kidney disease treatment | kidney stones treatment | kidney failure treatment

1. Sri Ramakrishna Hospital sriramakrishnahospital.com/majordepartment/nephrology 2 Specialists nephrology The Department of Nephrology at Sri Ramakrishna Hospital work with top nephrologist in Coimbatore, treating patients for more than 4 decades. The first haemodialysis unit was installed here way back in 1980. This was also the year we performed our first kidney transplant. Medical Conditions The kidneys are located on either side of the spine. They perform the indispensable job of purifying the blood in the body and keeping the balance of minerals and salts in it. Without the kidneys, waste, chemicals and excess fluid would build up while the body’s salt and mineral balance would be unhinged. It is a fatal condition. Chronic kidney disease is a condition where they have not been functioning properly for a while. While the onset of symptoms might seem sudden, the deterioration of the kidneys would have set in long before. This is because the healthy nephrons (millions of tiny filters in the kidneys) can take up the slack of the diseased and unhealthy ones. For a time that is. As more nephrons stop working though, the kidneys will begin to shut down. There are five stages of kidney disease ranging from kidney damage with normal GFR (glomular filtration rate) to kidney failure. 1/4

2. Some of the causes of chronic kidney disease are uncontrolled BP, high blood sugar, kidney diseases and infections (such as polycystic kidney disease, pyelonephritis and so on), narrow or blocked renal artery and long-term use of certain drugs. This damage can be slowed or even halted with medication and lifestyle changes. If not halted, dialysis will be required, as well as a renal transplant. Treatments & Procedures The kidneys are responsible for purifying the blood by removing excess fluid and waste from it. When they do not work properly or fail, it is a life-threatening condition. In these cases a machine is used to do the work of the kidneys. It purifies the blood through filtration and makes it viable for the body. The process is called dialysis. There are two kinds of dialysis – haemodialysis and peritoneal dialysis. Haemodialysis Haemodialysis is the more common form of dialysis. It makes use of an ‘artificial kidney’ or machine that is known as a haemodialyser to filter chemicals and waste from the blood. In order for the blood to flow to it, a ‘vascular access’ needs to be created. This is basically an entrance to a blood vessel which can be used to connect the machine to you. Depending on the patient’s condition, dialysis may need to be performed for a long or slightly shorter duration. And based on this, the access may be temporary or permanent. The access can be created through various ways. Joining a vein to an artery in order to create a larger blood vessel. This is known as a fistula. Grafting an artery and a vein using a plastic tube which is soft. A thin plastic tube may be inserted into a large vein located in the groin or neck to create a temporary access. During the session, the patient is connected to the machine. Blood flows into it where extra fluid and waste is removed from it while retaining minerals like sodium and potassium. When the cleaning is complete, the blood returns to the body. Depending on the condition of the patient, dialysis may have to be performed several times a week. Peritoneal Dialysis This is a less common form of dialysis. It utilises the lining of the abdominal region as a filter to clean blood. The advantages of it are that it can be carried out while the patient is asleep to at work or even during the course of daily activity. Prior to the first session, surgery is required to create access into the region. A small incision is made (usually to the side of the belly button) and a catheter is inserted into the peritoneal cavity. A cleaning solution, called dialysate, is passed through the catheter into the region. The excess fluid and waste which is in the blood passes through the lining of the peritoneal cavity and is drawn into the dialysate solution. This is allowed 2/4

3. to happen to for about four to six hours, after which the solution is drained. Along with it, comes the waste and excess fluid. Speciality Doctors Frequently Asked Questions Is dialysis painful? After renal transplantation, will the recipient need dialysis? When can the recipient resume work? Is kidney biopsy a major surgery? Is it painful and risky? Is steroid a very dangerous drug? Does all kidney problem lead to dialysis? Is LASER treatment for kidney stones available in your hospital? Whether all patients with kidney stones need LASER treatment for kidney stones? What is prostate enlargement or benign prostatic hyperplasia? What are the symptoms of enlargement of prostate? What is the treatment for enlargement of prostate? Treated 10,00,000+ Patients Counting on state of the art infrastructure and medical equipment We are here to serve you for all your healthcare needs Address No: 395, Sarojini Naidu Road, Sidhapudur, Coimbatore. Email info@sriramakrishnahospital.com Phone +91 422 4500 000 Opening Hours We are available 24*7 Get in Touch Do you have any queries/feedback to share with us? Please write to us in the form towards your right & we'll get back to you within 4 hours. 3/4

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