Best Doctors in India for Hemodialysis

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.

Profile Highlights:

  • Dr. Gaurav Sagar is currently working as a consultant nephrologist at Apollo Indraprastha Hospital, New Delhi. He has over ten years of experience in renal medicine with a special interest in vascular access, kidney transplant, and critical care nephrology.
  • Dr. Sagar has been a pioneer in practicing and promoting Interventional Nephrology in North India and was part of the team which conducted the first ABO-incompatible transplant in North India.

Profile Highlights:

  • Dr. Prakash K C is one of the senior Nephrologists from Tamil Nadu, with over 43 years of experience managing renal disorders.
  • He provides consultation and a wide range of medical services like Ureteroscopy (URS), Kidney Transplant, Hemodialysis, etc. His team ensures a friendly environment for patients.
  • Dr. Prakash is involved in many pieces of research and got his work published in periodicals and textbooks.

Profile Highlights:

  • Dr. B Subba Rao is one of the best Nephrologists in Tamil Nadu, with over 29 years of experience.
  • Dr. Rao offers consultation and various services like Nephrolithotripsy, Hemodialysis, Hemodiafiltration (HDF), Percutaneous Nephrolithotripsy, CKD, Kidney Stone Treatment, Kidney Failure Treatment, etc.
  • Dr. Subba Rao has been awarded the Vocational Excellence Award for his contributions to the field

Profile Highlights:

  • Dr. Rajeev Annigeri is a well-known Nephrologist from South India with 23 years of experience in the field of renal disorders treatment.
  • He went under special training in Peritoneal Dialysis from the University of Missouri, USA.
  • Dr. Annigeri ensures a fully supportive environment for the patients. The doctor provides many medical services like Adrenalectomy, Kidney Transplant, Hemodialysis, Kidney Surgery, Hemodialysis, etc.

Profile Highlights:

  • Dr. S Rajagopalan Seshadri is one of the best Nephrologists from Tamil Nadu, with over 29 years of experience.
  • Dr. S Rajagopalan provides a wide range of medical services as a specialized Nephrologist/Renal Specialist.
  • He is known for excellent patient care. Patients also visit Dr. Rajagopalan for other services like Proteinuria, Kidney Transplant, Hemodialysis, Nephrectomy, Percutaneous Nephrolithotripsy, CKD, Kidney Failure, etc.

Profile Highlights:

  • Dr. Suman Lata Nayak is one of Delhi’s most prominent Transplant physicians and was the founder of the Nephrology Department at the Institute of Liver and Biliary Sciences.
  • Throughout her career, she has been actively involved in clinical research. Dr. Suman Lata Nayak’s research in the field of kidney transplantation, TB, and liver disease in patients, has made a significant impact on improving protocols in India.

Best Hospitals in India for Hemodialysis

W Pratiksha Hospital, Gurgaon

Hospital Highlights:

  • W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
  • With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
  • Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
  • The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.

Narayana Superspeciality Hospital, Gurugram

Hospital Highlights:

  • Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
  • It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
  • It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.

Sir Ganga Ram Hospital, New Delhi

Hospital Highlights:

  • Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
  • The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
  • Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
  • As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
  • Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.

CK Birla Hospital, Gurugram

Hospital Highlights:

  • The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
  • The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
  • The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.

KIMS Hospital, Hyderabad

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.

Fortis Hospital, Shalimar Bagh

Hospital Highlights:

  • Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
  • Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.

Reliance Hospital, Mumbai

Hospital Highlights:

  • Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
  • The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
  • The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery

Lilavati Hospital & Research Centre, Mumbai

Hospital Highlights:

  • Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
  • Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
  • The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
  • The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.

Hemodialysis

Hemodialysis is a process of filtering wastes and fluid from your body, after your kidneys are no longer healthy. Hemodialysis is one of the ways to treat advanced kidney failure and it helps one carry on an active life despite having failed kidneys.

With hemodialysis, one also needs to follow a healthy diet, take medications regularly as well as follow a strict treatment schedule. Although hemodialysis is a serious responsibility, you can work closely with a healthcare team rather than shouldering it alone. Dialysis can be done in a hospital or in your home as well. Based on your medical condition, it is always up to you and your doctor to decide, which option is best.

Purpose

Your doctor can help you determine when you should start hemodialysis based on several factors, which include your overall health, kidney function, signs and symptoms, quality of life and also your personal preferences.

Your doctor uses the estimated glomerular filtration rate, to measure how well your kidney is functioning and this helps in planning your treatment including when to start hemodialysis.

