Nephrology

We treat patients with rare kidney disorders as well as common renal and urinary diseases.  Nephrology is a branch of internal medicine dealing with the study of the function and diseases of the kidney. A nephrologist is a specialist who treats diseases of the kidney, including care for:

Diabetes
Dialysis Patients
Peritoneal Dialysis Patients
All Forms of Kidney Disease
Congenital Kidney Disease
Kidney Transplant Patients
Electrolyte Problems
Kidney Stones
Metabolic Kidney Disease
Renal Vascular Patients
High Blood Pressure Patients
Expectant Mothers with Kidney Disease


Common Kidney Diseases

Diabetes
Over time, diabetes can cause kidney failure. Active monitoring of blood glucose levels over the years may reduce those complications.

High Blood Pressure (hypertension)
High blood pressure can lead to kidney disease or can be a result of a kidney disorder.  Left untreated, high blood pressure can increase the natural course of any underlying kidney disease.

Family-Related Disorders
Hereditary disorders generally produce clinical symptoms from teenage years to adulthood.  The most prevalent hereditary kidney condition is polycystic kidney disease, a kidney disorder in which many cysts form in the kidneys, causing them to become enlarged.

Kidney Stones
Most kidney stones pass out of the body without help from a doctor.  However, sometimes a stone may get stuck in the urinary tract, block the flow of urine and cause great pain.

Nephrotic Syndrome
Nephrotic syndrome is a group of symptoms that include protein in the urine, low blood protein levels, high cholesterol levels, high triglyceride levels, and swelling.  Nephrotic syndrome is caused by different disorders that damage the kidneys and release of too much protein in the urine.

Drugs and Toxins
Certain medications, toxins, pesticides and "street" drugs can also produce kidney damage.

 

12 Symtoms of Kidney Disease you shouldn't ignore
Most people are not aware of the fact that kidney diseases can be silent killers. They may not show any symptoms for a long time till the situation becomes critical. It is important to recognize the symptoms of kidney diseases to catch them early. Here is a list of twelve such symptoms you should look out for:

1) Changes in your urinary function: The first symptom of kidney disease is changes the amount, frequency of your urination. There may be an increase or decrease in amount and/or its frequency, especially at night. It may also look more dark colored. You may feel the urge to urinate but are unable to do so when you get to the restroom.

2) Difficulty or pain during voiding: Sometimes you have difficulty or feel pressure or pain while voiding. Urinary tract infections may cause symptoms such as pain or burning during urination. When these infections spread to the kidneys they may cause fever and pain in your back.

3) Blood in the urine: This is a symptom of kidney disease which is a definite cause for concern. There may be other reasons, but it is advisable to visit your doctor in case you notice it.

4) Swelling: Kidneys remove wastes and extra fluid from the body. When they are unable to do so, this extra fluid will build up causing swelling in your hands, feet, ankles and/or your face.

5) Extreme fatigue and generalized weakness: Your kidneys produce a hormone called erythropoietin which helps make red blood cells that carry oxygen. In kidney disease lower levels of erythropoietin causes decreased red blood cells in your body resulting in anaemia. There is decreased oxygen delivery to cells causing generalized weakness and extreme fatigue.

6) Dizziness & Inability to concentrate: Anaemia associated with kidney disease also depletes your brain of oxygen which may cause dizziness, trouble with concentration, etc.

7) Feeling cold all the time: If you have kidney disease you may feel cold even when in a warm surrounding due to anaemia. Pyelonephritis (kidney infection) may cause fever with chills.

8) Skin rashes and itching: Kidney failure causes waste build-up in your blood. This can causes severe itching and skin rashes.

9) Ammonia breath and metallic taste: Kidney failure increases level of urea in the blood (uremia). This urea is broken down to ammonia in the saliva causing urine-like bad breath called ammonia breath. It is also usually associated with an unpleasant metallic taste (dysgeusia) in the mouth.

10) Nausea and vomiting: The build-up of waste products in your blood in kidney disease can also cause nausea and vomiting.

11) Shortness of breath: Kidney disease causes fluid to build up in the lungs. And also, anaemia, a common side-effect of kidney disease, starves your body of oxygen. You may have trouble catching your breath due to these factors.

12) Pain in the back or sides: Some cases of kidney disease may cause pain. You may feel a severe cramping pain that spreads from the lower back into the groin if there is a kidney stone in the ureter. Pain may also be related to polycystic kidney disease, an inherited kidney disorder, which causes many fluid-filled cysts in the kidneys. Interstitial cystitis, a chronic inflammation of the bladder wall, causes chronic pain and discomfort.

It is important to identify kidney disease early because in most cases the damage in the kidneys can’t be undone. To reduce your chances of getting severe kidney problems, see your doctor when you observe one or more of the above symptoms. If caught early, kidney disease can be treated very effectively.