Chronic Kidney Disease: Everything You Need to Know
Dr. Ashish Nandwani
Jan 27, 2021
The pair of kidneys located under the ribcage are vital organs for detoxifying your body, maintaining your electrolyte balance, blood pressure, etc. The gradual loss of kidney function results in kidney disease. Nephrology is a speciality of medicine that focuses on the management of kidney diseases. Nephrologists are doctors who specialize in the diagnosis and treatment of kidney diseases.
Manipal Hospitals is the best nephrology hospital in Delhi, the nephrology department was started in the year 2018, to provide comprehensive evaluation and treatment to patients suffering from kidney diseases.
We have highly qualified and best nephrologists in Delhi who are prompt and proactive in dealing with patients suffering from allied kidney conditions.
Manipal Hospital is the best nephrology hospital in Delhi, we make sure to provide expert quality care that is focused on the individual needs of a patient.
We believe in efficient communication and empathy to satisfy the patient's needs and allay all the anxieties associated with kidney disease treatment.
We work with our patients to help in prevention as well as diagnosis and treatment of kidney disease in its early stages.
This is a synthetic process that allows a dialysis machine to filter your blood, removing waste and water. The process assists the body's impaired kidney function and is usually adopted while the patient undergoes treatment for the underlying disease, or till a suitable donor kidney becomes available. In the dialysis machine, the blood passes through…
This speciality of nephrology deals with kidney transplants which is gaining popularity among patients suffering from end-stage renal disease.
A kidney biopsy involves taking one or more tiny samples of your kidney to look at with special microscopes.
This is a procedure by which a small piece of the kidney is surgically removed for lab testing. Biopsies are primarily used to test for cancer, but is also effective in detecting or confirming other forms of kidney disease. The biopsy can be done through minimally invasive methods, although sometimes a surgical biopsy may be needed to identify the…
Sometimes it is impossible to find a compatible kidney donor. With urgency mounting, emergency cases may require an ABO incompatible kidney transplant.
This procedure takes a healthy kidney from a deceased or living donor and transplants it into a patient whose kidneys have failed. Without functional kidneys, the body accumulates harmful amounts of waste and fluid, which is a life-threatening situation. Everyone has two kidneys, and it is possible to function normally with just one, this makes it…
A paired kidney exchange, also known as a ‘kidney swap occurs when a living kidney donor is incompatible with the recipient, and exchanges kidneys with another donor/recipient pair.
CLKT is performed routinely in patients with cirrhosis and associated kidney diseases. Most of these patients have chronic renal failure due to parenchymal kidney diseases, in most cases glomerulopathy associated with alcoholic cirrhosis, chronic hepatitis B or C infection, or chronic renal failure due to kidney rejection after kidney transplantation.
Continuous renal replacement therapy (CRRT) is becoming the treatment of choice for critically ill paediatric patients as well as neonatal patients with acute kidney injury and congenital errors of metabolism.
Transvaginal route for kidney extraction (TVE) has emerged as a contemporary surgical option during laparoscopic donor nephrectomy to minimize scars and to offer donors cosmetic advantages in tandem with low post-operative pain.
Acute kidney injury (AKI) is a serious medical condition which affects lakhs of people. Most cases of AKI are caused by reduced blood flow to the kidneys, usually in a patient who’s unwell with a health condition. The reduced blood flow could be caused by severe dehydration from excessive vomiting or diarrhoea or low blood volume after bleeding. Patients…
Acute Kidney Injury (AKI): Acute kidney injury occurs when your kidney suddenly stops functioning. This condition can occur rapidly within a few hours or a few days causing the build-up of waste products in the blood making you sick.
Chronic Kidney Diseases (CKD): It occurs when your kidneys gradually stop functioning over a period of months. This condition can occur over a long time and you may need dialysis or a kidney transplant to survive.
Diabetes and Hypertension related kidney diseases: Over time, high blood glucose and high blood pressure damages your kidney’s blood vessels and reduces the blood flow causing diabetic nephropathy and kidney failure.
Glomerulonephritis (glomerular diseases) leading to Nephrotic and Nephritic syndromes
Kidney Infections: Also called pyelonephritis, kidney infection is a type of urinary tract infection (UTI) which can permanently damage your kidneys If left untreated.
Acid and base disturbances/Electrolyte disturbances
Vascular diseases affecting kidneys including
Renal artery stenosis (blockage of an artery)
Renal artery thrombosis (clot in the kidney’s artery)
Renal artery aneurysm (bulging in the kidney’s artery)
Atheroembolic renal disease (plaque from the aorta or arteries block kidney’s small arteries)
Renal vein thrombosis (clot in the kidney’s vein)
Genetic disease like polycystic kidney disease (Cysts that are clusters of fluid-filled sacs develop in the kidneys and interfere with kidney functioning)
Autoimmune disorders involving kidneys like systemic lupus erythematosus (your body’s immune system attacks its tissues damaging the affected organs).
Stone related kidney diseases
Dialysis and its complications
Kidney transplant patients – follow up and managing complications
Kidney diseases mainly consist of acute kidney injury and chronic kidney disease. We at the Department of Nephrology offer a variety of renal replacement therapy options including dialysis (both OPD and IPD) along with renal transplantation.
The maintenance haemodialysis in OPD offers state-of-the-art dialysis centre with cleanliness, dedicated staff and machines with advanced technology like online hemodiafiltration.
