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Nephrology

Overview

Department of Nephrology

In humans, Kidneys are bean-shaped organs about four and a half inches long which are situated in the body near the spinal column that excretes waste products of metabolism. They chiefly consist of nephrons by which urine is secreted, collected and discharged into the pelvis of the kidney from where it is conveyed by the ureter to the urinary bladder.  The kidneys perform critical functions in the human body such as maintaining overall fluid balance, regulating and filtering minerals from blood, release hormones that regulate blood pressure, control the production of red blood cells, produce an active form of Vitamin D to makes the bones strong and healthy and remove waste products and drugs from the body.

Nephrology is a subspecialty of internal medicine that is related to the diagnosis and treatment of diseases affecting the kidneys and other nephrologic disorders. One of the common kidney diseases seen is chronic kidney disease, which is a gradual loss of kidney functions over time. Chronic kidney disease is also called chronic kidney failure. Kidney failure is caused by health problems such as diabetes, high blood pressure, autoimmune diseases, etc.  In this disease, dangerous levels of wastes and fluids get accumulated in the body causing symptoms such as anemia, blood in urine, decreased urine output, fatigue, nausea, muscle cramps, pain in the lower back, etc. There is no cure for kidney diseases, but the symptoms can be reduced by taking medications such as antihistamines, anti-inflammatory drugs (NSAIDs), anemia treatment and other similar treatment. In end-stage kidney disease, patients require dialysis or kidney transplant 

Continental Hospitals is the best hospital for kidney diseases in Hyderabad as our specialists evaluate, manage and treat a wide range of kidney diseases and complications arising from nephrologic disorders.

At Continental’s Centre for Nephrology, there are dedicated Nephrology wards, 30-bedded dialysis units, and kidney transplant ICU. The services offered by the Centre for Nephrology are hemodialysis, peritoneal Dialysis, Plasmapheresis, kidney Biopsy, HD Catheter insertion, Tunnelled Dialysis Catheter insertion, and renal Transplants. As Continental Hospitals treats some of the rare and common renal conditions affecting patients, it is considered the best nephrology hospital in Hyderabad.

Why choose Continental Hospitals for Nephrology?

Continental Hospitals' Centre for Nephrology has world-class doctors who have expertise in diagnosing and treating patients suffering from various kinds of kidney ailments with state-of-the-art hemodialysis machines, reverse osmosis machines and various treatment procedures in place.

The nephrologists who work at Continental Hospitals oversee dialysis (both hemodialysis as well as peritoneal dialysis) in patients requiring renal replacement therapy and carry out kidney transplants too. Renal replacement therapy is indicated when the kidney transiently or persistently loses its function to remove toxins, metabolites, and water from the body.  This therapy is also used in patients who have had poisoning/overdose and the toxins do not clear the kidneys quickly.

Continental Hospitals has a 30 bedded Hemodialysis Unit, equipped with Fresenius Hemodialysis machines and offers Continuous Renal Replacement Therapy to critically ill patients in the ICU who have acute kidney failure.  The team of doctors, nurses and support staff strives to offer the best possible care to each patient that visits the hospitals. We have experienced and knowledgeable nephrologists who perform several renal transplants and biopsies under ultrasound or CT guidance to diagnose various kidney diseases.

Continental Hospitals offer comprehensive diagnostic and therapeutic services to patients with chronic kidney disease and post-renal transplant follow up. They relieve the anxiety of the patients undergoing dialysis and guide them about the treatment plans available to them so that they can make an informed choice about the treatment they want to undertake. Continental Hospitals have nephrologists who are experts in identifying early kidney disease and primary kidney disorders such as glomerular diseases, tubular defects as well as kidney abnormalities. All these attributes make Continental Hospitals, the best hospital for nephrology in Hyderabad.

Continental Hospitals is considered the best hospital for the treatment of kidney diseases in Hyderabad; hence the diagnosis of early kidney disorders to end-stage kidney diseases is important in such a prestigious hospital. Several kidney functions require diagnostic tests. A patient is physically examined by a doctor before he/she is prescribed diagnostic tests. 

