#Nephrotic syndrome Specialist in India

[pediatric-nephrology-india]

Child Kidney Doctor in India

Child Kidney Doctor in India

Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.

Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.

To schedule an appointment With Child Kidney Doctor in India, please contact: Name: Pediatric Nephrology India Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com

You can also search for these treatments Pediatric Nephrology India, Best Pediatric Nephrologist In India, Best Pediatric Nephrologist In Gurgaon, Best Pediatric Nephrologist In Delhi, Child Kidney Specialist In Delhi, Child Kidney Specialist In Gurgaon, Child Kidney Specialist In India, Child Kidney Doctor In India, Child Kidney Doctor In Delhi, Child Kidney Doctor In Gurgaon, Pediatric Dialysis Specialist In India, Pediatric Dialysis Specialist In Delhi, Pediatric Kidney Transplant Specialist In Delhi, Nephrotic Syndrome Specialist In India, Nephrotic Syndrome Specialist In Delhi, Pediatric Nephrologist In Delhi, Best Pediatric Nephrology Doctor In India, Pediatric Kidney Doctor In India, Best Child Kidney Specialist In Delhi, Best Pediatric Nephrologist In Delhi, Best Paediatric Kidney Nephrologist In India, Best Child Kidney Doctor In India, Best Child Kidney Care In Delhi, Pediatric Nephrology,

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Best Pediatric Nephrologist in Delhi

Child Kidney Specialist in India

A Glimpse On Chronic Kidney Disease

CKD (chronic kidney disease) is a lifelong condition in which the kidney function slowly declines over many years. It is common in adults but extremely rare in children. It can be caused by a number of conditions affecting the kidney and can present at birth or later on during childhood. All kidney conditions do not cause CKD and all kids with CKD do not always progress to the end stage. It is a complicated disease with a wide spectrum from which full recovery is not possible but timely specialist care can help your child live a long, healthy and wholesome life.

How Severe Is My Child’s Disease?

CKD is divided into 5 stages based on GFR [glomerular filtration rate- tells how well the tiny filters (glomeruli) inside your child’s kidney are cleaning the blood].

How Would My Child Be Treated?

Your child will require specialized medical care from a pediatric nephrologist. It is important that you regularly visit the clinic for follow-up appointments even if your child feels well. At each of these visits, the growth(height,weight) and kidney function of your child would be monitored to avoid any future complications. The medical treatment aims at-

Reducing blood pressure [by low salt diet and medicines]

Slowing protein loss in the urine [by medicines like ACE-I(angiotensin converting enzyme inhibitor) or ARB(angiotensin receptor blocker)]

Avoiding bone disease [by calcium and vitamin D supplements] 

Controlling anemia [by erythropoietin supplements or blood transfusion]

Healthful living-

Ensure that your child eats at least five servings of fruits and vegetables a day. Cut down on his/her sugar and fat intake.

Get him/her plenty of exercise.

Avoid taking common medicines like ibuprofen/diclofenac without higher supervision as they cause further kidney damage.

Many children with progressive disease who develop ESRD would ultimately need dialysis, which uses special equipment to remove waste products and extra water from their body. The best treatment is a kidney transplant, in which a healthy kidney from another person is transplanted into the child. After a successful kidney transplant, the child can live a healthy life, but will need to take medicines to look after the new kidney.

What To Anticipate About My Kid’s Future?

CKD can take a heavy emotional toll not just on the kid but the entire household. Speaking with families of other children with CKD can be a huge support. Your child will need to take care of his or her health throughout life. As an adult, he/she will be supported by a new team. Due to the current medical advancements, children with CKD can reach their adulthood with better kidney outcomes. They should be encouraged to live a full and fulfilling life, pursue higher education, work and have a family.For any queries or concerns, please visit this website/contact Dr. Sethi today.

TAG : Child Kidney Specialist in Delhi, Child Kidney Doctor in Gurgaon, Pediatric Nephrology India

[pediatric-nephrologist]

Sharing the ‘Research Letter’ published this week in ‘KI Reports’ on an attempt to find cut off scores for STARZ Neonatal AKI Risk Stratification Score from the TINKER group (a sub-section of PCRRT-ICONIC Group). There are multiple studies ongoing across the world to validate it in individual centres.

[bestbariatricsurgeonindelhi]

Dr. Lovy Gaur: The Best Nephrologist Consultant

Introduction:

Your kidneys are two bean-shaped organs that filter waste products from your blood. They also help regulate your blood pressure, produce red blood cells, and maintain your body’s electrolyte balance. If you have kidney problems, you need to see a nephrologist, a doctor who specializes in the kidneys.

