Global Hospital

A kidney transplant is often the treatment of choice for kidney failure, compared with a lifetime on dialysis. A kidney transplant can treat chronic kidney disease or end-stage renal disease.

Dialysis is a treatment that filters and purifies the blood using a machine. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job.

Hi,

I am Dr. Bharat V Shah, Nephrologist. Today I will talk about chronic kidney disease. What are the common marker for kidney diseases? Urinary abnormality and reduced kidney function refers chronic kidney disease. Urine examination is important. Persistent urine abnormality for more than 3 months is enough to classify that person has kidney disease. If someone is very muscular and eating non-veg food is generation of creatinine will be high.

If you have identified that you have underlying kidney disease, next is to find out that what is the cause of this. If you can identify and it can be treated, one can prevent further worsening of the kidney. And if it cannot be treated, one can take several measures to slow down the rate of progression of kidney disease. The commonest cause of kidney disease in all over the world is diabetes and high blood pressure. other causes of kidney disease is glomerulonephritis (if early managed can slow down the kidney disease progression), kidney stones, hereditary kidney disease. So, there are many possibilities of preventing kidney diseases. A lot has been discussed about protein restriction retarding the progression of kidney disease.

As kidney disease progresses to the advanced stage of kidney disease, there is continuous reduction in the protein intake because the appetite decreases. As appetite decreases, the nutritional level also gets decreased. So, it is important to individualized your diet as it varies from person to person. Never restrict your dietary protein. Chronic kidney disease is a progressive condition. If you are at the kidney disease, you should start planning. Kidney transplant is far better option than dialysis and one can try for kidney transplant if they have a donor in their family member. And if one cannot go for kidney transplantation then they should plan for dialysis. Planning of putting catheter can be avoided with the proper treatment. There is another kidney of dialysis that one should be aware of and that is called as peritoneal dialysis where the catheter is put inside the peritoneal cavity and abdomen. But as We told you, chronic kidney disease when gets advanced to end-stage has limited treatment option. One must try and prevent kidney diseases. And if one has any risk factors like diabetes or high blood pressure or kidney stones, then must work on these diseases to prevent kidney diseases.

Thank You.

Hi,

I am Dr. Bharat V Shah, Nephrologist. Today I will talk about high blood pressure. Our body needs adequate blood to function. It depends how heart pumps blood into the body. The pressure by which heart pump the blood and distributed to the whole body is called as blood pressure. If blood pressure is high, it will effect all parts of the body. And in low pressure it won't be able to supply the blood in all parts of the body. I will tell you about high blood pressure.

The normal blood pressure should be about 120-130 systolic and 80-85 diastolic blood pressure. If blood pressure is above 130 systolic and above 85 diastolic then it is called pre-hypertension. And if it is above 140/90 then it is called hypertension. What are the risk factors for hypertension. High salt intake increases the risk factor for high blood pressure. Smoking, alcohol, obesity, lack of exercise, diabetes are all risk factors for high blood pressure. Many people have no symptom of high blood pressure. People tend to ignore also. When blood pressure is high for the long time, blood vessels gradually gets narrow due to atherosclerosis. 40% of the Indian population have high blood pressure problem. When it remains uncontrolled for longer time, it generates kidney diseases.

So, control of blood pressure is important to prevent kidney and other diseases.

Thank You.

Hi,

I am Dr. Bharat V Shah, Nephrologist. Today I will talk about kidney disease. It is increasing in our country in epidemiological proportion. This is a lifestyle disease. It has contributed to morbidity and modality. Obesity, diabetes, high BP are also lifestyle diseases. Due to the increase in diabetes, kidney diseases also increases. Diabetes is a condition in which the blood sugar level is high. Due to resistance in insulin or deficiency, this persistently high blood sugar contributes to severe complications in our body. It also contributes to coronary artery disease, peripheral disease, micro-vascular disease. When blood sugar is uncontrolled, kidney automatically starts getting damaged as protein starts leaking into the urine.

In the early stage, the amount of protein in urine is less. It is a slowly progressive disease. And once it progresses, it spoils the entire kidney function. By controlling the blood sugar level at an early stage, one can prevent diabetic nephropathy and diabetic retinopathy. Because end-stage kidney stage has limited treatment option, I request all my patients to control blood sugar well so that they will not develop kidney disease and also other complications. If kidney damages and it is at the end stage so, one can either go for dialysis or for transplantation. Kidney transplant is the far superior option. I would suggest to all who have diabetes is to try preventing diabetes. Avoid eating high carbohydrate diet means fast food. Remain active and avoid smoking and alcohol.

Thank You.