Some of the diagnostic tests are:

  • Urine analysis

It helps in analyzing the acid content and protein content in the urine and helps to diagnose kidney problems. By using a dipstick test, in which Dipstick is a thin plastic stick with chemicals on it that is dipped in urine. The trips on the stick change color if a substance is present in urine that is above normal.

This test is used to determine the amount of acid in the urine and if the acid level (pH) is above normal, it could be an indication for kidney stones, urinary infections, kidney disorders, and other disorders.

It is also testing the presence or absence of protein in the urine. Ideally, proteins should only be in the blood. But, if there is kidney damage and the filtration process in the kidneys is not functioning properly, then proteins leak into the urine.

Having sugar in the urine is a sign of diabetes. Having blood in urine could be signs of infection or kidney problems.

  • Glomerular Filtration Rate (GFR)

It is the test to measure the function of the kidneys and determine the stage of kidney disease. If the GFR number is low it means that the kidneys are not functioning properly. But, the calculation of the GFR number depends on the amount of creatinine (the waste that comes from the muscles) in the blood, the age, and the gender of the patient. The GFR number is calculated based on a mathematical formula.

A normal GFR number is 90 in adults and if the GFR number is less than 60 it depicts severe kidney damage or kidney failure if the GFR number is lower

  • Ultrasound scanning

It is ideally suited for imaging the kidneys and the urinary bladder by the use of sound waves. It helps in evaluating renal failure, nephrolithiasis (formation of a kidney stone in the kidney), hematuria (blood in urine), recurrent infections and pain.

  • MR angiography

Renal magnetic resonance angiography allows accurate evaluation of patients suspected of having renal artery stenosis (narrowing of arteries that carry blood to one or both of the kidneys), assessing renal bypass grafts and other renal functions and excretions.

  • Imaging studies of the kidney

Other imaging techniques like CT scan use contrast agents or dyes that may be risky to a person already having kidney failure and a doctor has to be consulted before taking a CT scan. A CT scan of the kidney may be performed to assess the kidneys for tumors and other lesions, obstructions such as kidney stones, abscesses, polycystic kidney disease, and congenital anomalies

MRI scans help in diagnosing acute kidney injury, chronic kidney disease, detection of renal cysts, abscesses and neoplasms e.g. simple cysts, polycystic kidneys.

  • Renal biopsy

A kidney biopsy is a procedure that involves taking a small piece of kidney tissue for examination with a microscope. It is done to evaluate hematuria (blood in urine), albuminuria (more than normal amount of albumin protein in urine) and changes in the function of kidneys. It also used to diagnose if a person is having kidney cancer.

  • Intravenous urography (IVU)

It is a radiography study of the renal tissues, pelvic region, ureters, and the urinary bladder. It is done to check for the normal function of the kidneys, check for any congenital anomalies, detect and localize a ureteric obstruction (urolithiasis) or any kind of cancers.

  • Scintigraphy

Renal scintigraphy uses small amounts of radioactive materials called radiopharmaceuticals, a special camera, and a computer to evaluate the kidneys’ function and anatomy and determine whether they are working properly.

  • Renal Arteriography

It is a special x-ray of the blood vessels of the kidneys. It helps in diagnosing any blood clots, blockages, abnormal structures, spasms in the vessels, tumors, high blood pressure in the vessels and widened blood vessels of the kidneys.

With all these tests and examinations, a doctor can correctly diagnose and plan treatment for the patient. At Continental Hospitals, the diagnosis is made by our doctors at the center for Nephrology, making it the best nephrology hospital

The Continental Centre for Kidney Diseases & Renal Transplant covers most rare and common conditions of renal health through a combination of innovative and traditional treatment methods.

Diabetic Nephropathy

  • What is diabetic nephropathy?

