Best Doctors in India for Chronic Kidney Disease Treatment
- Nephrologist, Gurugram, India
- Over 21 years’ experience
Profile Highlights:
- Dr. Salil Jain is considered one of the best nephrologists in Gurugram and the Delhi region.
- He is the director of the Department of Nephrology at Fortis Memorial Research Institute, Gurugram, and has more than 21 years of experience.
- Dr. Salil Jain is an exceptional clinician having several national and international publications to his credit.
- Nephrologist, New Delhi, India
- Over 35 years’ experience
Profile Highlights:
- Dr. Colonel Akhil Mishra is currently working as Sr. Consultant, Nephrology at Indraprastha Apollo Hospital, New Delhi. He is known for establishing the Department of Nephrology and Transplant at Apollo Hospital in 1995. He has more than 35 years of experience in this field.
- Prior to this he was working in the Army Medical Corps for 28 years (1965-1993), where he held the position of Senior Advisor in Medicine and Nephrology.
- Dr. Akhil Mishra is also known for conducting the First Kidney Transplant of the Indian Armed Forces at Army Hospital, Delhi in 1991.
- Dr. Mishra took pre mature retirement at the rank of Colonel in the year 1993. Subsequently, he established the Department of Nephrology in Escorts Research & Referral Hospital.
- He had been awarded the Vishisht Seva Medal by the President of India in 1980. He started the first kidney transplant in Army and Apollo Hospital, Delhi.
- Throughout his career, Dr. Akhil Mishra has been awarded Star Performer Consultant three times, at Indraprastha Apollo Hospital, Jan 2013, Sept 2014 & Jan 2015.
- Dr. Mishra has also been honored in 2013, by His Holiness the Dalai Lama for his dedicated work in the field of Kidney transplantation.
- He was also felicitated by the Indian Society of Nephrology (North Zone) with the Life Time achievement Award in Nephrology on 23rd Jan.2015 for his huge contribution to the growth of Nephrology.
- Nephrologist, Gurugram, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Sidharth Kumar Sethi is one of the well-known nephrologists in the NCR region and has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.
- Dr. Sidharth Kumar Sethi has been a part of an 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and an Expert committee involved in the formulation of guidelines for Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections.
- Nephrologist, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Sunil Prakash is one of the best nephrologists in Delhi. Services offered by him are the diagnosis and treatment of urinary infections, nephritis, kidney stones, chronic kidney disease, and cystic kidney diseases stand out.
- He also guides, indicate,s and monitors the treatment of hemodialysis, peritoneal dialysis, and kidney transplantation.
- The key specialties of Dr. Sunil Prakash are Dialysis and Renal Failure. Today, he is considered one of the top nephrologists in Delhi for kidney transplants.
- Nephrologist, New Delhi, India
- Over 22 years’ experience
Profile Highlights:
- Dr. Sanjiv Jasuja is a Nephrologist & Transplant Physician at the Indraprastha Apollo Hospitals, Sarita Vihar, and at Apollo Hospitals, Noida. Along with an MBBS, his educational qualifications include an MD in Medicine, a DNB in Nephrology, and an MNAMS in Nephrology.
- His 22 years of medical practice are highlighted by his memberships in various prestigious national and international medical societies including the Indian Society of Nephrology, Indian Society of Organ Transplant, Indian Society of Critical Care, Indian Society of Clinical Research, International Society of Nephrology, and European Dialysis & Transplant Society.
- Dr. Sanjiv Jasuja maintains a dedicated medical practice which is evident by his busy schedule in switching between the two branches of Apollo Hospitals, which he manages efficiently. Due to his firm hand and calm demeanor during operations, he has earned a respect among his patients which is evident by his high patient satisfaction rate.
- Nephrologist, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. D K Agarwal is a well-known nephrologist, who is currently associated with Indraprastha Apollo Hospitals, as a Senior Consultant in Nephrology. For over 20 years, he has been involved in nephrology, with indoor as well as outdoor patients.
- He specializes in Renal Transplant, hemodialysis, CAPD, and all kidney problems and diseases along with critical kidney patients with emergency management.
- Dr. Agarwal also specializes in handling kidney patients due to Diabetes and Hypertension. He has also published 59 papers national and international.
- Dr. Agarwal is also a life member of several renowned societies such as the Association of Physicians of India; Indian Society of Electrocardiology; Indian Society of Nephrology; Indian Society of Organ Transplantation, Hyderabad Transplant forum, and Indian Association of Clinical Medicine 1994.
- Nephrologist, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Kailash Nath Singh is one of the best Nephrologists working in New Delhi.
- Dr. K.N. Singh is currently working as a leading Senior Consultant in Nephrology & Multi-Organ Transplant unit at Indraprastha Apollo Hospital, New Delhi, India.
- He has also been felicitated recently by his Holiness “DALAI LAMA” for his excellent work in Kidney Transplants.
- Nephrologist, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Shyam B Bansal is Associate Director in Medanta’s Institute of Nephrology and Kidney Transplant.
