Learn how nephrology diseases are treated. A multispecialty hospital in Coimbatore will provide you with information regarding kidney disease

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Treatment for Nephrology Diseases
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The urinary system consists mainly of the kidneys – filters that purify the blood (180 liters
a day!) From water and chemicals, used cells and tissues, as well as residues from food
“processing”. It is also a “factory” producing approx. 1.5 liters of urine a day, an organ that
ensures the proper composition of body fluids, regulates the water, calcium-phosphate,
sodium, and potassium balance. The kidneys produce compounds that regulate blood
pressure and are involved in the formation of red blood cells. It is the kidneys that
determine the balance of the internal environment of the human body. Kidney disease is
very dangerous and can often progress unnoticed, causing changes that are irreversible.
Disturbing symptoms that may be a sign of kidney disease:
Eye swelling, swelling of the hands, feet, and ankles
burning sensation and soreness when urinating,
pollakiuria, nighttime urination or oliguria,
dark, bloody urine
cloudy urine with a sharp smell reminiscent of ammonia,
the appearance of “foaming in the urine”,
soreness below the ribs, not getting worse with movement,
high blood pressure
hyperactivity or apathy,
somnolence,
paleness,
peeling of the skin
headaches,
fever,
vomiting,

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disgust and the smell of ammonia in the mouth.
There, too, you will not be charged a blood donation fee and you can be sure of high-
quality tests.
It often happens that the kidneys get sick very acutely, but apart from feeling constantly
tired or urinating at night, they do not give any clear alarming signals. Early detection and
appropriate treatment alleviate the course of the disease.
Untreated chronic kidney diseases lead to the failure of this organ. As a result, the blood is
less and less cleansed, more and more poisonous substances accumulate in the body,
which disrupts the work of various organs: the brain, heart, liver, endocrine glands. If left
untreated, they result in irreversible changes, sometimes so severe that renal replacement
therapy may be necessary – dialysis or kidney transplantation.
The family doctor usually refers the patient to a top nephrologist in Coimbatore
when the patient does not require surgery.
A doctor with a specialization in nephrology deals with functional problems, most often
treated conservatively. However, it should be remembered that such therapy is only part
of the treatment process, e.g. in the case of severe kidney diseases.
Nephrologists often work very closely with urologists who specialize primarily in the
invasive (surgical) treatment and together they lead a patient who requires both surgical
and pharmacological treatments. A referral to a nephrologist does not mean a serious
illness, but only a suspicion that it has occurred or may occur in the future. The
nephrologist diagnoses not only on the basis of urine tests but also X-ray, ultrasound,
scintigraphy, voiding cystography, etc. His tasks include not only treating seriously ill
people, but also the observation of patients at risk of nephrological diseases.
The diseases that the specialist deals with include:
inflammation of the urinary system,
neoplastic diseases, urolithiasis,
nephrotic syndrome,
kidney failure.
The nephrologist also supervises the patient’s dialysis. In order not to overpay for the first
visit to the nephrologist, take the test results with you. If you do not do this, the doctor
will only indicate what tests should be performed during the first visit. By having the
necessary results with you right away, you will save time and money.
Therefore, the first-time nephrologist consultation should take place only
when the patient has:
abdominal ultrasound results (not older than 1 month),
laboratory analysis: creatinine, urinalysis, morphology, ionogram, glucose level.