Hemodialysis helps your body control blood pressure as well as to maintain the proper balance of fluid as well as various minerals, like potassium and sodium in the body. Normally, hemodialysis begins quite sometime before your kidneys have shut down to the point of causing complications that can be life-threatening.

Diabetes, high blood pressure, blood vessel inflammation, kidney cysts are some of the main causes of kidney failure. Your kidneys can also shut down all of a sudden after a severe illness, a heart attack or complicated surgery, or any such serious problem. Sometimes certain medications might also cause kidney injury. Some people with severe long-standing kidney failure can opt for a different path, choosing maximal medical therapy, which is called maximum conservative management as well, instead of dialysis. Some can also go choose to go for a kidney transplant.

Preparation

Preparation for hemodialysis usually starts several weeks to months before your first procedure. For allowing easy access to your bloodstream, a surgeon will be creating vascular access. The access provides a mechanism for a small amount of blood to be safely removed from your circulation after which it is returned to you in order for the process of hemodialysis to work. The surgical access requires time to heal before you begin hemodialysis treatments.

There are three different types of accesses:

Arteriovenous fistula

A surgically created AV fistula, which is a connection between an artery and a vein, usually in your non-dominant arm. Due to its effectiveness as well as safety, this is the most effective as well as safe method.

Central venous catheter

If you require emergency hemodialysis, a plastic tube might be inserted into a large vein in your neck or near your groin. The catheter is for a temporary basis.

AV graft

If your blood vessels are found to be too small for creating an AV fistula, your surgeon may instead choose to create a path between an artery and a vein using a flexible, synthetic tube which is called a graft.

Procedure

During the treatment procedure, you sit or recline in a chair while your blood flows through the dialyzer, a filter that acts as an artificial kidney to clean the blood. At this time, you can read a book, watch a movie or even take a nap. If you receive it during the night, you can just sleep while the procedure is on.

Preparation

Your weight, blood pressure, temperature and pulse are checked at first. The skin which is covering your access site, which is the point where blood leaves as well as re-enters the body during treatment, is cleansed.

Starting

At first, two needles will be inserted into your arm through your access site, and taped in place to make it remain secure. Each needle is attached properly to a flexible plastic tube that connects to a dialyzer. Through one tube, the dialyzer filters the blood a few ounces at a time, which allows wastes and extra fluids to pass from your blood into a cleansing fluid which is called dialysate. Then, the filtered blood returns to your body, with the help of the second tube. The needles in your fistula or graft can be uncomfortable and most patients get used to this within some time. Talk to your dialysis care team and make sure you are comfortable during the treatment.

Symptoms

Keep in mind that you might be experiencing some symptoms like nausea or abdominal cramps. This is due to the fact that excess fluid is being pulled from the body, especially if you are having hemodialysis three times a week, rather than more often. If you feel too much discomfort, you can ask your care team to help minimize the side effects by taking measures like adjusting the speed of your hemodialysis, your medication or your hemodialysis fluids.

Monitoring

Since blood pressure and heart rate can keep fluctuating as excess fluid is being drawn from the body, your blood pressure and heart rate will be checked multiple times during every treatment.

Finishing

When the hemodialysis is complete, the needles are removed from your access site. After this, a pressure dressing is applied for preventing bleeding. Your weight might need to be recorded once more. After this, you are free to carry on your usual activities, until your next session.

Results

If you had a sudden kidney injury, you might need hemodialysis only once in a short time, until they recover. If you had reduced kidney function before a sudden injury to the kidneys, the chances of full recovery back to independence from hemodialysis are quite less.

Three-times a week hemodialysis is quite common and according to a few types of research, it has been suggested that home dialysis is linked to:

  • Increased well-being
  • Better quality of life
  • Reduced symptoms and less cramping, headaches as well as shortness of breath
  • Improved appetite, sleeping patterns, energy level and the ability to concentrate.

 

Your hemodialysis care team will monitor your treatment to make sure that you are getting the right amount of hemodialysis to remove enough wastes from your blood. Your weight and blood pressure are monitored very closely before, during as well as after your treatment. About once a month, you will receive these tests:

  • Blood tests for measuring urea reduction ratio and total urea clearance, for making sure how well your wastes are being removed from your body.
  • Blood chemistry evaluation as well as an assessment of blood counts.
  • Measurements of the flow of blood through the access during your hemodialysis.

Risks

Despite its benefits, hemodialysis can also cause a variety of health problems. Some of them include low blood pressure, muscle cramps, sleep problems, itching, anemia, fluid overload, bone diseases, high blood pressure, complications in the access site complications, high potassium levels, inflammation of the membrane which surrounds the heart, amyloidosis or depression.

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