- He is also known for establishing the department of Nephrology at Medical College Gwalior in 2006.
- Apart from that, Dr. Bansal has published extensively in the field of kidney transplantation and also has the honor of publishing the first case report of kidney transplantation in an HIV-positive patient in India.
- Nephrologist, New Delhi, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Dinesh Khullar with an experience of over 25 years as a renal transplant physician, has been associated with over 5000 successful kidney transplants in his career. Out of these, more than 1200 were performed at Max Hospital, Saket. This includes among the most challenging transplants, such as ABO-incompatible, transplantations in highly sensitized recipients, and high-risk transplants associated with significant comorbidities.
- In addition to this, Dr. Dinesh Khullar is credited for setting up an online hemodiafiltration unit for the first time in North India for advanced and state-of-the-art dialysis.
- Nephrologist, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Shashidhar Shree Niwas is a well-known nephrologist in Delhi/ NCR with expertise in nephrology, dialysis, kidney disease, and transplantation.
- He has many National as well as International publications to his credit. Some of his national publications include ‘Acute Kidney Injury in HIV positive Patients’, ‘Coronary Artery Disease in Diabetes Mellitus’ etc. His paper on ‘Acute Kidney Injury in Developing Countries’ was published in a very prominent international journal.
Best Hospitals in India for Chronic Kidney Disease Treatment
Indraprastha Apollo Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
- There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
- The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
- The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
Fortis Memorial Research Institute, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
- It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
- The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.
Apollo Hospital, Chennai
- City: Chennai, India
Hospital Highlights:
- Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
- India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
- Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
- The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.
Medanta-The Medicity, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
- Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
- The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.
Max Super Specialty Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
- The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
- Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.
Artemis Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
- With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
- The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
- The hospital has won several awards as well, since its inception.
BLK Max Super Specialty Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
- With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
- The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.
Kokilaben Dhirubhai Ambani Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
- Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
- The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
- The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
- The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.
Rela Hospital, Chennai
- City: Chennai, India
Hospital Highlights:
- RIMC is a multi-specialty hospital in a sprawling area of 36 acres located in Chromepet, Chennai, Tamil Nadu, India.
- The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
- RIMC is led and managed by world-renowned physicians committed to healthcare.
- RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
- Rela Institute is driven by patient needs, comfort and confidence.
CARE Hospitals, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
Chronic Kidney Disease
Chronic kidney disease is a slow and progressive loss of kidney function over several years, in which the person eventually develops permanent kidney failure.
Also known as chronic renal failure, chronic kidney disease, is more widespread than people think, since it mostly goes undetected, and undiagnosed until the disease is at an advanced stage. Sometimes, it is even discovered when the function of the kidneys is down to 25 percent of normal. As this condition advances, the function gets impaired severely, and dangerous levels of fluid and waste can build up in the body rapidly. Treatment is therefore aimed at slowing down or stopping the progression of the disease, and this is often done by controlling the underlying cause.
Symptoms
If kidney damage progresses, then signs and symptoms of chronic kidney disease develops over time slowly. Some of the signs and symptoms include:
- Nausea
- Fatigue and weakness
- Vomiting
- Changes in how much you urinate
- Loss of appetite
- Sleep problems
- Decreased mental sharpness
- Muscle twitches and cramps
- Swelling of feet and ankles
- Persistent itching
- High blood pressure that becomes difficult to control
- Chest pain, if there is a build-up of fluid, around the lining of the heart
- Shortness of breath, if fluid builds up in the lungs
Sometimes signs and symptoms of kidney disease might be nonspecific, which means that they may be caused by other illnesses as well. The kidneys are highly adaptable and are also able to compensate for lost function, and therefore signs and symptoms might not appear until irreversible damage has occurred. If you see these signs and symptoms, then make an appointment with your doctor.
Causes & risk factors
Diabetes and high blood pressure are considered to be the most two common causes of chronic kidney disease. They are generally responsible for over two-thirds of the cases.
Diabetes occurs when your blood sugar is too high and causes damage to various organs in your body, which includes the kidneys, heart as well as blood vessels.
High blood pressure, also known as hypertension occurs when the pressure of your blood against the walls of your blood vessels increases. If it is not controlled properly, it can lead to strokes, heart attacks, or chronic kidney disease. Chronic kidney disease can also be a cause of high blood pressure. Some other conditions are also there, which might lead to kidney disease, some of them including:
- Glomerulonephritis, a group of diseases that causes inflammation and damage to the filtering units of the kidneys. These disorders are known to be the third common type of chronic kidney disease.
- There are also inherited diseases, such as polycystic kidney disease, which can cause large cysts to form in the kidneys and damage the surrounding tissue.
- Malformations can also occur as a baby develops in its mother’s womb. For example, there might be a narrowing that prevents the normal outflow of urine and causes it to flow back up to the kidney. This can lead to infections and might even damage the kidneys.
- Obstructions which are caused by problems like kidney stones, tumors, or an enlarged prostate gland in men
- Lupus and other diseases that affect the immune system of the body
- Repeated urinary infections.
