the kidney loses the ability to filter waste, salts and fluids from the blood. Diseases such as diabetes and uncontrolled high blood pressure may lead to progressive renal deterioration and eventually the need for hemodialysis and/or transplantation for its treatment. Therefore, individuals with these disorders should have strict follow-up and treatment, suggests nephrologist in Delhi. |
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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