Nephrologists in Medanta, Gurgaon - Book Instant Appointment, Consult Online, View Fees, Contact Numbers, Feedbacks

1. Nephrology Nephrology is a forte of prescription and pediatrics that frets about the kidneys: the investigation of typical kidney capacity and kidney issues, the protection of kidney wellbeing, and the treatment of kidney issues, from eating routine and medicine to renal substitution treatment (dialysis and kidney transplantation). Fundamental conditions that influence the kidneys, (for example, diabetes and immune system malady) and foundational issues that happen because of kidney issues, (for example, renal osteodystrophy and hypertension) are likewise examined in nephrology. A doctor who has embraced extra preparing to end up a specialist in nephrology may call themselves a nephrologist or renal doctor. The expression "nephrology" was first utilized as a part of around 1960. Before at that point, the claim to fame was normally alluded to as "kidney drug. Scope Nephrology concerns the finding and treatment of kidney ailments, including electrolyte unsettling influences and hypertension, and the care of those requiring renal substitution treatment, including dialysis and renal transplant patients. Numerous infections influencing the kidney are fundamental issue

2. not constrained to the organ itself, and may require unique treatment. Illustrations incorporate procured conditions, for example, foundational vasculitides (e.g. ANCA vasculitis) and immune system ailments (e.g., lupus), and inherent or hereditary conditions, for example, polycystic kidney sickness. Patients are alluded to nephrology authorities after a urinalysis, for different reasons, for example, intense kidney disappointment, ceaseless kidney malady, hematuria, proteinuria, kidney stones, hypertension, and clutters of corrosive/base or electrolytes. Nephrologist Dr. Manish Jain​ is a MD in Internal Medicine (MRMC Gulbarga), DM in nephrology (SRMC, Chennai) and Clinical Fellow at University of British Columbia, Vancouver, Canada. He is at present filling in as a Consultant (Nephrologist and Transplant Physician) at Medanta. He holds extraordinary enthusiasm for renal transplant and clinical Nephrology. He additionally filled in as Assistant Professor at MMCHRI Kanchipuram where he built up Nephrology Department and began the Dialysis unit. He is currently associated with Medanta-The Medicity in Sector-38, Gurgaon. ​Find More ​Nephrologists in Medanta, Gurgaon.

3. Diagnosis History and physical examination are central to the diagnostic workup in nephrology. This may include inquires regarding family history, general medical history, diet, medication use, drug use and occupation. Examination typically includes an assessment of volume state, blood pressure, skin, joints, abdomen and flank. Examination of the urine (urinalysis) allows a direct assessment for possible kidney problems, which may be suggested by appearance of blood in the urine (haematuria), protein in the urine (proteinuria), pus cells in the urine (pyuria) or cancer cells in the urine. A 24-hour urine collection can be used to quantify daily protein loss (see proteinuria), urine output, creatinine clearance or electrolyte handling by the renal tubules. Basic blood tests can be used to check the concentration of hemoglobin, platelets, sodium, potassium, chloride, bicarbonate, urea, creatinine, calcium, magnesium or phosphate in the blood. All of these may be affected by kidney problems. The serum creatinine concentration can be used to estimate the function of the kidney, called the creatinine clearance or estimated glomerular filtration rate (GFR). More specialized tests can be ordered to discover or link certain systemic diseases to kidney failure such as infections (hepatitis B, hepatitis C), autoimmune conditions (systemic lupus erythematosus, ANCA vasculitis), paraproteinemias (amyloidosis, multiple myeloma) and metabolic diseases (diabetes, cystinosis).

4. Structural abnormalities of the kidneys are identified with imaging tests. These may include Medical ultrasonography/ultrasound, computed axial tomography (CT), scintigraphy (nuclear medicine), angiography or magnetic resonance imaging (MRI). In certain circumstances, less invasive testing may not provide a certain diagnosis. Where definitive diagnosis is required, a biopsy of the kidney (renal biopsy) may be performed. This typically involves the insertion, under local anaesthetic and ultrasound or CT guidance, of a core biopsy needle into the kidney to obtain a small sample of kidney tissue. The kidney tissue is then examined under a microscope, allowing direct visualization of the changes occurring within the kidney. Additionally, the pathology may also stage a problem affecting the kidney, allowing some degree of prognostication. In some circumstances, kidney biopsy will also be used to monitor response to treatment and identify early relapse. Treatment Treatments in nephrology can include medications, blood products, surgical interventions (urology, vascular or surgical procedures), renal replacement therapy (dialysis or kidney transplantation) and plasma exchange. Kidney problems can have significant impact on quality and length of life, and so psychological support, health education and advanced care planning play key roles in nephrology.

5. Chronic kidney disease is typically managed with treatment of causative conditions (such as diabetes), avoidance of substances toxic to the kidneys (nephrotoxins like radiologic contrast and non-steroidal anti-inflammatory drugs), antihypertensives, diet and weight modification and planning for end-stage kidney failure. Impaired kidney function has systemic effects on the body. An erythropoetin stimulating agent may be required to ensure adequate production of red blood cells, activated vitamin D supplements and phosphate binders may be required to counteract the effects of kidney failure on bone metabolism, and blood volume and electrolyte disturbance may need correction. Auto-immune and inflammatory kidney disease, such as vasculitis or transplant rejection, may be treated with immunosuppression. Commonly used agents are prednisone, mycophenolate, cyclophosphamide, ciclosporin, tacrolimus, everolimus, thymoglobulin and sirolimus. Newer, so-called "biologic drugs" or monoclonal antibodies, are also used in these conditions and include rituximab, basiliximab and eculizumab. Blood products including intravenous immunoglobulin and a process known as plasma exchange can also be employed. When the kidneys are no longer able to sustain the demands of the body, end-stage kidney failure is said to have occurred. Without renal replacement therapy, death from kidney failure will eventually result. Dialysis is an artificial method of replacing some kidney function to prolong life. Renal transplantation replaces kidney function by inserting into the body a healthier kidney from

6. an organ donor and inducing immunologic tolerance of that organ with immunosuppression. At present, renal transplantation is the most effective treatment for end-stage kidney failure although its worldwide availability is limited by lack of availability of donor organs. Most kidney conditions are chronic conditions and so long term followup with a nephrologist is usually necessary.