Nephrology

Aster Ramesh Hospitals offers specialised nephrology care to patients of all ages. We offer a wide range of therapeutic technology/ support including haemodialysis and peritoneal dialysis. What sets us apart is the outstanding team of doctors comprising of highly experienced nephrologists, urologists, renal transplant surgeons, anaesthetists and critical care experts. Multidisciplinary in approach, they provide optimal, evidence-based treatment to patients with the support of an award winning team of nurses, renal dieticians, rehabilitation experts and qualified technicians.

Our Doctors

We have some of the best specialists from around the world, they bring years of experience and offer evidence based treatment to ensure the best care for you.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

Is dialysis the only option if I develop ESRD?

Unless renal transplant is envisaged and planned patient has to be on maintenance dialysis either or hemodialysis.

What is the difference between internal medicine and primary care?

MBBS graduates give primary care, and the practice of Internal medicine involves secondary care, and tertiary care is given by super-specialist.

What does a doctor in internal medicine do?

Internal Medicine doctors practice various illnesses related to all sub-branches of Internal Medicine.

Do internists perform surgery?

Internists do not perform any surgeries since it is the domain of surgical specialty.

Is there surgery required for the removal of stones?

In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.

What do nephrologists do on the first visit?

Detailed history taking, complete physical exam, recording of BP and BMI, and ordering of investigations (based on provisional diagnosis), including a mandatory complete urine examination and basic USG for kidneys.

Which test can a nephrologist recommend?

Since kidneys are essential for optimal functioning of all organ systems by maintaining the milieu interior, a nephrologist can and does order all the investigations in a clinician’s armamentarium.

What is end-stage renal disease?

ESRD is a stage in the progression of chronic kidney disease, and the kidneys are no longer capable of carrying out their function to maintain the milieu interior. Renal replacement therapy (regular dialysis and transplantation) is the only option to preserve life.

Can kidney failure be controlled?

Kidney failure can be controlled, and its progression can be slowed done for a period with good conservative measures for chronic kidney disease. However, the final outcome is almost always ending stage renal disease (ESRD) requiring renal replacement therapy (RRT). Early detection of diabetic kidney disease at the stage of microalbuminuria can be reversed with diligent treatment and regular follow-up.

Can something be done to prevent the recurrence of stones?

Relevant dietary advice, including liberal fluid intake, can mitigate the recurrence of renal stones to a considerable extent.

What to do while taking internal medicine treatment?

Just follow the prescription and, if required by follow up teleconsultation.

What procedures do internal medicine doctors do?

Generally simple procedures like Pleural aspiration, peritoneal aspiration, pericardial aspiration. Ultrasound-guided aspiration of the Liver abscess, CSF analysis by spinal Tap, bone marrow aspiration, and biopsy can be done.

What is the difference between internal medicine and general practice?

General practitioners are MBBS graduates who practice fundamental aspects of medicine, surgery to name a few.

What is MD in internal medicine?

MD internal medicine is a recognized postgraduate degree conforming to the stringent criteria of NMC (earlier medical council of India). The MD qualified doctors are permitted to practice and treat all medicine cases sans 
interventions in cardiology or endoscopy in gastroenterology or performing dialysis in chronic kidney diseases.  
 

Why tests do nephrologists perform?

Kidney biopsy

What disease does a nephrologist treat?

All primary diseases of the kidney and renal diseases secondary to other diseases fall in the realm of nephrologists. To name a few, acute nephritis, Nephrotic syndrome, AKI, CKD, UTI, obstructive uropathy, nephrolithiasis, hypertension, renal tubular disorders, and asymptomatic urinary abnormalities.

How can urinary incontinence be managed?

Essentially managed by urologists who are surgeons to the kidneys and genitourinary tract, incontinence can be managed alternatively with certain drugs and neurosurgical procedures where necessary.

What should be the lifestyle to avoid kidney problems?

A balanced diet, no smoking, abstinence or modest alcohol consumption, adequate fluid intake depending on ambient weather conditions, salt restriction in diet, good glycemic control in diabetes and optimal control of BP in hypertension, regular exercise to avoid obesity are some of the measures to avoid kidney problems.

When is dialysis required?

Dialysis is required once the cumulative GFR falls below 15ml/min/1.73 sq meter BSA. Emergency dialysis may be required for uremic complications of 

  • Hyperkalemia
  • Severe metabolic acidosis
  • Fluid overload with pulmonary edema
  • Uremic pericarditis
  • Uremic encephalopathy
     

Is there surgery required for the removal of stones?

In modern management of renal stone disease, open laparotomy is seldom required as urolithiasis (kidney/ureter/bladder stones) can be dealt with endoscopically.

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