Nephrology Hospital in Bangalore
Nephrology, is a specialization that focuses on identifying and treating problems that affect the kidneys. The kidneys remove toxic wastes and excess fluid from the body. Moreover, they play a crucial role in regulating concentrations of important electrolytes like sodium, potassium, calcium, Also involved in the maintenance of acid-base balance in the body
Symptoms of Kidney Disease
Common symptoms of kidney disease include :
- Swelling in the ankles, feet, or legs
- Puffiness around the eyes
- Dry and itchy skin
- Decreased appetite and changes in taste perception
- Persistent headaches
- Nausea & Vomiting
- Fatigue and difficulty concentrating
- Unexplained confusion and memory problems
- Blood pressure issues
- Muscle cramps, numbness, or weakness
- Blood in the urine
- Frothy Urination
- Excessive urination during sleep
Department of Nephrology at Apollo Hospital
The Nephrology department at Apollo Hospitals, located on Bannerghatta Road in Bangalore, offers state-of-the-art facilities and provides care for patients with kidney diseases and a wide range of kidney problems. We cater to patients from across India as well as from other countries. We are renowned as one of the top Nephrology Hospitals in Bangalore, India, known for our expertise coupled with compassionate care.
We offer treatment for the following conditions:
- Kidney failure – both acute kidney injury and chronic kidney disease
- Protein leakage in the urine
- Diabetic kidney disease
- Hypertensive kidney disease
- Congenital kidney disease
- End stage kidney disease
- Complicated Urinary infections
- Autoimmune diseases like glomerulonephritis and lupus
- Kidney transplantation and combined liver/kidney & kidney/ pancreas transplantation.
Facilities offered at Apollo Hospitals
At our centre, we have a number of facilities, including:
- Kidney transplantation – For patients with end-stage kidney failure, kidney transplantation is the preferred option. We perform both live-related and cadaveric transplants, as well as multi-organ transplants (kidney- pancreas/kidney-liver). We also specialize in complex renal transplantation, such as sensitized recipients and across blood groups. Our hospital is the preferred choice for patients opting for kidney transplantation. We have an entire team of the best nephrologists in Bangalore, transplant surgeons, and transplant anesthetists, ensuring that the outcomes are on par with those of the best hospitals in the world.
- Hemodiafiltration (HDF) – Hemodiafiltration (HDF) is the state-of-the-art treatment for patients with chronic kidney disease and is the preferred modality of treatment in advanced countries worldwide. Apollo Hospital, Bannerghatta Road, is one of the few centres in India that offers this treatment. The procedure requires the use of “ultrapure” water, which can only be generated by a high-quality reverse osmosis plant. Furthermore, stringent quality control measures are in place to ensure intensive checking of the water quality. To ensure that our patients have access to high-quality dialysis, the procedure is provided at a reasonable price.
- Hemodialysis – Hemodialysis is the standard treatment for patients with kidney failure, and we have a well-maintained 27-station dialysis unit for this purpose. Each station is equipped with oxygen supply. Almost 2800 dialysis treatments are performed every month by a well trained team.
- Continuous renal replacement Therapy (CRRT) – This is the preferred treatment for critically ill patients in the ICU who have low blood pressure and other complications. Our centre has extensive expertise in providing this treatmen, and we are proud to say that our hospital performs the maximum number of CRRT procedures in the state of Karnataka.
- Peritoneal dialysis – Peritoneal dialysis is an option we provide for individuals who prefer home dialysis. With this approach, patients receive comprehensive training and ongoing assistance to ensure proper administration of peritoneal dialysis at home.
- Plasmapheresis/ hemadsorption – Plasmapheresis and hemadsorption are advanced methods of blood purification that are required for certain rare disorders. We possess the expertise to safely perform these procedures, ensuring optimal patient care.
- Tunneled dialysis catheter insertion – For patients who require immediate initiation of hemodialysis (HD) or hemodiafiltration (HDF), a tunneled dialysis catheter is necessary. At our hospital, we perform this procedure in a fully-equipped cathlab while strictly adhering to infection control precautions. The success rate of the procedure is comparable to leading centres worldwide, ensuring optimal outcomes for our patients.
