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Nephrology Services

Nephrology is a subspeciality of internal medicine which deals with diseases of kidney and urinary tract. The main function of the kidney includes filtration of blood and removing waste products generated by the body that are excreted via urine. Other functions include regulation of electrolytes, fluid status, and blood pressure control. Kidney produces two important hormones, Erythropoietin and Vitamin D. Erythropoietin is essential for normal production of hemoglobin; Vitamin D maintains bone health.

At Precision Urology Hospital, we treat the following kidney diseases :

Acute Kidney Injury : Acute kidney injury (AKI) refers to an abrupt decrease in kidney function, resulting in the retention of fluid and waste products in the body. The causes for this disease include dehydration, drugs, infections, and stones. The symptoms include sudden drop in urine output and swelling of the body and high blood pressure. With timely diagnosis and treatment, the disease is completely curable.

Rapidly Progressive Renal Failure : Kidney disease that develops and progresses over days to weeks is called Rapidly Progressive Renal Failure (RPRF). The causes are multiple involving various compartments of the kidney. Assessment by a nephrologist and kidney biopsy help in early diagnosis of the disease. Time is a valuable factor in the management of RPRF. If it is not detected or treated early, there is a high likelihood that these patients progress to Chronic Kidney Disease or End Stage Renal Disease.

Nephrotic Syndrome : Nephrotic Syndrome occurs due to damage in the glomeruli (filters) of the kidney. Patient notices swelling of entire body, red coloured urine, drop in urine output. Nephrotic syndrome is usually common in children but adults are also affected. Diagnosis requires urine and blood examination. Some children may require kidney biopsy. Treatment is based on steroids and other immunity suppressing medicines. With regular follow up and treatment these patients do well on long run without significant kidney damage.

Chronic Kidney Disease : defined as kidney damage for ≥3 months, as defined by structural or functional abnormalities of the kidney. This disease evolve over months. The causes are Diabetes, Hypertension (High Blood Pressure), Renal stones. Pain Killers(Nsaids), Obstruction to the urinary tract ,Cystic kidney disease and Glomerulonephritis.

In earlier stages CKD is asymptomatic but patients may notice swelling of legs on prolonged travel or increased frequency of urination in night. Symptoms gradually increase as kidney function deteriorates.

The disease is divided into 5 stages based on glomerular filtration rate(GFR) which is usually derived from serum creatinine value. The treatment of first four stages includes dietary measures, avoiding nephrotoxic agents, exercise and controlling the underlying cause of kidney disease. Despite these measures some patient progress to last stage i.e., stage 5.

The department of Nephrology is dedicated to detecting and managing the disease of kidney. Management includes prevention, detection and preventing progression of kidney diseases.

The department of Nephrology works with a mission of not only providing best class of treatment to all diseases of kidney, improve patient satisfaction but also to create a value-added experience. We are able to do this by having dedicated nephrologists, trained and well experienced dialysis technicians and staff nurses. Our clinicians continue to seek new skills and knowledge in the field of nephrology to provide latest treatment for kidney diseases. We are guided by the following values:

  • Hard work & commitment

  • Ensuring patient satisfaction

  • Striving for excellence in the field

  • Collaboration and team work

  • Maintaining a patient centred approach

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