Best Doctors in India for Polycystic Kidney Disease Treatment

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.

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.

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.

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.

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. 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.

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. 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.

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.

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 Polycystic Kidney Disease Treatment

Indraprastha Apollo Hospital, New Delhi

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

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

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

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

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

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

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

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

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

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.

Polycystic Kidney Disease

Polycystic kidney disease (PKD) is a kidney disorder, which leads to clusters of fluid-filled cysts forming in the kidneys. This condition can not only impair the function of your kidneys but also eventually lead to kidney failure. It is known to be the fourth leading cause of kidney failure. The disease may cause several other complications, such as high blood pressure and cysts developing in your liver.
Polycystic kidney disease can vary in its severity. Some of the complications are preventable and proper treatment and lifestyle changes can help in reducing significant damage to your kidneys.

Symptoms

In many cases, people can live with PKD for years, without experience any signs and symptoms, which are associated with the disease. A cyst typically needs to grow half an inch or larger before you might be able to notice any symptom of the disease.

Some of the symptoms of this ailment include:

  • Blood in the urine
  • Frequent urination
  • Pain or heaviness in the back
  • Pain or tenderness in the abdomen
  • Skin that bruises easily
  • Fatigue
  • Pale skin color
  • Pain in the sides
  • Urinary tract infection
  • Kidney stones
  • Joint pain
  • Nail abnormalities

 

If you notice yourself or anyone close to you, develop any signs or symptoms of polycystic kidney disease, then it is best to see your doctor as soon as possible.

Types & Causes

Polycystic kidney disease is generally inherited. Although, in a few cases, it may develop in people having other serious kidney problems. The three main types of PKD include:

Autosomal Dominant PKD (ADPKD)- Autosomal dominant PKD, which is also termed adult PKD, accounts for around 90 percent of the cases. People having a parent with PKD has a 50 percent chance of developing this condition.

Symptoms generally occur later in life, between the ages of 30 and 40, though few people can begin to experience symptoms in childhood as well.

Autosomal Recessive PKD (ARPKD)- Autosomal Recessive PKD is much less common as compared to ADPKD. It is also inherited, but to develop ARPKD, both parents must carry the gene for the disease.

Carriers of ARPKD won’t show any symptoms if they have only one gene. However, they will have ARPKD if they inherit two genes from each parent. Four types of ARPKD exist, which include:

  • Prenatal form, which is present at birth.
  • Neonatal form can occur within the first month after birth.
  • Infantile form can occur when a child is 3 to 12 months old.
  • Juvenile form can occur after a child is 1 year old.

 

Acquired cystic kidney disease- Acquired cystic kidney disease (ACKD) is not inherited and it generally occurs at a later stage in life.

This condition is generally seen in people who are already having other kidney problems. It is more common among people having kidney failure and people who are on dialysis.

Diagnosis

Since ADPKD and ARPKD are inherited, the doctor will first need to review your family history. They might initially need to order a complete blood count in order to look for anemia or any other signs of infections.

To diagnose all three types of PKD, your doctor can use imaging tests to look for cysts of the kidney, liver, and other organs. Imaging tests that are used to diagnose PKD include:

Abdominal Ultrasound

This noninvasive test makes use of sound waves to look at the kidneys for cysts.

Abdominal CT scan

This test is able to detect smaller cysts in the kidney.

Abdominal MRI scan

This MRI uses strong magnets to image your body to visualize kidney structure and look for any cysts.

Intravenous Pyelogram

This test uses a dye to make your blood vessels show up more clearly on an X-ray.

Treatment

The severity of this condition can vary from person to person, even among the members of the same family. Generally, treating polycystic kidney diseases involves treating the signs, symptoms, and complications in the early stages.

Kidney Cyst Growth

Medications such as Tolvaptan may be recommended for adults who are at risk of rapidly progressive ADPKD to stop the growth of cysts in their kidneys.

Pain

Over-the-counter medications might help you to control the pain of polycystic kidney disease. However, the pain is more severe and constant in some people.

