All posts by Dr. Vinant Bhargava

av fistula

Creating an Arteriovenous Fistula for Hemodialysis


  • An arteriovenous fistula, also called an AVF, is a surgical connection of an artery directly to a vein. This is usually done in those who need hemodialysis. Hemodialysis is a treatment to treat acute (sudden) and chronic (long-term) kidney failure. A machine that works like your real kidneys is used to clean waste from your blood. The AVF will act as a bridge for blood to enter the hemodialysis machine. The fistula is usually made by plastic surgeon in Noida in the arm that is not always used (left arm if you are right and vice versa). This is where nephrologist in Delhi puts the needles during hemodialysis. The blood will flow out and back through the AVF after it is cleaned by the hemodialysis machine.
  • Healthy kidneys clean the blood by removing harmful substances such as excess fluid, minerals, and toxic (harmful) waste. They also make substances that help keep your bones strong and your blood healthy. Kidney failure causes harmful waste to build up in your body, leading to an increase in blood pressure. This can also cause your body to retain excess fluid and not make enough red blood cells. When this happens, you may need treatment to replace the function of your kidneys. Having an AVF for hemodialysis can relieve your symptoms of kidney failure and improve your quality of life.


Take your medications as directed:

Call your nephrologist in Delhi if you think your medicine is not working as expected. Tell him if you are allergic to any medicine. Keep a current list of medications, vitamins, and herbs you take. Include the amounts, how you take them, and when and why you take them. Bring the list or pill bottles to follow-up appointments. Keep the list with you in case of an emergency. Throw away old lists.

  • Antibiotics: These medicines may be given to help you fight infections caused by bacteria. Always take your antibiotics as directed by your GP. Do not stop taking your medicine unless your GP tells you to. Never save antibiotics or take leftover antibiotics that you have been given before for another illness.
  • Pain medicine: You may need medicine to stop or reduce pain.
    • Learn how to take your medicine. Ask what medicine you need to take and the dosage. Make sure you know how and when you need to take it as well as how often.
    • Do not wait until your pain is too bad to take your medicine. Tell your kidney specialist in Delhi if your pain does not decrease.
    • Pain medicines may make you dizzy or drowsy. To prevent falls, call someone when you get out of bed or need help.

Request information about the location and time of your follow-up consultations:

Request more information about ongoing care, treatment, or home services.

Ask your best plastic surgeon in Noida when you need to return to have your AV fistula checked.

Caring for your arteriovenous fistula:

When you are allowed to bathe, carefully wash your stitches with soap and water. Dry them with a clean towel. You may have sterile strips (tape strips) on your incision. Keep them clean and dry. When they start to get up, let them fall down on their own. Don’t remove them.

  • Remove the AVF bandage 4 to 6 hours after dialysis in Delhi.
  • Check your AVF every day for good blood flow by touching it with your fingertips. The buzzing sensation means it works. Check for bleeding, pain, redness, or swelling. These may be signs of infection or an obstructed AVF.
  • To prevent damage to your AVF, no one should take your blood pressure or take blood from the arm with the AVF. Do not wear tight clothing or jewelry, and avoid sleeping on that arm.


  • You have a fever.
  • Your skin itches, swells, or has a rash.
  • You have questions or concerns about your surgery or medications.


  • Your FAV site has blood, pus, or a foul odor.
  • You have more pain in the area where the AVF was made.
  • You suddenly have trouble breathing.

This information is used only for educational purposes. It is not intended to give you medical advice about diseases or treatments. Check with the best nephrologist in Delhi, nurse or pharmacist before taking any medical regimen to find out if it is safe and effective for you.

Also Check:

chronic kidney failure

Is Chronic Kidney Failure Curable?

Chronic kidney failure is a problem that can be treated. The approach is adapted to the needs of each person, and can bring good results in the remission of symptoms and in preventing the progression of the disease. However, the loss of kidney function cannot be reversed, explains the best nephrologist in Delhi.

Chronic kidney failure, which can also be called chronic kidney disease, is characterized by the loss of kidney function for a period longer than 3 months. This is a worrying picture because it has a slow evolution and usually does not show symptoms.

Because of this characteristic, chronic renal failure is often diagnosed late. In these cases, the loss of renal function is already very significant, which makes treatment difficult and may require dialysis sessions.

But the main question is whether chronic kidney failure can be cured. In this article the nephrologist in Delhi answers that question. Keep reading.

What Causes Chronic Kidney Failure?

Chronic kidney disease is a condition in which the kidneys lose their ability to filter blood properly. One of the tasks of these organs is to separate metabolic waste and excess water from the body, so that they are eliminated through urine.

When the kidney suffers aggressions or injuries, it begins to lose this capacity, performing its task in an increasingly deficient way. Thus, waste accumulates in the body bringing complications to other organs.

Several factors can trigger kidney failure; however, diabetes and hypertension are the two main causes of chronic kidney disease. However, there are other risk factors besides high blood sugar and high blood pressure. Are they:

  • advancing age;
  • obesity;
  • history of circulatory problems;
  • smoking;
  • cases of kidney disease in the family;
  • some medicines.

As said, this is a problem that evolves slowly, so the person can live a long time with compromised kidney function, without showing symptoms. When they happen, it is because there is already a serious impairment of the kidneys, says the best kidney specialist in Delhi.

Can Chronic Kidney Disease be Cured?

Chronic kidney failure is a different picture from acute failure. In the second case, the kidneys momentarily reduce or lose their functions because of some aggression, illness or any other, but they recover and go back to work as before.