- Kidney biopsy – Kidney biopsies, whether for native or transplanted kidneys, are conducted with the aid of real-time ultrasound guidance.
- Interventional nephrology – Our centre performs procedures related to maintaining and troubleshooting fistulas and grafts utilized for hemodialysis.
1. What is Hemodiafiltration?
Ans. Hemodiafiltration is a dialysis treatment that combines the normal dialysis method with an additional method called convection dialysis. This facility is only offered by a few hospitals in Karnataka.
2. What is the advantage of Hemodiafiltration?
Ans. Significant symptoms such as a fall in blood pressure, cramps, nausea, vomiting, and tiredness during conventional hemodialysis treatment are significantly reduced with hemodiafiltration. Additionally, hemodiafiltration effectively removes certain blood toxins that cannot be eliminated through normal dialysis. This treatment is preferred in advanced countries.
3. Is there a hemodiafiltration facility in Apollo hospital, Bannerghatta road?
Ans. Yes, Apollo Hospitals, Bannerghatta Road has been equipped with a hemodiafiltration facility for the past few years. Our hospital boasts technical expertise and an advanced water treatment plant that produces ultrapure water specifically for dialysis treatment.
4. Is hemodiafiltration affordable?
Ans. Although slightly costlier than conventional dialysis, hemodiafiltration remains quite affordable at our hospital. In fact, it is considered a cost-effective treatment for patients requiring prolonged dialysis to sustain their lives, with minimal complications.
The Centres of Nephrology and Urology have a sizeable and comprehensive kidney transplant program, having performed both autologous and cadaveric transplants. It has the first organ transplant registry in India. The Centres also perform minimally invasive surgery for renal donors thereby minimising post-operative recovery time and hospitalisation.
The stringent infection control practices, immunosuppressive protocols and proactive vigil for complications and their prompt management make the service a huge success. The Transplant unit also integrates, analyzes and addresses the health needs of the transplant patient and his or her family. The Apollo Hospitals group has performed more than 21000 kidney transplants till date.
Types of kidney transplants performed
- Cadaveric renal transplantation
- Cadaver-donor kidney transplantation
- Living donor kidney transplants (from both related and unrelated donors)
- Laparoscopic donor Nephrectomy
What is a kidney transplant?
A kidney transplant is a surgical procedure to place a kidney from a live or deceased donor into a person whose kidneys no longer function properly.
The kidneys remove excess fluid and waste from blood. When kidneys lose their filtering ability, dangerous levels of fluid and waste accumulate resulting in kidney failure or end-stage kidney disease. A kidney transplant is often the best treatment for kidney failure.
Only one donated kidney is needed to replace two failed kidneys, making living-donor kidney transplantation an option. If a compatible living donor isn’t available for a kidney transplant, the patient’s name may be placed on a kidney transplant waiting list to receive a kidney from a deceased donor.
A kidney transplant is used to treat kidney failure (end-stage kidney disease), a condition in which kidneys can function at only a fraction of normal capacity. People with end-stage kidney disease need either to have waste removed from their bloodstream (dialysis) or a kidney transplant to stay alive.
Causes of kidney failure
- Chronic, uncontrolled high blood pressure
- Chronic glomerulonephritis – an inflammation and eventual scarring of the tiny filters within your kidneys (glomeruli)
- Polycystic kidney disease
Sometimes kidney disease can be managed with diet, medication and treatment for the underlying cause. If despite these steps kidneys still can’t filter your blood adequately,r a kidney transplant is the treatment of choice.
Finding a donor
A kidney donor can be living or deceased, related or unrelated. The nephrologist will consider several factors, such as blood and tissue types, when evaluating whether a living donor will be a good match. Family members are often the most likely to be compatible kidney donors. But many people undergo successful transplants with kidneys donated from people who are not related to them.
During a kidney transplant
- Kidney transplants are performed with general anesthesia
- The surgeon makes an incision and places the new kidney in the lower abdomen. Unless the patient’s own kidneys are causing complications such as high blood pressure, kidney stones, pain or infection, they are left in place.
- The blood vessels of the new kidney are attached to blood vessels in the lower part of the abdomen, just above one of the legs.
- The new kidney’s ureter – the tube that links the kidney to the bladder – is connected to the bladder.
