#pediatric nephrologist

[pediatricnephrologists-blog]

Are you looking Pediatric nephrologist in Kolkata? Dr Biswanath Basu is one of the best Pediatric Nephrologist in Kolkata with over 10 years experience. He is the first man who done Ofatumumab in Nephrotic syndrome.

[the-childrens-hospital-mumbai]

Pediatric surgeons concentrate on the special surgical problems of children. We care for infants, children, and adolescents, and also help to counsel parents expecting a baby who may have been diagnosed before birth with a surgical problem. Pediatric surgeons are experienced in caring for the wide variety of problems children may have, ranging from hernias or appendicitis to cancer or serious congenital anomalies.

[kidney-treatment-in-delhi-blog]

Creatinine Reduced from 5.2 to 3.7 within 15 Days

In this video, Dr. Puru Dhawan shares a conversation with a patient treated at Sai Sanjivani. Rukhsana Ji(patient)was suffering from #kidneyfailure due to high blood pressure. For last 3 years she was taking medicines but her #creatinine and other waste material levels increased even after treatment. She came to Sai Sanjivani 15 days ago and within these 15days her creatinine level decreased from 5.2 to 3.7.

[pediatricnephrologyindia]

Pediatric Continuous Renal Replacement Therapy (PCRRT)

Pediatric Continuous Renal Replacement Therapy  (PCRRT) Expert Committee Recommendation On Prescribing Prolonged Intermittent Renal Replacement Therapy (PIRRT) In Critically Ill Children

Introduction

Recently, prolonged intermittent renal replacement therapies (PIRRT) have emerged as cost‐effective alternatives to conventional CRRT and their use in the pediatric population has started to become more prominent. However, there is a lack of consensus guidelines on the use of PIRRT in pediatric patients in an intensive care setting.

Methods

A literature search was performed on PubMed/Medline, Embase, and Google Scholar in conjunction with medical librarians from both India and the Cleveland Clinic hospital system to find relevant articles. The Pediatric Continuous Renal Replacement Therapy workgroup analyzed all articles for relevancy, proposed recommendations, and graded each recommendation for their strength of evidence.

Results

Of the 60 studies eligible for review, the workgroup considered data from 37 studies to formulate guidelines for the use of PIRRT in children. The guidelines focused on the definition, indications, machines, and prescription of PIRRT.

Conclusion

Although the literature on the use of PIRRT in children is limited, the current studies give credence to their benefits and these expert recommendations are a valuable first step in the continued study of PIRRT in the pediatric population.

Tag: Best Pediatric Nephrologist in Delhi, Disparities In Dialysis In Children,

Nephrotic syndrome Specialist in India

[drsidharthsethi-blog]

Testing For And Diagnosing Nephrotic Syndrome In Children

Nephrotic syndrome explained:

Nephrotic syndrome is a condition which affects the kidneys and the miniscule filtering system within it, called the nephrons. There is damage to these structures as a result of various reasons, and mostly in children the cause remains unknown, also known as idiopathic nephrotic syndrome. As a result of this damage, the kidney starts to filter less of the substances that it usually helps our body get rid of, and it also starts to filter in excess certain substances which are useful to the body. Therefore an affected child usually presents with certain characteristic symptoms, including, swelling of the tissues, especially in the face and abdomen.

Diagnosing the condition:

It is when a child presents with this characteristic symptom of swelling in most areas of the body, that your doctor/pediatrician will suspect nephrotic syndrome. It is very important that the diagnosis is made correctly, because only then can prompt treatment be started in order to effectively manage the condition. Nephrotic syndrome is a condition which can be accurately diagnosed using a few tests, because the condition has some telltale signs which can easily be detected.

The investigations used to diagnose nephrotic syndrome:

The diagnostic tests which are carried out when a doctor suspects nephrotic syndrome in your child include:

Urine test – to look for the levels of protein in the urine, because nephrotic syndrome results in increased leakage of protein form the kidney and high levels of protein in the urine. The urine is also tested under the microscope in order to look for signs of inflammation of the kidney and kidney damage, which may indicate the type of nephrotic syndrome your child is suffering from.

Blood test – in order to look for the level of protein in the blood, because the increased leakage of protein in the urine, will result in reduced levels of protein in the blood, which is the reason why the child develops swelling within the body tissues.

Renal biopsy – Children usually do not require kidney biopsy at the onset. Which is a test where a small sample of kidney tissue is drawn out using a needle, and viewed under a microscope, in order to see the changes which have occurred in the kidney tissue. Some children may require additional immuno suppression if they frequently relapse or are steroid dependent.

Nephrotic syndrome can present in two forms. The first known as Minimal Change Disease is the most common form to affect children, and is a form that doesn’t show a lot of damage or change in the urine test, and even in the biopsy, there will not be any identifiable damage to the filtering system of the kidney. The second form known as Focal Glomerular Sclerosis, is a more aggressive form of the disease, and shows extensive damage in the urine test as well as renal biopsy.

