Nephrology

Kidney Disease Treatment Services

Our team of specialists is adept at handling a broad spectrum of cases related to the kidneys. We customise the treatments after thorough discussions with the specialists and patients to provide complete treatment.

• Kidney Biopsy
  
• Acute renal failure
  
• Chronic renal failure
  
• Acute and chronic nephritis
  
• Nephrotic syndrome
  
• Renovascular hypertension
  
• Collagen disorders involving the kidneys
  
• Renal transplantations
  
• Swap Kidney transplantation implies exchanging a living donor kidney with a different donor when the kidney is incompatible with the patient.
  
• Laparoscopic Donor Nephrectomy (LDN). It is the process of kidney extraction via the transvaginal route.
  

In cases requiring dialysis, Vydehi offers a complete range of services.

• Haemodialysis IP & OP (Adult/Paediatric/Neonatal) for acute and chronic renal failure patients, drug overuse, etc.
  
• Short-term dialysis before transplantation
  
• Peritoneal Dialysis
  
• CAPD/CCPD (Adult/Paediatric)
  
• SLED – Sustained Low Efficiency Dialysis
  
• CRRT- Continuous Renal Replacement Therapy for all critically ill patients, including children.
  
• Nocturnal dialysis
  
• Plasmapheresis for renal or non-renal cases
  
• Mobile Dialysis
  
• Online Hemodiafiltration HDF
  

Chronic Kidney Disease

Chronic kidney disease decreases the kidney’s ability to keep you healthy. The two principal causes of chronic kidney disease are Diabetes mellitus and high Blood Pressure. Including the two, several other conditions can harm the kidneys.

• Diabetes is a condition where the body does not produce the ideal insulin levels to control sugar levels. Improper sugar levels damage the functioning of various organs, including the kidneys, heart, blood vessels, eyes, and nerves.
  
• High blood pressure or hypertension occurs when the pressure exerted by the blood against the walls of your blood vessels increases. Uncontrolled high blood pressure can be a leading cause of chronic kidney disease, heart attacks, and strokes.
  
• Glomerulonephritis is a disease that causes inflammation in the kidneys.
  
• Inherited diseases like polycystic kidney disease cause cysts’ formation in the kidneys.
  
• Worsening chronic kidney disease builds high levels of waste products and fluid in your blood, making you sick. This may lead to developing high blood pressure, anaemia, weak bones, poor nutritional health, and nerve damage. Chronic kidney disease also increases your risk of having heart and blood vessel related ailments.
• Chronic kidney disease may progress slowly over a long time. In fact, many people will not realise the condition until it is severe. If found and treated early, chronic kidney disease can be slowed down or stopped.
• Chronic kidney disease may lead to permanent kidney failure. This means your kidneys no longer work well enough to maintain life, and you will have to undergo dialysis or a kidney transplant.

Are you at increased risk for chronic kidney disease?

Your doctor will investigate if you have any risk factors for chronic kidney disease. These include:

• Diabetes
  
• High blood pressure
  
• Family history of chronic kidney disease
  
• Old age
  

What should I do?

You should visit your doctor and get tested frequently. Your check-up should include:

• Checking your blood pressure.
  
• Having a simple test for protein in your urine. Protein is an essential building block in your body. Any filtered protein is reabsorbed and kept in your body. However, when your kidneys are damaged, the protein leaks into your urine. There are different tests to find protein in your urine. If you have two positive tests over several weeks, you have persistent protein in your urine. This is a sign of chronic kidney disease.
  
• Having a simple blood test for creatinine, a waste product that comes from muscle activity. Your kidneys remove creatinine from your blood. When your kidneys are damaged, your blood creatinine builds to a high level. The results will measure your glomerular filtration rate, or GFR, which tells the percentage at which the kidney is working.

Symptoms of Disease

Most people do not have any severe symptoms until their kidney disease gets worse. However, some of the indications of CKD are:

• Muscle cramps at night
  
• Swollen feet and ankles
  
• Puffiness around your eyes, especially in the morning
  
• Feel more tired
  
• Loss of energy to perform routine tasks
  
• Confused Thinking
  
• Poor appetite
  
• Trouble sleeping
  
• Dry and itchy skin
  
• Need to urinate more often, especially at night.
  

If at increased risk but not yet have chronic kidney disease?

You should visit your doctor or clinic for regular check-ups and tests for chronic kidney disease. You should also ask your doctor what you can do to lower your chances of developing kidney disease. Your doctor may tell you to:

• Carefully follow prescribed treatments to control diabetes and high blood pressure
  
• Lose excess weight by following a healthy diet and regular exercise program
  
• Stop smoking if you are a smoker
  
• Avoid taking pain relievers
  
• Make some changes in your diet, such as eating less salt and less protein.
  
• Limit your intake of alcohol
  

If I have chronic kidney disease, can I keep it from getting worse?

Most likely, early detection and treatment can often slow or stop chronic kidney disease. How well your treatment can achieve this goal depends on:

• Your stage of chronic kidney disease and when you start treatment. The earlier you start, the better you are likely to do.
  
• How carefully you follow your treatment plan. Learn all you can about chronic kidney disease, its treatment, and follow all the steps of your treatment faithfully.
  
• The cause of your kidney disease. Some kidney diseases are more difficult to control.
  

What happens if kidney failure occurs?

Worsening chronic kidney disease can lead to kidney failure. Only two treatments for kidney failure are dialysis or a kidney transplant. These treatments can help you stay healthy and continue your daily activities. Dialysis removes wastes and excess fluid from your blood. Two forms of dialysis are haemodialysis and peritoneal dialysis. A kidney transplant is an operation to place a new kidney in your body to take over the work of your failed kidneys. The kidney may come from someone who has died or a living donor (usually a close relative).

Kidney Disease Treatment

The facilities available at the department of nephrology include:

• Nephrology Consultation
• Haemodialysis- OPD, In-patient, we provide 24/7 haemodialysis for the patients. We are equipped with 10 Fresenius 4008s model haemodialysis machines, one 5008 model CRRT machine and one multi-filtrate model CRRT Fresenius machine.

• Continuous Ambulatory Peritoneal Dialysis (CAPD) – catheter implantation and training
• Kidney biopsy
• Dietician Counselling
• Renal transplantation and post-transplant follow-up