We at Manipal, also provide a variety of nephrology treatment and care options in intensive care unit settings including sustained low-efficiency dialysis (SLED) and continuous renal replacement therapy for hemodynamically unstable patients (CRRT).
Based on the patient requirement and medical condition, the following RRT are available at our centre
Haemodialysis: Haemodialysis uses a dialysis machine and a dialyzer (a filter) to remove toxins from your blood.
ONLINE Hemodiafiltration (ONLINE HDF): ONLINE HDF uses ultrapure dialysate to remove the wider spectrum of toxins from your blood.
Sustained low-efficiency dialysis (SLED): Sustained low-efficiency dialysis (SLED) is used to treat hemodynamically unstable patients.
Continuous Renal Replacement Therapy (CRRT): This procedure is a slow process (24 hours to several days) to simulate the kidney function and prevent fluid overload and excess uremic toxins.
Peritoneal dialysis: A sterile cleansing fluid is introduced into your belly via a catheter which filters your blood. There are different types of peritoneal dialysis, namely:
Continuous Ambulatory Peritoneal Dialysis (CAPD)
Automated Peritoneal Dialysis (APD)
Continuous Cycling Peritoneal Dialysis (CCPD)
Continuous Optimized Peritoneal Dialysis (COPD)
Nocturnal Intermittent Peritoneal Dialysis (NIPD)
Tidal Peritoneal Dialysis (TPD).
Plasmapheresis: Plasmapheresis is a process which involves filtering the liquid part of the blood (plasma).
Many kidney diseases require kidney biopsy for definitive diagnosis and management.
An ultrasound-guided kidney biopsy is performed by experienced nephrologists in such patients
A kidney biopsy is a procedure that uses a thin needle that is inserted to remove a piece of kidney tissue that can be examined for histopathological diuresis.
Also known as a haemodialysis access, vascular access is placed/created in your body through surgery for haemodialysis.
Patients requiring haemodialysis require vascular access for the procedure.
Intra jugular and femoral dialysis catheters insertion is done routinely.
In concert with vascular surgery, the department offers permanent access creation like permanent catheter and arteriovenous fistula and grafts for maintenance of haemodialysis.
After gathering general information about your health from you, your nephrologist will review your medical history, and do a complete physical examination. Then he might order blood and urine tests to determine the functioning of your kidneys.
The most important risk factors for kidney diseases include:
Hypertension / high blood pressure
Cardiovascular disease (CVD) / heart disease
Smoking and drinking alcohol
Family history of kidney failure
Overuse of pain medications.
Dialysis is used to treat patients with kidney failure. It is a machine that filters and purifies your blood as well as maintains fluid and electrolyte balance.
Kidneys are a pair of organs that are situated on either side of the spine. They play a vital role in performing the following functions such as:
Purifies the blood by removing harmful and toxic waste products from the body.
Maintains a healthy balance of water and minerals so that the nerves, muscles, and tissues may work normally.
Regulates important electrolytes including sodium, potassium, calcium, and phosphorus.
Regulates acid/base balance.
Controls blood pressure
Produces red blood cells and prevents anemia
Keeps your bones healthy.
To know more, visit the best kidney hospital in Delhi.
There are two major types of kidney failure:
Acute Kidney Injury (AKI): This condition happens suddenly within a span of a few days and is generally reversible with timely detection and appropriate treatment.
Chronic Kidney Disease (CKD): This condition generally develops over years and if the patient progresses to end-stage renal failure, treatment options are long-term maintenance dialysis or a kidney transplant.
Thus, timely detection and appropriate screening for kidney disease is of paramount importance in preventing the progression of the disease. Get the finest treatment at the best kidney care hospital in Delhi
A nephrologist is a doctor who specializes in the diagnosis and management of patients suffering from kidney diseases. A nephrologist is trained in the management of dialysis patients as well as efficiently handles kidney transplant patients. Get a consultation with a nephrologist at the kidney hospital in Delhi.
It is responsible for the diagnosis and treatment of the disorders of the renal system such as:
Protein in the Urine
Blood in the urine
A renal failure such as acute and chronic
Polycystic kidney disease
Cardiorenal syndrome (CRS)
Hepatorenal problems (Liver and Kidney)
Systemic lupus erythematosus (SLE)
End-stage kidney disease
Get the top treatment at the best nephrology hospital in Delhi.
Kidneys are responsible for the removal of waste from the body by filtering the body's blood and producing urine. But in a circumstance of Kidney failure, the kidney loses 85 to 90% of its functionality, leading to the need for dialysis, which will filter the blood for waste, salt, and extra water. Visit the top kidney hospital in Delhi to know more about it.
Also called ESRD, end-stage renal disease is the last stage of chronic kidney disease. When kidneys fail, it means it has stopped working, and the patient needs dialysis or a kidney transplant to survive. If it is acute meaning temporary can be corrected in most instances.
Patients with chronic irreversible kidney disease who do not respond to any medical treatments, and are either on dialysis or would need dialysis will be eligible for a kidney transplant.
Having a medical condition like kidney failure or a chronic kidney condition can affect your whole life. Manipal Hospitals has dedicated to providing high-quality, personalised care and building long-term partnerships with its patients. Contact us to know more about nephrological problems and book an appointment with one of our Nephrology specialists today.