On certain occasions, if your child is very symptomatic, your doctor will begin treatment straight away without waiting for the tests to confirm which form of nephrotic syndrome your child is suffering from. The treatment for nephrotic syndrome is a course of steroids, which are administered daily, till your child becomes symptom free. Once the treatment has commenced if it is minimal change disease, it will respond well to the treatment and immediate signs of improvement can be seen in your child. But if it Focal Glomerular Sclerosis, then it will not respond well to treatment with steroids.

[bluebliss1]

Essential Facts About Chronic Kidney Disease

What is Chronic Kidney Disease?

Chronic Kidney Disease (CKD) is a health situation in which the kidneys fail to carry out their basic daily functions. Being a vital organ if it ceases to function smoothly the individual can have a severe health crisis with an increase in blood pressure, neural problems, anaemia, etc. In these cases, the nephrons present in the kidneys begin to get damaged and after a certain point of time, they fail to filter the blood optimally. This leads to kidney failure. If ignored or left untreated it can be life-threatening.

CAUSES OF CKD

Diabetes and hypertension (high blood pressure) are the predominant health issues resulting in CKD in 75% of cases.

The other leading factors include glomerulonephritis (inflammation of the kidney) and pyelonephritis (infection in the kidney).

CKD can also be inherited which involves problems like polycystic kidney disease, lupus, kidney stones and enlarged prostate. Regular intake of analgesics (pain killers) can also cause CKD.

SYMPTOMS OF CHRONIC KIDNEY DISEASE

Generally, CKD does not have many symptoms in the early stages. However, in the subsequent stages, one might experience a deterioration in health conditions when the kidney functioning nears ESRD (End-Stage Renal Disease). Some of the chief symptoms include:

Muscle cramps

Nausea and vomiting

Loss of appetite

Swelling of feet and ankles

Frequent urination or not enough urination

Sleeplessness and breathlessness

Diarrhoea

Rash

Abdominal pain

Fever

Nosebleeds

TREATMENT FOR CKD

There is no permanent cure for CKD. However, if detected in early stages, medications and a healthy diet can be a check for the damage. However, when CKD reaches its final stage (ESRD), doctors recommend dialysis or kidney transplantation in order to revive the normal functioning of kidneys.

Dialysis: There are two types of dialysis-

Hemodialysis: The dialysis machine removes the excess fluids and waste products by pumping blood through the dialysis machine.

Peritoneal dialysis: The function is same as hemodialysis except that the waste products are removed and the blood is cleaned inside the body. This is done by adding clean fluids inside the abdomen instead of filtering it through the dialysis machine.

Kidney Transplant: Patients with severe CKD necessarily go through kidney transplantation. A healthy kidney is implanted in the patient’s body and the damaged kidney is operated out.

For the best advice and a quality treatment on kidney diseases, it is important to reach out to a good nephrologist. There are some of India’s best Nephrology hospitals in Bangalore. People from within Bangalore and outside the city come to consult kidney specialists in Bangalore because they have a promising record of care and cure.

PREVENTIVE MEASURES FOR KIDNEY DISEASE

Kidney diseases can be avoided to some extent if you try to maintain a few healthy habits in your daily routine like.

Avoiding the consumption of alcohol and smoking

Maintain a healthy/doctor recommended diet

Build up a habit for daily 30-min work-out

Keep a regular track of your blood pressure and blood sugar level

Go for periodic check-ups to your nephrologist

Top nephrologists in Bangalore and across the globe repeatedly say that a few healthy changes in your lifestyle can smoothen the functioning of kidneys along with all other organs.

[pediatric-nephrologist]

What is Nephrotic syndrome? | Dr. Sidharth Kumar Sethi

Nephrotic syndrome is characterized by edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Minimal change disease, the most common cause in childhood, generally responds to corticosteroids, although most patients experience disease relapses. Focal segmental glomerulosclerosis is usually resistant to corticosteroids and carries a significant risk of kidney failure, necessitating renal transplantation. Nephrotic syndrome may also be secondary to gene mutations and systemic diseases such as lupus. Clinical evaluation involves distinguishing primary and secondary causes and monitoring for disease complications, including blood clots and serious infections such as spontaneous bacterial peritonitis. Immunosuppressive medications are used to prevent relapses and treat corticosteroid-resistant disease.

Dr. Sidharth Kumar Sethi

Kidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He 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. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

TAG- Paediatric Nephrologist in Delhi, Nephrotic syndrome Specialist in India

[bestshospital999]

NICU Care | Best NICU Care in Haryana | Mayom Hospital

It is the multispecialty hospital in the Gurugram. We at Best NICU Care in Haryana constantly work around improving our services standards.

