Best Doctors in India for Chronic Kidney Disease Treatment

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.

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.

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.

Profile Highlights:

  • Dr. Lakshmi Kant Tripathi throughout his career has supervised around 54000 hemodialyses at different centers in Delhi NCR, with great clinical outcomes.
  • He is successfully engaged in kidney transplantations, including Incompatible & High-risk ones. He is a specialist in managing Resistant hypertension, difficult-to-treat Nephrotic Syndromes, Complicated UTIs & high-risk Transplants.

Profile Highlights:

  • Dr. Manju Aggarwal is one of the leading nephrologists in India and has many years of experience in Nephrology at some of the best medical institutions including the University of Minnesota.
  • She has expertise in treating critically ill patients with acute and chronic renal failure and those on dialysis and renal transplant.
  • Dr. Aggarwal is also experienced in managing difficult and high-risk renal transplants, especially for those who need desensitization.

Profile Highlights:

  • He has served as Director of Nephrology & Renal Transplant Medicine at Max Healthcare and was previously the Director & HOD at Fortis Memorial Research Institute.
  • Dr. Saurabh Pokhariyal is a distinguished nephrologist with a comprehensive background in nephrology and renal transplant medicine.
  • He earned his MBBS, MD (Internal Medicine), and DNB in Nephrology from GSVM Medical College, Kanpur, and Sanjay Gandhi PGI, Lucknow, respectively.

Profile Highlights:

  • Currently working as Associate Director, Nephrology at Medanta, Gurugram; Dr. Jha has several years of rich experience in his field.
  • His area of expertise is renal transplantation, hemodialysis, chronic kidney diseases, and acute kidney injury. Throughout his career, he has treated thousands of patients from all over the country and also provides his patients with the best medical care.
  • Dr. Jha completed DNB Nephrology from Manipal Hospital; Bengaluru in 2011. He has wide experience in pre as well as post-transplant care.

Profile Highlights:

  • With over 23 years of experience in the field of nephrology, Dr. Alka Bhasin is a distinguished expert currently serving at Max Healthcare.
  • Dr. Bhasin’s educational background is impressive, with a Fellowship in Nephrology from Thomas Jefferson University Hospital in Philadelphia, PA, USA (1998-2000), and a Residency in Internal Medicine at Mayo Clinic Rochester, Minnesota, USA (1996-1998).

Profile Highlights:

  • Dr. Jagdish K is currently designated as the Senior Consultant of Nephrology with a vast experience of 14 years.
  • Dr. Jagdish K  is well versed in Temporary Haemodialysis Catheters, Bone Marrow Aspiration and Biopsy, Lumbar Puncture, Arterial Lines, and Renal Biopsy.
  • His special interests lie in Glomerulonephritis, Extracorporeal treatments, Post-Transplant Infections, and Renal Transplants across blood groups and in highly sensitized individuals.

Profile Highlights:

  • Dr. Jayant Kumar Hota is a Nephrologist/Renal Specialist based in Sarita Vihar, Delhi having an experience with 22 years in this field.
  • Dr. Jayant Kumar Hota practices at Indraprastha Apollo Hospitals, Delhi. He completed his MBBS from Utkal University in 1999, MD – Medicine from Banaras Hindu University in 2005, and DM – Nephrology from Rajasthan University of Health Science, Jaipur in 2009.
  • He is a member of Indian Society of Nephrology (ISN). Some of the services provided by the doctor include Kidney Disease Treatment, Hemodiafiltration (HDF), Kidney Dialysis, Laparoscopic Nephrectomy, Ureteroscopy (URS), etc.

Best Hospitals in India for Chronic Kidney Disease Treatment

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality 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 BMT 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.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

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.

Hospital Highlights:

  • Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
  • Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
  • The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
  • Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
  • It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
  • It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
  • The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
  • It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
  • The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
  • Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.

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.

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Hospital Highlights:

  • Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
  • With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
  • This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
  • The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
  • Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
  • Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
  • Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
  • It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
  • Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.

Hospital Highlights:

  • Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
  • The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
  • The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
  • Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
  • There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
  • The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
  • One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
  • It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
  • Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.

Hospital Highlights:

  • Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
  • The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
  • With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
  • Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
  • Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
  • Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.

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

For a kidney transplant, the kidney donor should have the same blood type, cell-surface proteins as well as antibodies. Generally, siblings or very close relatives are the best options for donors, to minimize the rejection of the new kidney. If a living donor is not possible, a cadaver donor (dead person) can also be considered.

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

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