Dr. Lovy Gaur is a highly experienced and skilled nephrologist consultant in Delhi NCR. She has over 12 years of experience in the field of nephrology, and she is board-certified in nephrology. Dr. Gaur is known for her compassionate care and her commitment to providing her patients with the best possible treatment.

Dr. Gaur specializes in the treatment of a wide range of kidney diseases, including:

Chronic kidney disease

Acute kidney injury

Kidney failure

Kidney transplantation

Polycystic kidney disease

Nephrotic syndrome

Glomerulonephritis

Lupus nephritis

Interstitial nephritis

Dr. Gaur offers a comprehensive range of services, including:

Diagnostic testing

Treatment planning

Follow-up care

Kidney transplantation

Dr. Gaur is a highly skilled and experienced nephrologist consultant. She is committed to providing her patients with the best possible care. If you are looking for a nephrologist consultant in Delhi NCR, Dr. Lovy Gaur is the best choice for you.

Keywords: nephrologist, kidney doctor, kidney specialist, best nephrologist, Dr. Lovy Gaur, nephrologist consultant, Delhi NCR

Call to action:

If you are looking for a nephrologist consultant in Delhi NCR, please contact Dr. Lovy Gaur today. She would be happy to schedule an appointment with you and discuss your kidney health.

Additional information:

Dr. Gaur is a graduate of the Government Kilpauk Medical College in Chennai, India.

She completed her residency in nephrology at the Sir Ganga Ram Hospital in New Delhi, India.

She is a board-certified nephrologist by the National Board of Examinations, India.

She is a member of the Indian Society of Nephrology and the American Society of Nephrology.

She has published several research papers in peer-reviewed journals.

Testimonials:

“Dr. Gaur is a wonderful doctor. She is very knowledgeable and compassionate. She took the time to answer all of my questions and explain my treatment plan in detail. I would highly recommend her to anyone looking for a nephrologist.” — Hari Shanker

“I was diagnosed with kidney disease a few years ago. Dr. Gaur has been my nephrologist ever since. She is always very thorough and explains everything in a way that I can understand. I feel very confident in her care.” — Monika Sharma

Book an appointment:

You can book an appointment with Dr. Lovy Gaur online or by calling her office. Her office hours are Monday through Friday from 9am to 5pm.

Contact information:

Dr. Lovy Gaur Max Super Speciality Hospital, Vaishali Address: Plot №17, Sector 13A, Vaishali, Ghaziabad, Uttar Pradesh 201012 Phone: +91 120 472 0000 Website: https://www.drlovygaur.com/

[b12--0]

Dr. Avula Srinivas

Dr. Avula Srinivas, ('MBBS, MD, DM') is one of the reputed doctors in Guntur, India Specialist/Center: - -Nephrology Experience: 30 years Dr. Avula Srinivas's clinic offers these services: -Glomerulonephritis -Kidney failure -Chronic Kidney disease -Amyloidosis -Nephrotic Syndrome Doctor provides In-Clinic and Online (Audio/Video) Consultations for which Appointments can be booked online easily via clicking on the Website or Appointment link. Doctor welcomes patient queries as well via the 'Chat' option.

GMB Name:- Dr. Avula Srinivas- Nephrologist, in Guntur

Website

GMB LINK

Clinic Timings

Monday

11 am–7 pm

Tuesday

11 am–7 pm

Wednesday

11 am–7 pm

Thursday

11 am–7 pm

Friday

11 am–7 pm

Saturday

11 am–7 pm

Sunday

Closed

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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.

[drsidharthkumarsethi]

Nephrotic syndrome Specialist in Delhi - Dr. Sidharth Kumar sethi

Nephrotic Syndrome

Most people have two kidneys, one on either side of the body just beneath the ribcage. Healthy kidneys filter the blood and allow small particles of waste products and water to be excreted as urine. Kidneys also play important role in the control of blood pressure, maintenance of bone health and formation of red blood cells.

What is nephrotic syndrome?

Nephrotic syndrome occurs when the kidneys leak large amounts of protein (especially albumin) into the urine. It is these proteins which is mainly responsible for holding water in the blood vessels, and when they are lost in urine, their level decreases in the blood which causes the water to come out of the blood vessels and cause swelling (edema).

What causes Nephrotic Syndrome?

In most cases, the exact cause of nephrotic syndrome is not known. There is no relationship with diet or socioeconomic status of the family. It is non-infectious and does not transfer to other family members

.