In the chronic problem, these organs gradually stop working and it is not possible to restore kidney function. The tendency is for the problem to get worse and worse, until failure occurs, and the kidneys stop working altogether, explains the kidney specialist in Delhi.

However, there is an option for the person to have a functioning kidney again. His organs cannot be salvaged, but there is a possibility that he will be donated a healthy kidney through a kidney transplant in Delhi.

How is this Problem Treated?

It is true that chronic kidney failure cannot be cured, but there are treatments to minimize symptoms and prevent kidney loss from progressing. We are able to delay the worsening of the problem or, in some cases, stop the disease so that the person maintains the percentage of kidney function they have now.

Before, it is necessary to know the state the kidneys are in to define what will be the best approach for each patient. Blood and urine tests are mainly requested to measure and analyze kidney functions. The nephrologist in Delhi is the doctor who performs this detailed and thorough assessment of kidney function.

Afterwards, a series of measures can be adopted, such as controlling blood pressure and blood glucose. It is also necessary to give up tobacco so as not to harm the kidneys or favor complications of kidney disease.

It is also recommended to reduce the body’s cholesterol levels. Medications are used that reduce the loss of protein in the urine and help with symptoms such as bloating.

Chronic kidney failure brings complications such as bone and mineral disorders. Therefore, the person may need treatment for these problems, through the balance of nutrients such as vitamin D, calcium, and phosphorus. Still other approaches can be adopted, which, as said, depend on the need and clinical conditions of each patient.

One more recommendation for the treatment of chronic kidney disease is the adoption of a proper diet. Likewise, with an individual assessment and the follow-up of the nutritionist to provide the nutrients that the body needs, without excesses that can further harm kidney function.

Patients with more advanced loss of kidney function may need to undergo dialysis in Delhi (peritoneal dialysis or hemodialysis), in order to supply kidney functions when organs can no longer filter blood and eliminate fluids properly.

Also Visit:
Kidney Transplant in Delhi

9 recommendations for kidney transplant patients

The kidneys work as small filters, that is, they purify the blood of the substances that are left over, those of waste, coming from our metabolism, excess water, salt and other leftover products.

They also have another very important function: the production of certain hormones, such as erythropoietin (for the formation of red blood cells), renin (regulation of blood pressure) and the active form of vitamin D (maintenance of bones).

Until now, dialysis and multiple medications have helped replace the functions of diseased kidneys.

Since a patient receives a kidney transplant in Delhi, this new organ takes care of everything that went wrong before, but for it to function properly, it must be properly cared for.

The best way to know and quantify the operation is by performing blood and urine tests, which will determine the values ​​of creatinine, urea, uric acid, sodium, potassium and phosphorus.

Creatinine very reliably reflects how the kidney is working. It is a reference parameter that is always used in all analyzes carried out by the patient.

Normally, a person with fully functioning kidneys and no kidney disease has a creatinine that ranges between 0.6 and 1.2 mg/dl. A transplanted person can be perfectly above these values ​​and have good kidney function.

Once the patient receives the kidney transplant, creatinine levels progressively drop to the good functioning of the transplanted kidney until they reach normal.

It should not generate alarm that these values ​​do not remain stable. On the other hand, the progressive and sustained increase over time in creatinine levels could indicate dysfunction or rejection of the transplanted organ.

In addition to the check-ups with their nephrologist in Delhi, the transplanted patient must go to the usual medical check-ups (dentist, gynecologist, ophthalmologist, etc.) but they must always inform the kidney specialist in Delhi of their transplant condition, so that there are no problems with the prescribed medications.

It is very important that you check your weight, blood pressure, pulse and temperature and that you keep a record of these data for check-ups.

Medical check-ups will be very frequent at first, but over time, and depending on your condition, they will be spaced out.

At these check-ups with the best nephrologist in Delhi, your general condition will be assessed, your blood pressure and weight will be checked, and your kidney status and function will be checked.

General recommendations

When you are at home, you should pay special attention and control over your weight, blood pressure, temperature and heart rate.

In addition, if you have a fistula, you must follow the same care as when you underwent dialysis sessions.

If, on the other hand, you have a peritoneal catheter, you must keep it permeable and in good condition. It will be removed after about three months, if all goes well.

Personal hygiene is very important: take daily showers, keep nails short and clean, brush teeth with a soft brush and regular toothpaste, after all meals. Toiletries must be for the exclusive use of the patient, never sharing a toothbrush or razor.

Although the kidney is working, other complications may arise, so you must maintain the same precautions with the AVF (fistula) as before the transplant (hygiene, avoid blows, pressure, etc.).

If, on the other hand, you are a carrier of the peritoneal dialysis catheter, initially, it will be kept in place and in the same conditions as before (insertion care, hygiene measures, etc.).

After the transplant, it is common for sexual desire to increase in both men and women. In men, impotence problems that are related to uremic syndrome are usually solved and in women, infertility problems can disappear, so it is possible that they can become pregnant again.

There is no reason not to enjoy a full sexual life, just remember that hygiene for a transplanted person is of vital importance, and you should follow the aforementioned recommendations regarding personal hygiene.

Those postures or actions that can cause damage to the kidney due to blows should be avoided. As contraceptive methods, barrier methods, condoms and diaphragm are recommended.

In transplanted women, the use of the contraceptive pill is not indicated because it can interfere with medications, nor the IUD because it increases the risk of infections.

