DSDialysis Center ,DASHMESH HOSPITAL

Hi,

I am Dr. Munindra Kumar, Nephrologist. Today I will talk about renal transplant. There are a lot of myths and confusion about renal transplantation. Incidence of renal diseases increasing if a person is having chronic diseases, by the end he ends at the kidney diseases. At this stage, we have only therapy to of our is renal replacement therapy. This therapy is known as dilation therapy. But we should know that there are 3 types of renal replacement therapy. This renal transplantation is based mode of therapy which we offer to a patient. And in several studies, it was clearly proven that this renal transplantation has clearly over benefitted against this dilating therapy like hemodialysis and peritoneal dialysis. But regarding renal transplantation when someone is planning, the first question he has to encounter is with the donor. Question comes which renal transplantation is better like living donor transplant, transplantation between same blood group or against blood group. So, any transplantation is better than any dilating therapy.

If you compare with the quality of lifestyle or expenses, drug therapy, you can see that any transplantation is better. But in a study, it was proven that transplantation between same blood group then survival chances are more. Who is planning for renal transplantation, he should keep this in mind that picking from the same blood group is always better than the other blood group. The 2nd question which comes in mind of a person who is planning for renal transplantation that what is the cost of therapy. There is a myth that the cost is very high. Definitely post-renal transplantation the cost is high and usually, it carries 15k-20k per month. So, in India, it is a big amount but again if you compare with the dialysis therapy then 15-20K per month spending is quite low compared to the person spending on dialysis. So, it is not a big issue. The 3rd thing that we should know that if someone is going under renal transplantation then there are increased chances of infection.

So, I will say that definitely there are increased chances of infection. Because the patient is receiving so many medicines which weaken their immunity. S, again we compare the chances of infection with a general population then definitely chances of infection is much high. You have to consider that someone is going under renal transplantation, he has the increased chances of infection which he can see in the future. So, the last but not the least, if someone is planning for renal transplantation then we should keep in mind regarding like increased incidence of diabetes or increased incidences of malignancies or some other factors. So, this regards I have to say that, if a non-diabetic undergo renal transplantation, they may have increased chances of developing diabetes. Because these immunosuppressive drugs may usually pre-disposes to the development of diabetes.

If a diabetic goes for renal transplantation then diabetic condition definitely worsen. So, these things you need to keep in mind. This is a malignancy. Immunocompromised person and renal transplantation recipient have increased chances of some types of malignancy which is not common in the general population. So, keeping this in mind and ultimately we can conclude that renal transplantation is the best mode of the therapy. If someone is planning for renal transplantation, he should consult a good Dr, he should consult a nephrologist and renal transplantation surgeon. First, understand all the consequences of renal transplantation. What are risks, chances of developing diabetes, infection, cost of therapy and finally they have to plan accordingly? If you have any query regarding renal transplantation, you can consult me through Lybrate.

Thank You!

Good morning friends.

I am Dr. Munendra, consultant nephrologist and renal transplant physician. Friends today we are going to discuss something regarding the prevention of kidney diseases. As we know that prevalence of kidney diseases are rising and so much population has been contracting this kidney diseases and several times we discuss that most important factors that are responsible for this kidney disease is like hypertension and diabetes and we also most of the time discuss and the people tell how to prevent, how to control diabetes or hypertension that is ultimately responsible for kidney disease. But, I want to discuss something myths and some pitfalls that most of the time people confuse the kidney patient confused. These myths no. 1 myth that I want to discuss is what should be the amount of water we can take daily, a normal person or a kidney person or a kidney patient. So, it's usually prevalent concept that everyone should take as much of as water and usually we see or practice that most of the people are taking large amount of the water daily and actually we are not sure and most of the time confused that what should be the amount of water we should take daily, so I want to clarify at this point that we shouldn't take too much water, whether he is a normal person or a kidney patient but we shouldn't take too much water daily.

For a normal person it's just 2.5-3 litre of water intake that is sufficient and in practical terms if you ask that how much water we can take, then I can say that the water intake should be as much as decided by your thirst, means whenever you are thirsty you have to take some water and usually it should be between 2.5-3 litres at most of the times and very practical measurable formula that colour of urine should be similar to the water that we take. And regarding kidney patients what is the amount of water he or she should take, it's always decided by clinician or treating nephrologist will tell you that what should be the amount of water you can take and it's very wise to follow the clinician or treating nephrologist decision. Again, one of the important myths or one of the important misconception regarding kidney disease is that I want to discuss that what should be the protein intake and we see that whenever someone having a kidney disease whether it is mild or whether it is moderate or severe form; the people or even treating physician, general physician just starting to say that they have to stop taking all the protein diets and they are asked to stop taking protein diets and people ultimately people become starved and malnourished so I think this should be very clear regarding this misconception and exactly what is the amount of protein, what is the exact amount of protein that we should take or kidney patient should take; it's totally decided by treating clinician.

Anytime it doesn't mean that if a person has been diagnosed with kidney disease we should stop or we should curb him for taking all the protein or we should just reduce the protein intake. Protein intake can vary. Even some kidney diseases like nephrotic syndrome or other protein-losing syndrome, we require more and more protein intake or when the person is having a negative energy balance, he should require more and more protein intake, so again it's a decision that should be taken by a treating clinician or physician that what should be the exact amount of protein that a kidney patient should take. Never use this formula that if person is diagnosed with a kidney disease simply we can say or we just stop him from taking extra protein or reduce his protein intake to a very minimum. It is always decided by treating physician or nephrologist, it may be more, it may be less but we cannot apply a simple formula that if a person is diagnosed with kidney disease we just stop or we ask him to reduce your protein intake. Even it may lead to some negative or adverse consequences.

One of the third myths or pitfalls that you also want I also to discuss when a person is diagnosed with a kidney disease, we simply see that in our neighbourhood, in our population that person started consulting several ayurveda, several desi physicians, several alternative drug physicians, he started taking some internet brand prescription or internet brand drugs which have no scientific basis. I have seen friends in my clinical practice that several patients just went on dialysis or they just went for kidney transplantation only because they started this alternative or non-scientific medications or formulae. So, we should be very much clear and aware that any time, anyone having diagnosed with the kidney disease or kidney ailment he should consult with a nephrologist or family physician and start treatment according to his advice. Never went for alternative, desi medicine intake or medicine intake with non-scientific formulations. I think this is sufficient regarding this myths and pitfalls for management of kidney diseases. I am Dr. Munindra and I am from lybrate. So, if you have any question or query regarding kidney diseases or kidney ailments, you must freely contact me through the lybrate, through my personal email.

Thanks!