[ng99h]

Dialysis center in Coimbatore | Nephrologist doctors in Coimbatore | NG hospital

Our Nephrology experts will guide you through the process of treatment and recovery, ensuring your safety. Dialysis is a short-term procedure which needs to be carried out continuously for many hours. At NG Hospital Coimbatore, we have a state

[ankurahospitalvijayawada]

Dr. Vijay Kumar - Consultant Neonatologist and Pediatrician. Medical Director

Dr. Vijay Kumar practices as a consultant neonatologist and Pediatrician and is also the Medical Director at the Vijayawada center of Ankura hospital. He is an MBBS graduate from the NTR University of Health Sciences, Andhra Pradesh, following which he pursued his MD in Pediatrics from the KMU Institute of Medical Sciences to specialize as a pediatrician. With his specific interest in neonatology, he further did a Fellowship in Neonatology from the Indian Academy of Pediatrics. He is also a Diploma holder in Allergy and Asthma. With over ten years of experience in his field, his understanding of patient needs is vast. He is highly skillful and an expert in diagnosing, and treating various diseases and conditions of newborn and children. He establishes a great connection with his patients and is aware of the specific needs they have with the hospital and leaves no stone unturned in fulfilling them. Dedicated to care, he is available for his patients at any time of the day and night. With his friendly approach, he establishes a great repo with his patients.

Book an Appointment Now!

Best Neonatologists & Pediatrician in Vijayawada, Best Neonatologists in Vijayawada, Best Pediatrician in Vijayawada, Children Doctor in Vijayawada, Neonatal Doctor in Vijayawada, Pediatric Neonatologist in Vijayawada, Pediatricians and Neonatologist in Vijayawada, Neonatologist in Vijayawada, Pediatrician in Vijayawada, Pediatric Nephrologist in Vijayawada, Best Pediatric Hospital in Vijayawada, Best Child Specialist in Vijayawada, Pediatric Neurologist in Vijayawada, Child Specialist Doctor in Vijayawada, Famous Children's Hospitals in Vijayawada, Best Children's Hospital in Vijayawada, Best Child Psychologist in Vijayawada, Children's Hospitals in Vijayawada. For more information please contact +91 9053 108 108.

[drvijaykumar-pediatrician]

[besthospital111]

Best Hospital in Gurgaon | Best Hospital in Gurgaon Haryana

Best Hospital in Gurgaon has the approach and attitude with all the latest facilities to diagnose and treat disease

[drsidharthkumarsethi]

Recent literature has endorsed favorable outcomes following ABOi kidney transplantation in pediatric population. Nevertheless, reluctance to pursue an ABOi still remains pervasive. This could be ascribed to various legitimate reasons, namely less ext

[bestpediatricnephrologistinindia]

Disparities in dialysis in children | Dr. Sidharth Kumar Sethi

Disparities In Dialysis In Children

HYPOTHESIS: Acute kidney injury (AKI) is a common cause of morbidity and mortality worldwide, with a pediatric incidence ranging from 19.3% to 24.1%. Treatment of pediatric AKI is a source of debate in varying geographical regions. Currently CRRT is the treatment for pediatric AKI, but limitations due to cost and accessibility force use of adult equipment and other therapeutic options such as peritoneal dialysis (PD) and hemodialysis (HD). It was hypothesized that more cost-effective measures would likely be used in developing countries due to lesser resource availability.

METHODS: A 26-question internet-based survey was distributed to 650 pediatric Nephrologists. There was a response rate of 34.3% (223 responses). The survey was distributed via pedneph and pcrrt email servers, inquiring about demographics, technology, resources, pediatric-specific supplies, and preference in renal replacement therapy (RRT) in pediatric AKI. The main method of analysis was to compare responses about treatments between nephrologists in developed countries and nephrologists in developing countries using difference-of-proportions tests.

RESULTS: PD was available in all centers surveyed, while HD was available in 85.1% and 54.1% (p = 0.00), CRRT was available in 60% and 33.3% (p = 0.001), and SLED was available in 20% and 25% (p = 0.45) centers of developed and developing world respectively. In developing countries, 68.5% (p = 0.000) of physicians preferred PD to costlier therapies, while in developed countries it was found that physicians favored HD (72%, p = 0.00) or CRRT (24%, p = 0.041) in infants.

CONCLUSIONS: Lack of availability of resources, trained physicians and funds often preclude standards of care in developing countries, and there is much development needed in terms of meeting higher global standards for treating pediatric AKI patients. PD remains the main modality of choice for treatment of AKI in infants in developing world.

About Dr.

Dr. Sidharth Kumar SethiKidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He 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. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals

Tags = Pediatric Dialysis Specialist in India, Pediatric Dialysis Specialist in delhi, Pediatric Nephrology India, Best Pediatric Nephrologist in Delhi

For more information = http://www.pediatricnephrologyindia.com/

See more blogs = https://child-kidney-specialist-in-delhi.blogspot.com/2022/06/what-is-nephrotic-syndrome-and-what.html

[bluebliss1]

[pediatric-nephrologist]

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He 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.