Check with the best kidney specialist in Delhi if you need to use them, so that he can check if it is possible in your case.


The first month will be of “relative” rest, this means that we will join the activity little by little. It is convenient to take walks in quiet areas, gardens, parks, away from pollution and traffic. At home, you should stay active but not get tired.

During this first month, it is recommended not to visit closed public places (cafeterias, libraries, cinemas, etc.), avoid hitting or jumping and lifting heavy objects.

After the first 2 or 3 months, the patient should try to lead an active life, with moderate physical exercise and work activity.

It is important to remember that smoking is absolutely prohibited, as tobacco is the main cause of heart and bronchial problems, circulation disorders and cancer. In the case of transplant recipients, the risk is much higher.


A proper diet is very important to maintain the health of any person, especially transplant recipients.

There are a series of generic rules for the diet of a transplant patient, although it must always be individualized.

After the transplant, dietary restrictions will be lifted and you will be allowed to eat normally, depending on your condition.

It is important that you drink the amount of fluid prescribed for you. In the same way, you will be encouraged to control your weight, since it is very possible that you will gain weight after the transplant.

This trend is produced by the improvement in their general condition, because the food will taste better and by the use of corticosteroids as immunosuppressive medication.

Your diet should be balanced and adjusted to your caloric needs. The amount of food will depend on what your body needs, you should avoid the consumption of salt (which is involved in hypertension) and animal fats (which increase cholesterol and triglycerides); nor should you abuse sweets or industrial pastries.

You should take special care to avoid consuming certain raw foods (undercooked eggs, meat, fish and shellfish, unpasteurized milk). Nephrologist in Delhi recommends that the diet be rich in fiber, as it helps prevent constipation, and the use of olive oil to cook.

If you suffer from any chronic disease whose treatment involves a special diet (such as diabetes, for example) you must continue it.

In conclusion, the kidney transplant patient should:

  1. Avoid adding salt to food, and consuming foods with a high salt content such as sausages, preserves, prepared meals, salty foods and snacks.
  2. Do not use diet salts due to their high potassium content.
  3. Consume skimmed dairy products.
  4. Limit the consumption of eggs to two per week.
  5. Use olive oil and avoid other fats such as butter and lard.
  6. Do not abuse fried foods; use other forms of cooking: grilled, boiled or steamed.
  7. Moderately restrict protein: eat less red meat and increase your intake of fish, both white and blue.
  8. Avoid excessive consumption of sweets and soft drinks due to their high sugar content.
  9. Limit the consumption of coffee and alcohol.

Also visit:
kidney failure

Treatments for kidney failure: what are the options?

The kidneys are organs of utmost importance to our body. They are responsible for filtering our blood, eliminating toxins, and for controlling the chemical and liquid balance in our body. When something does not go well, a condition of kidney failure can occur, and there are some types of treatment that can be recommended by the best nephrologist in Delhi in this case.

These measures aim to slow the progression of the disease and promote more quality of life for patients suffering from loss of renal function. In this post, you will know a little more about each of them. Keep reading to find out.

What is kidney failure?

Among several other functions, the kidneys are very important to ensure the maintenance of health and well-being. This is because they act on the elimination of toxins and in controlling the chemical balance of our body.

But sometimes – and for various reasons – they can present problems in the operation and even stop working. That’s what kidney failure is called. When a patient receives this diagnosis, he/she needs to do a thorough follow-up with the best kidney specialist in Delhi to keep his health up to his/her.

Meet 4 treatments for loss of kidney function

There are several renal failure treatments in Delhi. Initially, conservative treatment may be indicated, but with disease progression, therapies that replace kidney function may be necessary – such as hemodialysis, peritoneal dialysis, and transplantation.

If you suffer from kidney failure, it is very important to discuss the therapies available with your doctor for kidney in Delhi. But in to get you familiar with them, we’ve prepared the main information on the subject.

1. Renal conservative treatment

Conservative renal treatment is one in which clinical measures are adopted to slow progression and prevent complications caused by kidney disease.

It is done through medication adjustment, control of symptoms of loss of renal function, adequacy of the diet and general guidelines on the disease.

2. Hemodialysis

With the evolution of the disease, the kidneys can start to function very little, and it is necessary to start a renal replacement therapy. Hemodialysis offers this possibility to the patient, after all, it is a periodic procedure in which blood is filtered by means of a machine.

The indications for hemodialysis are done individually and take into account the patient’s needs. Usually, the dialysis in Delhi is done in clinics specialized in nephrology, three times a week, with sessions of four hours of duration.

How is blood filtering done?

For hemodialysis to be performed, it is necessary to enable a vascular access, which can be a catheter or a fistula (native or with prosthesis).

Catheter: tube placed in a vein in the neck, chest or groin. It has two pathways that allow the exit and return of blood.

Fistula: junction of an artery with a vein, arm or leg. Two needle sticks are required to favor the flow of blood inflow and return.

The blood is led to the hemodialysis machine through the arterial line, passes through a dialysator – also known as a dialysis filter – and the toxins and liquids that were excess in the body are removed. Then it is returned to the patient by the venous line.

3. Peritoneal dialysis

Peritoneal dialysis is also a modality of renal function replacement therapy, however, it is completely different from hemodialysis.

In peritoneal dialysis, there is no need to puncture veins or arteries. As the name implies, the filtration of blood is done through the peritonium – a membrane that covers the abdominal organs and functions as a filter. Thus, blood is filtered within the body itself and it is not necessary to use the hemodialysis machine.