After a kidney transplant
- Doctors and nurses monitor the patient’s condition in the hospital’s transplant recovery area to watch for signs of complications. The new kidney will make urine like the patient’s own kidneys did when they were healthy. Often this starts immediately. In other cases it takes several days.
- Close monitoring is necessary for a few weeks.
- Transplant recipients need a number of medications after kidney transplant. Drugs called immunosuppressant’s help keep the patient’s own immune system from attacking the new kidney. Additional drugs help reduce the risk of other complications, such as infection, after transplant.
Dialysis is a treatment where the functions of the kidney are replicated by the dialysis process in situations where the kidneys have failed to function normally.
When is dialysis needed?
Dialysis is needed when you develop end stage kidney failure – usually when 85 to 90 percent of your kidney function is lost and there is a GFR of < 15.
What does dialysis do?
Dialysis is required to keep the body in balance by:
- waste, salt and extra water removal to prevent them from building up in the body
- ensuring maintenance of a safe level of chemicals in your blood, like potassium, sodium and bicarbonate
- blood pressure control
Is kidney failure permanent?
In some cases, acute kidney failure can get better after treatment. In such cases of acute kidney failure, dialysis is done only for a short time until the kidneys get better.
In chronic or end stage kidney failure, your kidneys do not get better and you will need dialysis for the rest of your life unless transplant is an option.
Are there different types of dialysis?
Hemodialysis and peritoneal dialysis are the two types of dialysis
Will dialysis help cure the kidney disease?
No. Dialysis does the work of healthy kidneys, but it does not cure the kidney disease.
Is dialysis uncomfortable?
The dialysis treatment is painless. However, some patients may have fall in BP, nausea, vomiting, headache or cramps. With frequent treatments, those problems usually go away.
Do dialysis patients feel normal?
Many patients live normal lives except for the time needed for treatments. Dialysis usually makes you feel better because it helps many of the problems caused by kidney failure.
Do dialysis patients have to control their diets?
Yes. You may be on a special diet. The diet may vary according to the type of dialysis.
Can dialysis patients continue to work?
Many dialysis patients can go back to work after they have gotten used to dialysis.
In hemodialysis, waste and extra chemicals and fluid from your blood are removed by a hemodialyser machine. To get your blood into the machine, an access is made into your blood vessels. This is done by minor surgery to your arm or leg. Sometimes, joining an artery to a vein under your skin to make a bigger blood vessel called a fistula is also done.
How long do hemodialysis treatments last?
This depends on:
- how good kidney function is
- fluid weight gained between treatments
- build and weight of patient
- the type of dialyzer used
Usually, each hemodialysis treatment lasts about four hours and is done three times per week.
In this type of dialysis, your blood is cleaned within your body. A plastic tube called a catheter is placed into your abdomen to make an access. During the treatment, the peritoneal cavity in the abdominal area is slowly filled with dialysate through the catheter. The blood stays in the arteries and veins that line your peritoneal cavity. Extra fluid and waste products are drawn out of your blood and into the dialysate. Plasma exchange may be done along with dialysis, to filter clotting factors and unwanted proteins. Charcoal hemofiltration in which a charcoal layer is used to remove wastes from blood, a process similar to dialysis, may sometimes be used.
What are the different kinds of peritoneal dialysis and how do they work?
Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dialysis (APD) are the two common types.
Continuous Ambulatory Peritoneal Dialysis (CAPD) is the only type of peritoneal dialysis that is done without machines. The patient can do it themselves usually four or five times a day at home or work. A bag of dialysate needs to be put into your peritoneal cavity through the catheter. The dialysate stays there for about four or five hours before it is drained back into the bag and thrown away. This is called an exchange.
Automated Peritoneal Dialysis (APD) is done using a special machine called a cycler. This is similar to CAPD except that a number of cycles (exchanges) occur. Each cycle usually lasts 1-1/2 hours and exchanges are done throughout the night while you sleep.
Services/Treatments of Kidney Transplant in Bangalore
Treatment is provided for disorders like kidney stones, kidney failure, bladder stones, diseases of the prostate gland, male infertility, erectile dysfunction and urinary incontinence and more…