Internal medicine specialization nephrology focuses on the diagnosis and treatment of kidney problems. Because the kidney performs so many important activities, nephrologists are experts not only in treating basic renal problems but also in dealing with the systemic implications of kidney disease. Although early kidney disease prevention, detection, and care are a big component of normal internal medicine practice, nephrologists are frequently relied upon to help with more complex or advanced nephrology problems.
Primary kidney disorders, such as glomerular diseases, tubular defects, tubulointerstitial kidney diseases, and the effects of toxins on the kidney as well various diagnostic and therapeutic agents, are some of the conditions treated by nephrologists. Infections and neoplasms of the kidney, as well as abnormalities of the kidney, collecting system, and bladder (such as nephrolithiasis), are all essential components of nephrology practice.
Nephrologists' primary role is to understand the role of the kidneys in other systemic diseases (such as vasculitis or heart failure), and because the kidney is so important in maintaining blood pressure, they are also experts in the treatment of hypertension, especially when it is difficult to control. Fluid, electrolyte, and acid-base abnormalities, which are common in advanced renal disease, can also be managed by nephrologists. The supervision of dialysis (including hemodialysis and peritoneal dialysis) in patients requiring renal replacement treatment, as well as participation in the kidney transplant procedure, if appropriate, is a key function of nephrology.
Many nephrologists operate in solo or group offices, treating patients in conjunction with other doctors and tracking chronic kidney disease patients over time. As part of their profession, nephrologists may also give in-hospital consulting. Nephrologists also supervise dialysis units, which may be part of their practice, operate alone, or be linked with a hospital. Some doctors have a mix of nephrology and general medicine patients in their clinics. Nephrologists work in academic settings, providing consultation and continuing treatment in ambulatory and inpatient settings, as well as doing fundamental scientific and clinical research on kidney illnesses and teaching medical students and residents.
Our Department of Nephrology at provides excellent clinical care to patients suffering from acute and chronic kidney diseases. As one of the most technologically advanced programs in India, we are committed to caring for patients with all kinds of kidney conditions and abnormalities which include clinical nephrology, hemodialysis, peritoneal dialysis, renal transplantation, etc. Our group of professional doctors is acknowledged for their exceptional clinical aptitudes and for treating all sorts of patients varying from children to adults. We have an outstanding crew of kidney transplant experts, nephrologists, and the technological expertise and support staff required to face the challenges in executing numerous life-saving practices. We deliver the most advanced diagnostics, comprehensive pre-operative evaluation and dialysis aid, the latest facilities available in surgical practices, and comprehensive post-operative supervision to clear the possibilities of infections.
We also offer dialysis services operated by an excellent team of nephrologists, nurses, and certified hemodialysis technicians. Patients with kidney disorders require exceptional quality care, hope, and guidance and we take pride in our group's efforts to accomplish victorious outcomes for our patients. We ensure our patient's satisfaction and comfort throughout our services.
Some of the measures taken to analyze the damage and disorders of the kidneys include: -
Kidney disease is linked to several common symptoms. Damage to the kidneys causes fluid buildup and imbalances in the blood components expelled by the kidneys since they are important for maintaining fluid balance and filtering out excess fluids and waste from the blood.
Edema (swelling of the legs and face) is caused by a fluid excess. This is a common kidney disease symptom.
Anemia can be a side effect of long-term renal dysfunction. The kidneys control blood pressure to a large extent in most people. High blood pressure frequently occurs alongside kidney disease.
Urea, creatinine, and electrolytes such as sodium, potassium, calcium, magnesium, phosphates, and blood urea nitrogen levels are all elevated or changed in blood tests.
Blood may also be examined for hepatitis B, hepatitis C, AIDS, and other pathogens that might harm the kidneys. Antibodies to certain antigens in the blood can also be used to identify lupus, amyloidosis, and multiple myeloma.
Excess proteins secreted from the body in the urine may be discovered by urine analysis. This is a symptom of kidney damage that is common in diabetic nephropathy and chronic kidney disease.
Total protein excretion in a day is detected using 24-hour urine samples or urine collected over 24 hours. This is a sign of renal failure.
Microscopic examination, culture, and sensitivity investigations can also be used to detect kidney and urinary tract infections in urine. Red blood cells, white blood cells, pus, epithelial cells, casts or thin tubular structures that are cast pictures of the tiny tubules in the kidneys, and casts or thin tubular structures that are cast images of the tiny tubules in the kidneys are all seen in microscopic analysis of urine. Hyaline casts, red cell casts, and white blood cell casts are among the several types of castings available.
Ultrasound scanning –
Diseases such as kidney stones, hydronephrosis, polycystic kidney disease, etc. are recognized using this examination.
MR angiography –
To identify irregularities in the blood vessels within the kidneys. This provides a precise picture of the blood vessel network and its variations within the kidneys.
Glomerular Filtration Rate (GFR) –
It is estimated by examining the clearance of
Treatment of kidney diseases and pathology. Different services are offered by the nephrology departments.
Continuous Renal Replacement Therapy (CRRT)
As their bodies attempt to recover from the sickness, critically ill patients have a high metabolic rate. They require vasoactive medications and constant waste disposal, as well as huge amounts of fluid in the form of nutritional and inotropic agents, as well as pharmacological infusions. As a result, CRRT, or continuous renal replacement therapy, is used to gently eliminate wastes and water without producing hypotension.
The blood is extracted and pumped via a hemofilter in CRRT, which is a slow kind of hemodialysis.
Peritoneal Dialysis (CPD)
Dialysate is injected into the peritoneal or abdominal cavity with the use of a catheter during peritoneal dialysis. The dialysate is left to sit for many hours, allowing waste materials to flow through the capillaries and into the liquid. After that, the dialysate is emptied.
Liver Dialysis (MARS Therapy)
MARS treatment, or Molecular Adsorbent Recirculating System, is based on the notion of albumin dialysis and successfully removes protein-bound and water-soluble toxins. The therapy approach may aid liver regeneration and key organ function stabilization.
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