In the case of peritoneal dialysis, a catheter is implanted in the abdominal cavity. Through this catheter, a dialysis solution is infused, which remains in the cavity for a while, removing substances and liquids that will be subsequently drained.

There are two types of peritoneal dialysis:

Continuous ambulatory peritoneal dialysis (PACD)

Also known as manual peritoneal dialysis, this technique occurs when the changes of the dialysis solution are made by the patient himself or by a family member.

Automated peritoneal dialysis (DPA)

In DPA, a machine called a cycling machine is used. This equipment makes the infusion and drainage of the dialysis solution in an automated way.

To define the ideal form of peritoneal dialysis, it is necessary to analyze the patient’s profile and whether he will have the support of family members or caregivers to make these exchanges. It is also important that tests be performed to highlight the best technique to be followed.

4. Kidney transplantation

Kidney transplant in Delhi, characterized by the donation of a kidney, is one of the most complete treatment modalities for renal replacement. Such donation is regulated by law and can be made by a living donor, with kinship up to 4th degree; or after the death of a compatible donor, with no degree of kinship.

Even though it is a good treatment option for patients with renal failure, there are some considerations that should be observed before kidney transplantation is indicated. Unfortunately, not all patients with loss of kidney function may undergo this procedure.

The impediment can happen due to clinical or social issues, and it is up to the physician responsible for the patient to consider what are the risks involved in this treatment modality, to the detriment of dialysis.

It is important to know that transplantation does not represent the cure of the disease. It’s a treatment modality.

How is a kidney transplant done?

In transplantation, the donor kidney is implanted in the patient’s abdominal cavity and begins to perform the function of filtration and elimination of liquids and toxins. It is usually not necessary to remove the native kidneys during kidney transplantation.

Post-operative care of kidney transplantation should be followed with great caution. A drug treatment with immunosuppressants is instituted, which aims to prevent the body from rejecting the transplanted organ.

Although these medications are fundamental for treatment, they also make the patient more susceptible to infections. Therefore, it is necessary to be careful with the health and the precautions indicated by the kidney transplant doctor in Delhi after the kidney transplant in Delhi.

What is the best treatment for kidney failure?

The best form of treatment for kidney failure should be indicated by your trusted kidney specialist in Delhi. Regardless of the modality chosen, the important thing is to remember that there is treatment for kidney disease.

It is possible to live with quality of life and well-being; just know your condition, know which therapies are available and, mainly, make the correct control of the disease.

Also Visit:–what-are-the-options-600487

Chronic Kidney Failure

Chronic Kidney Failure – Causes, Symptoms and Treatment

The chronic kidney failure is progressive loss of the ability of the kidney to properly perform one or more of the functions assigned, explains the Nephrologist in Delhi. These preferably consist of:

Purify waste substances produced in our body.

  • Maintain an adequate balance of the amount of water and electrolytes.
  • Manufacture and activate certain hormones necessary for the normal functioning of our body.

According to the Nephrologist in Delhi, Chronic kidney failure is a progressive process that evolves over many years and is irreversible, although strategies can be used to delay the progressive deterioration of the kidney.

Causes of chronic kidney failure

Many diseases can chronically damage the kidney. The most important ones are:

  • Metabolic diseases. By far the majority of cases of chronic kidney failure in Western societies are due to diabetes and high blood pressure.
  • Glomerulonephritis, that is, inflammation of the kidney glomeruli, the place where the blood is filtered. Glomerulonephritis can be of unknown cause or associated with other diseases, usually vasculitis or autoimmune diseases.
  • Genetic (birth) diseases such as polycystic kidney disease.
  • Medications and toxins.
  • Infectious diseases such as recurrent pyelonephritis.
  • Renal lithiasis due to the presence of large stones.
  • Or after causes.

What symptoms does chronic kidney failure produce?

Most people with chronic kidney failure have no symptoms. The appearance of symptoms depends on the severity of the kidney deterioration.

In the early stages, when there are no symptoms, kidney failure is discovered by taking a blood test for any reason and discovering an increase in creatinine.

As kidney deterioration progresses, vague and nonspecific symptoms may appear such as loss of appetite, weight loss, fatigue, nausea, vomiting, headache, mental dullness, cramps, itchy skin, loss of sexual interest, easy bleeding, irritability, tendency to sleep, lack of concentration, etc, states the Best Nephrologist in Delhi.

When renal failure is advanced, in addition to the previous symptoms, a series of important alterations occur that require adequate treatment:

  • Arterial hypertension. Both high blood pressure can lead to the appearance of chronic kidney failure, and chronic kidney failure can favor the development of high blood pressure and its possible complications.
  • Increased potassium (hyperkalemia). Potassium is eliminated by the kidney. If it doesn’t work well, it can build up in the blood and be life-threatening due to the possibility of serious heart arrhythmias.
  • Increased phosphorus. It is associated with the appearance of calcifications in various areas of the body and facilitates itching.
  • Anemia. The kidney manufactures erythropoietin, a substance necessary for the manufacture of red blood cells. In kidney failure, not enough erythropoietin is produced and, as a consequence, anemia occurs.
  • Bone problems (renal osteodystrophy). The kidney is the organ where vitamin D is activated, a hormone necessary for calcium to be deposited in the bones. If the kidney does not work well, there is not enough active vitamin D and the bones become decalcified.
  • Cardiovascular disease Patients with kidney failure frequently develop cardiovascular complications (myocardial infarction, angina pectoris, stroke, transient ischemic attack, peripheral arterial disease, etc.). In fact, cardiovascular complications are the leading cause of death in these patients.
  • Other alterations. In addition to those previously discussed, patients with chronic kidney failure can present various complications of the brain, heart, and joints, etc.

