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Nephrologists, Kidney Doctors in Medanta, Gurgaon. Book Doctor & Appointment, Consult Online, View Doctor Fees, User Reviews, Address and Phone Numbers of Nephrologists in Medanta, Gurgaon | Lybrate
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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.
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
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.
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.
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).
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
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.
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
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
Most kidney conditions are chronic conditions and so long term
followup with a nephrologist is usually necessary.