Diabetic nephropathy is a type of chronic kidney disease in patients starting renal replacement therapy. The kidneys help regulate the levels of fluids and salts in the body, which is vital for controlling blood pressure and protecting cardiovascular health. It increases the risk of death, mainly from cardiovascular causes, and is defined by increased urinary albumin excretion (UAE) in the absence of other renal diseases. Diabetic nephropathy is categorized into stages: microalbuminuria and macroalbuminuria. Hyperglycemia increased blood pressure levels, and genetic predisposition is the main risk factor for the development of diabetic nephropathy. Read more

Enlarged Prostate

  • What is an enlarged prostate?

Enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply. These additional cells cause the prostate gland to swell, which squeezes the urethra and limits the flow of urine. It is common in men aged over 50. Read more

Prostate Cancer

  • What is prostate cancer?

The prostate is a small gland in men, about the size and shape of a walnut. Growths in the prostate can be benign (not cancer) or malignant (cancer).

Prostate cancer is a malignant tumor that usually starts in the outer part of the prostate. As the tumor grows, it may spread to the inner part of the prostate and then beyond the gland to other parts of the body. Read more

Kidney Stones

  • What are kidney stones?

Kidney stones are hard deposits made of minerals and salt that form inside the kidneys. Kidney stones can be caused due to various reasons such as being overweight, having a diet rich in protein, sodium or sugar, do not drink enough water, family history of kidney stones, etc. Often, kidney stones form when the urine becomes concentrated, allowing minerals in the urine to crystallize and stick together. When a kidney stone moves through the ureters and out the urethra with urine, it is called passing a kidney stone. Read more

Glomerulonephritis

  • What is glomerulonephritis?

Glomerulonephritis is a group of diseases that injure the part of the kidney that filters blood (called glomeruli). Glomeruli are structures in the kidneys that are made up of tiny blood vessels. These knots of vessels help filter the blood and remove excess fluids. If the glomeruli are damaged, it can lead to kidney failure.

Glomerulonephritis is classified based on the microscopic appearance of the affected kidney tissue under the microscope. There are two types of glomerulonephritis—acute and chronic. The acute form develops suddenly. The chronic form is characterized by long-term inflammation and scarring of the glomeruli. Read more

Kidney Cysts

  • What are kidney cysts?

Kidney cysts are sacs filled with urine that is formed in the kidneys and these sacs are called “cysts”. They are usually small, oval, thin-walled sacs with watery fluid in them. They usually appear in people over the age of 50. They are benign cysts, meaning they are not cancerous.  A simple cyst may form one kidney or multiple cysts will form on one or both kidneys.

They are two types of kidney cysts, simple cysts, and polycystic kidney disease. Simple cysts are cysts that contain water-like fluid. Polycystic kidney disease is an inherited condition that causes many cysts to form on the kidney and may cause kidney damage. Read more

Doctors at Continental Hospitals are a group of hard-working and dedicated individuals who have received extensive specialized training in the field of nephrology and are highly experienced to perform numerous kidney transplants, kidney biopsies, and other nephrologic disorders. Their primary concern is for the welfare of the patients who have an anxiety-free experience when they visit the center of Nephrology at Continental Hospitals. Our doctors give a detailed explanation to the patients, their family and caregivers about the intricacies of the kidney problems faced by the patient and the treatment plan are offered to them so that the patients and their families' can make a well-informed decision about the treatment plan.

 At Continental Hospitals, the patients' trust in the doctors makes it easier for them to carry out their duties in a professional way. The doctors are capable of handling any diseases or disorders affecting the kidneys and help the patients in leading a healthy life.  Based on the quality care and treatment received at Continental Hospitals is considered as one of the best hospitals for the treatment of kidney diseases in Hyderabad.

Dr John Doe
Dr Vishwambhar Nath

M.B.B.S, M.S, D.N.B, M.Ch

Dr John Doe
Dr. Ravi Kumar N

MBBS, MD (Nephrology)

Junior Consultant Nephrologist

Dr.Dhananjaya Kappadi Lingappareddy

MBBS, MD (Gen Medicine), DM (Nephrology)

Consultant Nephrologist and Transplant Physician

Dr John Doe
Dr Shyam Varma

M.B.B.S, M.S, M.Ch

Consultant Urologist

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