How is the disease diagnosed?

The diagnosis of suspected chronic kidney failure occurs when observing an elevation of creatinine and urea in the blood. These alterations must be confirmed with successive analyzes. Glomerular filtration, that is, the kidney’s ability to filter waste from the body, must then be calculated.

Glomerular filtration is the best marker of the severity of kidney failure. The lower said filtering, the worse the situation of the kidneys, says the Kidney Specialist in Delhi.

The diagnosis of the cause of chronic kidney failure is sometimes very obvious, for example in patients with diabetes, but at other times it requires additional studies such as new blood or urine tests, ultrasound, CT or MRI of the kidneys and sometimes a kidney biopsy.

Chronic Kidney Failure Treatments

According to the Best Kidney Specialist in Delhi, Patients with chronic kidney failure should maintain a special diet (diet in patients with chronic kidney failure). In the initial stages, when the kidney still maintains a certain degree of function, treatment consists of preventing renal deterioration from continuing or making it slower, and treating all the symptoms and complications that appear:

  • Arterial hypertension. Medicines should be used to adequately control blood pressure. In general, combinations of several of them are usually necessary, being appropriate to use, if there are no contraindications, medicines that block the renin angiotensin system. It is convenient to maintain a blood pressure close to 130 mmHg high (systolic) and 80 mmHg low (diastolic).
  • Increased potassium. In patients with high potassium in the blood, a diet low in potassium (potassium content of food) should be recommended and, if it persists high, treat with medicines that prevent its absorption from the intestine, such as resincolestyramine.
  • Increased phosphorus. A diet low in phosphorus should be followed and, if necessary, medicines that reduce its absorption in the intestine can be used.
  • Anemia. Depending on the intensity of the anemia, treatment with iron and erythropoietin injected under the skin is recommended.
  • Bone problems (renal osteodystrophy). Treatment with calcium and active forms of vitamin D.

In advanced situations, when symptomatic treatment does not help to control one or more of these alterations, and in general when glomerular filtration rate drops below 15 ml / min / 1.73 m2, there is an indication for Dialysis in Delhi (hemodialysis or dialysis peritoneal) or to perform a kidney transplant in Delhi.

In addition to these treatments, it is important that patients adequately control the disease that has led to the development of kidney failure, such as diabetes, high blood pressure, kidney infections, etc.

Patients with kidney failure are at high risk of cardiovascular complications. For this reason, it is essential that they do not smoke, that they maintain a diet low in fat and cholesterol and that they receive medicines to lower cholesterol, recommends the Top Nephrologist in Delhi.

Chronic kidney failure patients are at increased risk for infections, so they should get vaccinated against influenza and pneumococcus every year, says the nephrologist in Delhi.

Chronic Kidney Disease

Chronic kidney disease in the elderly

Chronic kidney disease or renal disease is a gradual damage or loss of kidney function over time. In chronic kidney disease excess fluids, electrolytes remains in blood and wastes build up in the body. Symptoms include being unwell and reduced appetite. Chronic kidney disease is a long term condition where the kidneys do not work effectively.

Renal physiological aging is characterized by a reduction in the renal glomerular filtration rate. In other words, the kidney does its work of filtration in a slower way, in the same way that the locomotion of an elderly person is also slower, but maintaining the preserved function, that is, reaching the same place.

“ The elderly are the biggest consumers of medication. “

This situation must be distinguished from the actual presence of kidney disease in the elderly, a situation in which the functioning of the kidneys is not adequate and is not related to the physiological decline of age. In situations of illness, and as in any other young or adult patient, kidney malfunction can be so severe that some interventions are needed. One is the medication review by nephrologist in Delhi.

The elderly are the biggest consumers of medication, as they also accumulate more pathologies, and some medications can impair kidney function. Pain medications from the group of non-steroidal anti-inflammatory drugs, often taken by the elderly due to their degenerative osteoarticular pathology, can be very harmful and their indications and alternatives reviewed.

“In India, kidney transplantation is rarely performed in patients over 65/70 years.”

The other substantial intervention by the best nephrologist in Delhi is to prepare the patient for renal replacement treatment if and when the kidneys “stop”.

In India, renal transplantation is rarely performed in patients over 65/70 years old, since the risk of intervention and immunosuppression is greater than its benefit. But aging in the elderly is highly heterogeneous: age is of little significance for the decisions to be made, since other more important factors can overlap, such as: associated diseases, functionality, autonomy and independence. Thus, an elderly person may be a candidate for kidney transplant in Delhi, despite not being the norm.

“There are kidney patients who, due to the advanced comorbidities they have, do not benefit, in terms of time or quality of life, from any renal function replacement therapy.”

As for dialysis modalities (hemodialysis or peritoneal dialysis), there is no difference between the two, similarly to what happens in young patients. The only point to note is that peritoneal dialysis is a modality that depends on the patient to be performed, unlike hemodialysis that is done by a nurse in a dialysis centre in Delhi. Therefore, if the patient is not able to perform the technique, he may need a caregiver to do it for him, or, if he does not have it, this modality should not be an option.

