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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 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.

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
     

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.

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 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.

Why tests do nephrologists perform?

Kidney biopsy

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.  
 

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 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 to do while taking internal medicine treatment?

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

What does a nephrologist do?

Nephrologists are specialists who play a critical role in diagnosing and treating all conditions affecting the kidneys. They prepare long-term kidney disease management solutions and provide comprehensive care. They also collaborate with other specialists to help patients achieve complete relief from complex medical conditions relating to their kidneys.

What question should you ask a nephrologist?

To learn about kidney disease and treatment options, you can ask a nephrologist several questions. These may include what symptoms they detect and treat, how they prepare personalised treatments, what preparations they make, and how they help in recovery.

What are the most common types of conditions that nephrologists treat?

Nephrologists treat several health conditions with complete medical care. These include urine infections, mineral imbalances, cysts or blockages in the urinary tract, kidney failures, chronic kidney pain, and weight imbalances. Our nephrologists offer several treatment options for these critical conditions.

When should I consider seeing a nephrologist?

If you encounter any kidney-related symptoms, such as kidney stones, failures, inflammation, urinary tract issues, cysts, unbearable pain, or unstable kidney functions, you should consider seeing a nephrologist. You can consult our nephrologist in Vijayawada at Aster Ramesh for more symptoms.

What is the role of a nephrologist in a patient's treatment journey?

Nephrologists and other doctors provide the utmost kidney care throughout the patient’s treatment. They monitor core health conditions and address imbalances within the patients. They also provide necessary guidance to adjust the treatment methods in case of any irregularity in the patient’s condition.

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.

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.

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.

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 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.

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.

Do internists perform surgery?

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

What does a doctor in internal medicine do?

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

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.

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.

How does a nephrologist decide on a treatment plan?

Nephrologists consider several factors before deciding on a complete treatment plan for kidney problems. This includes monitoring the patient's condition, analysing the type and severity of kidney disease, and assessing the patient's ability to tolerate certain treatments. They also collaborate with other medical professionals to prepare personalised treatment plans.

What advancements or technologies are utilised by nephrologists?

Nephrologists diagnose kidney conditions using various advancements and technologies, such as digital imaging devices (X-rays, CT scans, MRI scans), biopsy tools, dialysers, catheterisation equipment, and other surgical tools. Our nephrologists in Vijayawada at Aster Ramesh ensure that all the necessary equipment is used for quality treatment.

What documents should I carry on my first visit to a nephrologist?

While visiting a neurologist for the first time, you should carry all the important reports for blood tests and urine tests, any previous treatment records, and ongoing medications. If you need assistance for the visit, you can consult with our hospital staff to learn more about the documents you should carry.

How should I prepare for my first visit to a nephrologist?

To prepare for your first visit to a nephrologist, you can list down all the necessary questions to discuss with the expert. Also, you can take all the important health documents to discuss your health issues for a better understanding of the disease.

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