Declining Kidney Function

To help the kidneys function better, experts generally recommend maintaining normal body weight. Drinking water and fluids throughout the day can also help in the slowing of the growth of the cysts. If you follow a low-salt diet and eat less protein, it might allow kidney cysts to respond better to the increase in fluids.

High blood pressure

If the high blood pressure is controlled, it can help to delay the progression of the disease and slow further kidney damage. You can go for a low-sodium, low-fat diet that’s moderate in protein and calorie content, and also stop smoking, increase exercise as well as reduce stress. Your doctor might also recommend certain medications to help you control your high blood pressure.

Blood in the urine

It is important to drink lots of fluids, preferably plain water, as soon as you notice blood in your urine, as this will help in diluting the urine. Dilution might also help to prevent obstructive clots from forming in your urinary tract. In most cases, the bleeding should stop on its own. However, if it doesn’t, it is best to contact your doctor.

Bladder or kidney infections

Prompt treatment of infections with antibiotics is extremely important to prevent kidney damage. Your doctor will likely investigate whether you are having a simple bladder infection or a more complicated cyst or kidney infection. A longer course of antibiotics is generally required for more complicated infections.

Kidney failure

If your kidneys stop functioning and lose their ability to remove the waste products and extra fluids from your blood, then a transplant or dialysis is going to be required.

Aneurysms

If you are suffering from polycystic kidney disease and a family history of ruptured brain aneurysms, then your doctor might recommend regular screening for intracranial aneurysms.

If an aneurysm is discovered, then surgical clipping of the aneurysm to reduce the risk of bleeding may be an option, depending on its size. There are non-surgical treatment options as well, such as controlling high blood pressure, and high blood cholesterol. Quitting smoking is also quite beneficial.

Complications

Several complications are associated with polycystic kidney disease. They include the following:

  • High blood pressure- A common complication of polycystic kidney disease is elevated blood pressure. If high blood pressure is untreated, it can cause further damage to your kidneys and may increase the risk of heart disease or stroke.
  • Chronic pain- Pain is another common symptom among people with polycystic kidney disease. It generally occurs in your side or back. It is also possible that the pain is associated with a urinary tract infection, a kidney stone, or a malignancy.
  • Loss of kidney function- A progressive loss of kidney function is known to be one of the most serious complications of polycystic kidney disease. Nearly half of the patients suffering from PKD have kidney failure by the age of 60. This happens because PKD can interfere with your kidneys’ ability to keep wastes from building to toxic levels. As the disease worsens, end-stage kidney disease may occur, which can require you to undergo dialysis or a transplant.
  • Growth of cysts in the liver- If you are having polycystic kidney disease, then you are more likely to develop liver cysts, as your age increases. While both men and women develop cysts, cysts in women are often larger. Female hormones and multiple pregnancies can also contribute to liver cysts.
  • Heart valve abnormalities- Around 25 percent of adults with polycystic kidney disease develop mitral valve prolapse. When this happens, the heart valve no longer closes properly, and this can allow blood to leak backward.
  • Development of an aneurysm in the brain- A balloon-like bulge in a blood vessel in your brain can cause bleeding i.e. hemorrhage if it ruptures. People suffering from polycystic kidney disease usually have a higher risk of aneurysms. People with a family history of aneurysms are at the highest risk. You can talk to your doctor to ask if screening is needed in your case.
  • Pregnancy complications- Most women having polycystic kidney disease are generally able to have a successful pregnancy. However, in some cases, women can develop preeclampsia, a life-threatening disorder. Those having high blood pressure or a decline in kidney function are more likely to develop it.
  • Colon problems- Weaknesses and pouches or sacs in the wall of the colon i.e. diverticulosis can also develop in people who are having polycystic kidney disease.

Prevention

One of the best ways to prevent some of the complications of PKD is to keep your kidneys as healthy as you can.

Some of the tips to keep your blood pressure in check include eating a diet low in salt, and containing plenty of fruits and vegetables, exercising regularly and maintaining a healthy weight, quitting smoking, and reducing alcohol consumption.

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