Finally, there are kidney patients who, due to the advanced comorbidities they present, do not benefit, in terms of time or quality of life, from any renal function replacement therapy. These patients should be offered palliative care. Therefore, patients should be followed up by kidney specialist in Delhi, in order to control the symptoms of kidney disease, promoting quality of life, but without being subjected to more invasive techniques.

The choice of these options should always be made in conjunction with the best kidney specialist in Delhi, who should elucidate the particularities of each elderly person, in order to better tailor the treatment to the person in question.

The author Dr. Vinant Bhargava is one of the top nephrologist in Delhi associated with reputed Sir Ganga Ram Hospital, Delhi. He is expert in treatment of kidney disease, diabetes, hypertension, dialysis, kidney transplant, hypothyroidism and other ailments which causes kidney damage. You can consult him for treatment by calling +91-9990610096. Do not avoid symptoms of kidney disease, it may be hazardous. Early diagnosis can save life. Act fast save life.

Also Checkout:


Dialysis – a procedure that saves lives every day

Millions of adults suffer from chronic kidney disease. As the disease initially develops with little or no symptoms, as many as 90% of patients do not know that there is something wrong with their kidneys. Dialysis in Delhi may be necessary when this organ is damaged and cannot function properly, explains the Nephrologist in Delhi. What is? What are the indications for its implementation? What steps should be taken when dialysis is not enough?

What is dialysis?

Dialysis is a method that aims to replace the physiological functions of the kidney. This organ removes harmful metabolic products from the body (including metabolites of taken drugs), which ensures metabolic balance, normalizes blood pH, maintains normal blood pressure and helps to get rid of toxins from the body. The treatment uses the properties of a semi-permeable membrane, which allows for effective purification of electrolytes from colloidal solutions. This membrane retains some of the compounds and allows the rest to flow freely. This is possible thanks to a phenomenon called diffusion. Thus, the more blood reaches the membrane, the more effective dialysis will be, explains the Best Nephrologist in Delhi.

What are the indications for dialysis?

In most cases, patients with renal insufficiency and after poisoning, e.g. with ethylene glycol, are eligible for the dialysis in Delhi.

It is worth noting that dialysis therapy completely disorganizes the patient’s life. Regardless of whether the procedures take place in a dialysis centre or at the patient’s home, the patient must take into account the need to spend about 15 hours a week (3-5 hours on average every other day). Dialysis is a heavy burden on the circulatory system, so the patient has the right to feel tired after the procedure and requires rest. If the catheter connection procedure is not performed under sterile conditions, there is a risk of developing an infection, warns the Kidney Specialist in Delhi.

Dialysis is undoubtedly life-saving, but it is burdensome for the patient and ties him to the place of residence and the dialysis centre in Delhi.

Types of dialysis and their course

There are two types of dialysis:

  1. Hemodialysis – performed extracorporeal. It is used in advanced kidney diseases and is carried out using the so-called artificial kidney. Two needles are most often used during the procedure. One of them drains blood to the dialyzer and the other brings purified blood into the body. The purpose of hemodialysis is to remove all harmful substances from the blood that could not be removed with the urine due to impaired kidney function. This type of dialysis is performed at a dialysis station, and approximately 50 liters of blood pass through an artificial kidney during one session.
  2. Peritoneal dialysis – the patient’s peritoneum is used as a semipermeable membrane. The dialysis fluid is introduced into the abdominal cavity of the patient, the composition of which has been selected in such a way as to be able to effectively retain harmful metabolic products. Thus, the blood pH and blood pressure are balanced and the body gets rid of undesirable substances. Before the procedure, it is necessary to implant a catheter into the peritoneal cavity (about 2 months before the planned dialysis). The procedure is usually performed at the patient’s home, which requires a short training course for both the patient and the person who is caring for him.

Dialysis saves lives, but transplantation is definitely the better treatment option

Kidney transplant in Delhi is an effective renal replacement therapy. It should be performed in patients for whom transplantation is not contraindicated.

It is most beneficial for the patient to obtain a kidney from a living donor. After transplantation, such an organ functions on average for about 15 years and successfully performs all physiological functions. The best situation is when the donor is a closely related family member – a sibling or parent. It is not uncommon for the organ to be donated by people who are in an emotional relationship with the needy, e.g. spouses or friends. An organ for transplantation can also be obtained from a dead donor, however, it is associated with a slightly worse treatment effect. Such a kidney functions on average for 9-12 years.

Before donating an organ, the donor must undergo a number of necessary diagnostic and laboratory tests. Not only is his general health assessed, but also a histocompatibility test. This reduces the risk of possible transplant rejection, says the kidney transplant doctor in Delhi.

Contraindications to live kidney transplantation are:

  1. advanced age of the patient,
  2. active neoplastic diseases,
  3. severe damage to internal organs (mainly the heart),
  4. conditions that cannot be treated,
  5. addictions, including smoking or alcohol addiction,
  6. some chronic diseases, e.g. generalized atherosclerosis.

It is worth remembering that kidney transplantation doubles the life of patients compared to dialysis and significantly improves their quality of life. He does not have to give up his current lifestyle and most importantly, he is not dependent on dialysis, states the Nephrologist in Delhi.

kidney pain

Kidney Pain Is Symptom of Many Different Health Issues

Kidney pain is typically felt in the flank area, which is located at the lower back region under the lowest point of the rib cage on both sides of the spine. Kidney pain is sharp, very intense and usually comes in unpredictable waves. Kidney pain symptoms vary with the type of medical issue it is associated with, says kidney specialist in Delhi.

What is Not Kidney Pain?