The list of risk factors that can increase your risk of developing chronic kidney disease include:
- Diabetes
- High blood pressure
- Heart and blood vessel (cardiovascular) disease
- Obesity
- Smoking
- Family history of kidney disease
- Having an abnormal kidney structure
- Older age
People of African-American, Native-American, or Asian-American ethnicity are generally more likely to have this condition.
Diagnosis
First, your doctor is going to discuss your personal and family history with you, and might also ask questions about whether you have been diagnosed with high blood pressure, or if you have taken any medicine that can affect the function of the kidneys. He/she will also likely ask if you have any family members having kidney disease and if you have seen any changes in your urinary habits.
Next, your doctor will need to perform a physical exam, and check for signs of problems with your heart or blood vessels, and will also conduct a neurological exam.
Some other tests and procedures might also be required, which include blood tests, imaging tests, urine tests, and a kidney biopsy.
Treatment
Medications
Although there is no current cure for chronic kidney disease, there are some therapies that can help control the signs and symptoms, as well as reduce the risk of complications.
Patients suffering from chronic kidney disease generally need to take a large number of medications, and different kinds of treatments. Some of these include:
Anemia Treatment– Hemoglobin is the substance in red blood cells that carry vital oxygen around your body. When this hemoglobin becomes low, the patient is known to have anemia. Therefore, some kidney patients might require blood transfusions. A patient with kidney disease might also require iron supplements, either in the form of daily ferrous sulfate tablets or in the form of injections.
Skin itching- Patients with chronic kidney disease can also suffer from skin itching problems. In such cases, Antihistamines, like chlorphenamine, can help in alleviating symptoms of itching.
Phosphate Balance– People having kidney disease might also not be able to eliminate phosphate properly from their bodies. If this occurs, patients are generally advised to reduce their nutritional phosphate intake, which means reducing the consumption of red meat, fish, eggs as well as dairy products.
High Blood Pressure- A common problem among patients with chronic kidney disease is high blood pressure. It is important to bring it down to protect the kidneys, in order to slow down the progression of the disease.
Anti-Sickness Medications– If toxins build up in the body, because of the kidneys not working properly, patients might feel sick. Therefore anti-sickness medications can help to relieve this sickness.
End-Stage Treatment
End-stage treatment is required when the kidneys are functioning at less than 10-15 percent of normal capacity, and measures such as diet, medications, and treatments are no longer able to manage the condition. Dialysis or kidney transplant is needed to survive.
Doctors generally try to delay the need for dialysis or kidney transplant, as long as they can, because they carry the risk of serious complications.
Kidney Dialysis
Kidney dialysis can be of several types. The two main types include the following-
Hemodialysis
Hemodialysis involves blood being pumped out of the body of the patient, and it goes through an artificial kidney which is called a dialyzer. The patient undergoes hemodialysis three times per week, and each session lasts for at least three hours.
According to experts, more frequent sessions generally result in a better quality of life for the patient, and with modern home-use dialysis machines, this is becoming more possible.
Peritoneal dialysis
In peritoneal dialysis, the blood is filtered in the own abdomen of the patient, in the peritoneal cavity, which contains a vast network of tiny blood vessels. A catheter is implanted into the abdomen, into which a dialysis solution is infused and drained out for as long as needed to remove the wastage and excess fluid.
Kidney Transplant
Complications
Almost every part of your body can get affected by chronic kidney disease, and some of the potential complications include:
- Fluid retention, which may lead to swelling in your arms and legs, or even high blood pressure, or fluid in your lungs, which is termed as pulmonary edema
- A sudden rise in the potassium levels in your blood, i.e. hyperkalemia. This can even impair your heart’s ability to function and might be even life-threatening
- Weak bones which can lead to an increased risk of bone fractures
- Heart and blood vessel (cardiovascular) disease
- Decreased sex drive, reduced fertility or erectile dysfunction
- Anemia
- Damage to the central nervous system, which can cause problems in concentrating, and might even lead to personality changes or seizures
- Pericarditis, an inflammation of the saclike membrane that envelops your heart
- Decreased immune response, which can make you more vulnerable to infection
- Pregnancy complications that carry risks for both the mother as well as the developing fetus
- Irreversible damage to both kidneys, which is known as end-stage kidney disease. This can require dialysis or even a kidney transplant
Prevention
Generally, diabetes and high blood pressure are the most common causes of chronic kidney disease. If you are having diabetes or high blood pressure, work with your doctor, and make efforts to keep it in control, to prevent kidney ailment.
Living a healthy lifestyle helps to prevent diabetes, high blood pressure, and kidney disease. You may follow these tips for lowering the risk of kidney disease, as well as the problems that cause it.
- Follow a low-salt and low-fat diet
- Have check-ups regularly with your doctor
- Exercise for a minimum of 30 minutes for at least five days a week
- Limit the use of alcohol
- Avoid smoking or tobacco use