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If chronic kidney disease is suspected, an additional calcium test should be performed.
The nephrologist will also want to see the blood pressure check chart (for one month you
record your blood pressure each day as soon as you wake up). In recurrent urinary tract
infections, the patient should have the results of urine culture and glucose level with him,
and in the case of proteinuria, additionally the result of daily protein loss, cholesterol, and
calcium tests. However, in the case of arterial hypertension, it is necessary to examine the
fundus (an ophthalmologist visit is necessary).
Can kidney disease be prevented?
We can prevent urinary tract infections, but we cannot prevent glomerular diseases.
However, we know how to prevent the development of this disease, the transition from
the initial stage of the disease to complete renal failure, when the patient already requires
renal replacement therapy. Urinary tract infections are most often caused by bacteria in
the human digestive tract.
Their development is favored by all conditions that make it difficult to empty the bladder,
including pregnancy. During this period, urine tests should be performed frequently, and
in the last period, try to sleep (lie) on your side, so that the enlarged uterus does not
compress the ureters and thus obstruct the outflow of urine. Infection should be cured
until the end.
Women are more exposed to bacterial infections due to their anatomical structure
because the short urethra makes it easier for the microbes to reach the kidneys quickly.
For example, colon bacilli (Escherichia coli ). Many women ignore problems with
urination or pain in the lower back, which are the first symptoms of infection, and every
fourth woman gets them at least once a year. The number of people with kidney diseases
is still increasing, among others due to the development of civilization diseases such as
diabetes, atherosclerosis, and arterial hypertension. The kidneys are definitely harmed by
the overuse of painkillers (especially ibuprofen and paracetamol). Experts believe that
kidney disease is also favored by an excessive amount of protein in the diet, especially in
the elderly.
The most common kidney disease
Nephrolithiasis, also called urolithiasis, most often affects patients between 30 and 50
years of age. It is caused by the precipitation of organic and mineral components
dissolved in urine. Kidney stones are formed, which, by pushing through the ureter
towards the bladder, cause severe pain attacks.
Symptoms of kidney stones are:
renal colic – sharp and severe pain in the lumbar region, radiating towards the
bladder,
feeling of urgency
hematuria,
nausea and vomiting

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flatulence.
Urine tests, ultrasound examinations, and radiological examinations can be performed at
the Multispeciality hospital in Coimbatore to diagnose nephrolithiasis.
In the treatment of nephrolithiasis, it is very important to have a proper diet, adequate
hydration, and the use of pharmacological agents that, by expanding the urinary tract, will
facilitate the flushing of the stones. Larger kidney stones are removed during lithotripsy,
i.e. crashing with shock waves, or during surgery.
Kidney Failure
This disease means a loss of the kidneys’ ability to cleanse the body of toxic waste
products, excrete water, and control homeostasis, i.e. balance within the body. Symptoms
of renal failure appear when more than 60% of the renal parenchyma is damaged. The
disease manifests itself in a marked reduction in the amount of urine excreted, or even the
lack of it, and an increase in the symptoms of uremic intoxication of the organism. The
two main types of kidney failure are:
acute, develops when there is a sudden breakdown of the excretory function of the
kidneys, e.g. as a result of intoxication or ischemia of the kidneys,
chronic, develops slowly, usually as a result of a history of kidney diseases that
damage the glomeruli or tubules, metabolic diseases, urinary tract defects and
infections, and nephrolithiasis that lasts for many years. It can lead to end-stage
renal failure manifested, among others, by weakness, cachexia, lack of appetite,
anemia, hypertension, acidification (metabolic acidosis), bone pain, and a tendency
to pathological bone fractures and bleeding, and in the most severe cases to uremic
coma. A very characteristic symptom is a sweet and sickly smell from the mouth of
patients, sometimes also persistent itching of the skin and morning vomiting.
The diagnosis of the disease is based on the results of laboratory tests such as urine test,
blood test, urea, glucose level, ionogram, creatinine, as well as ultrasound examination of
the urinary system with kidney evaluation, urography, and scintigraphy.
Renal failure is treated both pharmacologically and through the use of proper nutrition
(determined by a specialist).
Kidney Cancer
It is located in the kidney tubules and initially shows no symptoms. It is most often
detected after the age of 50, especially in men. Symptoms of the disease include:
palpable tumor in the abdomen,
pain in the lumbar region,
hematuria,
lack of appetite and weight loss,
hypertension,

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night sweats
limb swelling,
enlargement of the lymph nodes,
constant low-grade fever or non-stop fever,
in men, varicose veins of the spermatic cord.
The cause of the disease is unknown, but it often develops in people with a family history
of kidney tumors. It is also known that the incidence of kidney cancer is higher in
smokers.
The diagnosis of the disease is based on ultrasound examinations of the kidneys,
computed tomography of the abdominal cavity and pelvis, general examination of urine
and blood, and a biochemical blood test.
Treatment is primarily based on the removal of the diseased kidney, which is an operation
called a nephrectomy. Appropriate pharmacological treatment is essential.