Throbbing, dull, aching pain in the back is sometimes mistaken for kidney pain symptoms, but that is usually not the case. Ligaments, muscles or even vertebrae and disks in the spinal column typically cause such pain in the middle and lower back regions. Musculoskeletal pain can be relieved with heat and massage treatments, however the pain typically gets worse with movement and non-treatment.

Common Causes Of Kidney Pain

Causes of pain: Kidney Stones cause pain to your kidneys when kidney stones become lodged in the ureter. This slender tube connects the kidney to the bladder, and when the urine flow is blocked it causes the urine to back up in the kidneys.

What to expect: The Kidneys will swell and enlarge the pain sensitive thin covering around it. The kidneys are stretched and causes “Colic” pain, which is described as pain that comes in waves. This type of pain can be compared to childbirth, where the patient finds being still is nearly impossible, and that constant motion, pacing, and writhing can help to lessen the pain. The intense severity of the pain can cause nausea and vomiting. The kidney pain may start on both the left and right flank area, although the pain might move as the stone migrates down the ureter. As the stones continue to travel through the lower abdomen in the front along to the groin, it may cause the patient further intense eye watering pain.

Kidney Infection (also known as pyelonephritis)

Cause of pain: Kidney Infection (pyelonephritis) pain is caused by inflammation and infection within the kidney tissue. The swelling and stretching of the pain-sensitive capsule that is around the kidney sends stabbing, sharp, aching pain again to the flank area.

What to expect: Patients with infected kidneys usually have symptoms such as fever, vomiting, nausea and are extremely sensitive to touch in the area of the flank. Although they may be similar, kidney infections are much more serious than a common bladder infection. Kidney infection is a serious condition that needs to be treated quickly by nephrologist in Delhi. Intravenous antibiotics need to be started in order to prevent the infection from spreading into the bloodstream.

Dull Aching Pains

Kidney Cancer: Rarely does kidney cancer rarely grows tumors or cancer cells so large that they can stretch the capsule slowly, or that involve nerves in the kidney, thus causing usual stabbing, colic, sever pain related to kidney issues. Kidney cancer or tumors usually cause no pain at all, says nephrologist in Gurgaon.

Polycystic Kidney Disease: Polycystic kidney disease is a hereditary condition that can lead to massive enlargement of the kidneys. If left untreated over a number of years, it can also cause dull aching pain in the front of the abdomen instead of the back.

Blocked Urine Flow: The condition known as blocked urine flow causes a gradual blockage of urine flow. It is not the same as kidney stones, where there is a immediate blockage. This kidney pain symptom causes the kidney to stretch and causes a dull aching pain which is not a typical kidney pain symptom, explains kidney specialist in Gurgaon.

Bladder or ureteral spasms that happen when the bladder is extremely full, just before or while urinating may cause great discomfort to the lower abdomen or on both sides of the flank. The discomfort or pain felt is most likely coming from a involuntary muscle contraction (peristalsis). This kidney pain symptom probably does not stem from the kidney itself, but instead by the brief periods of muscle spasms. These spasms may seem to be coming from the kidney, but after voiding the bladder the painful sensation should resolve itself relativity soon.

Other Causes

Some less common causes for kidney pain are due to injury that may cause bleeding, or infarction of the kidney which is a sudden blockage to the artery of the kidney where the blood supply is cut off causing pain.

The various kidney pain symptoms described above all show that it is uncommon for the kidneys to cause dull aching pain. The facts also show that is it highly unusual for a slowly occurring blockage to associate itself with the medical issues listed including cancer. If you have any doubts about the possible problems with kidney, consult the best nephrologist in Delhi for diagnosis and treatment.

The author Dr. Vinant Bhargava is one of the top nephrologist in Delhi, India for dialysis, kidney transplant, kidney disease management and other ailments of kidney. You can contact him at 09990610096.

chronic kidney diseases

Chronic Kidney Diseases – What They Are and How To Treat Them

Chronic kidney diseases, also known as chronic kidney failure (CRF), are kidney damage that cause progressive loss of kidney functions. It consists of decreased kidney function for more than three months and structural changes that can compromise the kidneys. These organs are responsible for maintaining the balance of the internal environment of our body, conserving substances that need to be preserved, eliminating unwanted substances and controlling excess or lack of water. If they are not treated, they can permanently compromise the functioning of the organ, leading to the paralysis of the kidneys, which are responsible for filtering the blood, eliminating harmful substances and nutrients in the body.

Causes and Risk Factors

When a disease or health condition is harmful to kidney function and causes organ damage, it can be the start of chronic kidney disease.

The diabetes, the hypertension and obesity constitute the main risk factors for the development of chronic kidney disease. According to Dr. Vinant Bhargava, nephrologist in Delhi, “kidney diseases can progress to CRF if left unattended, mainly associated with other metabolic problems”.

Smoking, being over 65, having heart disease and a history of kidney problems in the family also increase the risk of developing the problem. That’s why it’s so important to keep your appointments with kidney specialist in Delhi up to date.


According with the Dr. Bhargava, nephrologist in Gurgaon, in the early stages, CKD is usually asymptomatic. Loss of kidney function usually takes months to years to occur, and can be so slow that symptoms do not appear until the kidneys are very weak. The first signs of CKD include malaise, fatigue, shortness of breath, tiredness, headache, loss of weight and appetite, nausea, vomiting and itching. The main diseases that cause CKD are diabetes mellitus and high blood pressure. Other symptoms that may appear are impotence, decreased sexual interest and interruption of the menstrual cycle.

Diagnosis and Exams

An early diagnosis contributes to a more effective treatment. The disease can be detected through two tests: analysis of urine and blood, which identify the levels of albumin and creatinine respectively, proteins that can be affected by kidney dysfunction and be imbalanced in our body.

Prevention and Treatments

It is estimated that 10% of the world population has some degree of CKD. When the disease is already at an advanced stage, the kidneys enter a process of functional failure. Thus, treatment is carried out with medication and changes in eating habits. More severe cases in which the disease is at a more advanced stage, treatment involves replacing kidney function through three modalities: hemodialysis, peritoneal dialysis and kidney transplant in Delhi.

Ideally, the patient should receive prior follow-up with the best nephrologist in Delhi, be informed about these modalities and decide, together with his doctor, which is the most appropriate for his case. If he has a compatible living donor, he can be prepared soon for kidney transplantation, considered the best form of therapy, without the need to undergo dialysis. If he has no living donor, he can choose between hemodialysis and peritoneal dialysis. In the first, the blood passes through a dialyzer, which will make the necessary changes to ensure its survival with quality. In the other, a catheter is implanted between the intestinal loops. The “dialyzer”, then, will be the tissue that lines the intestinal loops and the belly internally, called the peritoneum.

The good news is that to prevent or control kidney problems, regular water intake, healthy eating, low in salt and rich in vegetables, fruits and vegetables, not taking medication without medical advice and having a periodic check-up can help you save from that problem.

Now that you know, help this information reach your friends and family, share our content on your social networks.

nephrologist in Delhi

Food Supplements & Other Problems That Can Affect The Kidneys

The human kidneys are dark red colored organs, measuring approximately 10 cm each and which perform vital functions, being known as the “filters” of the organism. Among the main functions, they participate in the internal chemical balance, elimination of toxins from the blood, control of blood pressure and regulate the amount of body fluids.

For the kidneys to function in the best possible way, it is extremely important to maintain a balanced diet and drink plenty of water daily. Several other conditions can cause kidney problems. If left untreated, they can lead to permanent damage and even kidney failure, warns nephrologist in Delhi.

How to notice kidney changes?

Some signs can be noticed when the kidneys are altered. Most of these signs are noticed in urination. It may be accompanied by pain, burning, the presence of blood, cloudy or whitish colors, as well as changes in its frequency, explains top nephrologist in Delhi.

However, there are also other signs that may indicate reductions in kidney functions: tiredness, lack of appetite, nausea and vomiting, accompanied by urinary changes. Below are some of the main problems affecting the kidneys:

Infections: Some infections in the urinary tract can also extend and affect the kidneys, such as cystitis or bladder infection. Some of the main signs are fever, pain in the back and lower abdomen, frequent urination followed by pain and burning during urination. When the urinary infection reaches the kidney tissue, it is called pyelonephritis and can cause other kidney problems.

Nephritis: it is characterized by a reaction of the immune system that ends up attacking the kidneys, initiating an inflammatory process of the renal glomeruli. It is a disease that, if elevated to a chronic level, can cause kidney damage.

Kidney stones: they are hardened formations of crystals in the urinary tract or kidneys. At first, they may go unnoticed, but they cause acute pain attacks that may be accompanied by nausea and vomiting. The main causes for the formation of these crystals are the excess of sodium (salt), calcium, phosphate and the lack of citrate. Controlling the consumption of these substances, especially salt and regular water consumption, are the best ways to prevent the formation of kidney stones.

Food supplements and their effects on the kidneys

Food supplements have the main function of complementing a diet, either for nutritional replacement, or for specific purposes (such as gaining muscle mass), providing the necessary nutrients for the healthy functioning of the body, such as proteins, carbohydrates, vitamins or minerals. However, food supplements if consumed inappropriately, instead of nourishing, can harm the entire body, especially the kidneys and livers. They can trigger a series of mild and serious health problems, since their excess can cause an overload of these organs and / or the accumulation of substances, leading to residual formations, such as calculations. Below are the main kidney complications caused by excess dietary supplements, explained by best kidney specialist in Delhi:

  • Kidney stones: usually caused by the overuse of water-soluble supplements, such as minerals, especially calcium, phosphate and vitamin D.
  • Intoxications: many people take vitamin supplements excessively believing that the excess will be completely eliminated by the body. It is true that, unlike proteins and carbohydrates, vitamins are eliminated, but the excess of one vitamin can cause the need to consume another and this imbalance leads to renal intoxication. Intoxications inhibit the functioning of the kidneys and can cause kidney failure.
  • Renal failure: Caused mainly by excessive intake of protein supplements, which forces the kidneys to work harder, leading to partial and even total failure in the long run.

How to prevent kidney overload?

To prevent the kidneys from working overload, you should first have a diet with balanced nutrients, without excess and you should drink water in an adequate amount. Water consumption is even more important if the person uses food supplements and practices physical activity. The use of supplements is far beyond reading the label. In order to have a healthy consumption, the choice and dosage of the supplement must be adjusted to the physical condition of each person and, therefore, it must always be accompanied by a nutritionist and a kidney specialist in Delhi.

How to identify a renal complication?

Usually kidney complications are noticed in the act of urination and appearance of urine. If the urine is extremely acidic, reddish in color, with unusual odors, with foam or if the urination itself is accompanied by pain, it is possible that there is some complication in the functioning of the kidneys. For this, it is recommended to seek the best nephrologist in Delhi to investigate the changes.