What are the symptoms?

The most common symptom is swelling (edema). It first appears on the face, especially around the eyes which is most prominent in the morning when the child gets up and decreases by the evening.

Other symptoms include: Frothy urine, weakness and tiredness, passing less urine than usual, recurrent infections, diarrhoea.

What is the treatment?

Prednisolone (steroid) is the drug of choice when the child is first diagnosed. Most children respond to this drug with disappearance of the protein in the urine and loss of swelling within 1-2 weeks (we call this REMISSION). Other drugs like diuretics, ACE inhibitors, etc may be required for symptomatic treatment.

Those who do not respond to steroids are given second line drugs like Cyclophosphamide, MMF, Levamisole and other immunomodulators as decided by your doctor according to the individual patient profile.

Duration of treatment: First episode is treated for 3 months and subsequent episodes are treated as decided by your physician.

What are the side effects of the treatment?

Common Side Effects of Steroids are:

Decreased resistance to infections such as cough and cold

Increase in appetite

Flushed, swollen cheeks and stretch marks on the skin

Rise in blood pressure

Behavioral problems e.g temper tantrums, or mood changes.

However most of the side effects are reversible and wean off once the steroid is stopped.

Long term supervision and course of nephrotic syndrome

In most cases the child with nephrotic syndrome becomes completely well with prednisolone treatment, and there are very few who require second line treatment which includes immunomodulators and other drugs.

The child may remain well for several months or longer. During this period, the child should be regarded as being normal, and should not be made to feel different from other children.

In majority of cases, however, nephrotic syndrome recurs. The recurrence is indicated by appearance of swelling around the eyes, which, if untreated, gradually increases to involve the face, feet, legs and abdomen, and in such conditions, doctor should be consulted immediately. Relapses are common in early childhood but decrease with age.

More than 90% of children with nephrotic syndrome go into adulthood with their kidneys functioning normally.

What are parents expected to do at home?

Swelling around the eyes

Decreased urine output

Urine protein 1+ or more for persistent 2-3 days

Any sign of infection like cough, cold, coryza.

What immunizations are necessary?

Children who are on steroid medications and other immunosuprressives can become very unwell if exposed to CHICKENPOX or MEASLES, therefore they should be immunized for the same and also receive pneumococcal vaccine.

Tags - Nephrotic syndrome Specialist in India, Nephrotic syndrome Specialist in Delhi, Pediatric Nephrology India

For more information link - www.pediatricnephrologyindia.com

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Nephrotic syndrome is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering

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Best Pediatric Nephrology Doctor In India

Best Pediatric Nephrology Doctor In India

In the realm of pediatric nephrology, where the delicate health of children is at stake, finding the right specialist is crucial. Among the multitude of healthcare professionals in India, one name stands out prominently — Dr. Sidharth Sethi. Renowned for his expertise, compassion, and commitment to pediatric nephrology, Dr. Sethi is widely regarded as the best in his field. Let’s delve into the exceptional qualities that make him the go-to pediatric nephrologist in India.

A Distinguished Career:

Dr. Sidharth Sethi has carved a niche for himself through years of relentless dedication to pediatric nephrology. Armed with an impeccable academic record and extensive training, he brings a wealth of knowledge and experience to the table. After graduating from prestigious institutions and undergoing specialized training in pediatric nephrology, Dr. Sethi has honed his skills to perfection.

Kidney Disease Care especially for Children

Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.

Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.

Clinical Excellence:

One of the defining characteristics of Dr. Sethi’s practice is his unwavering commitment to clinical excellence. His diagnostic acumen is unparalleled, ensuring accurate and swift identification of renal issues in children. From congenital kidney abnormalities to complex renal disorders, Dr. Sethi handles each case with precision and expertise, earning him the trust of both patients and peers.

Compassionate Patient Care:

Beyond medical expertise, Dr. Sidharth Sethi is celebrated for his compassionate approach to patient care. Dealing with pediatric patients requires a special touch, and Dr. Sethi is known for his ability to connect with children and their families. His empathetic demeanor creates a supportive environment, making the healthcare journey more manageable for young patients and their worried parents.

Cutting-Edge Technology and Treatment:

Staying at the forefront of advancements in pediatric nephrology, Dr. Sethi employs state-of-the-art technology and innovative treatments. Whether it’s advanced imaging techniques or the latest therapeutic interventions, his practice reflects a commitment to providing the best possible care using the most current and effective methods available.

Holistic Wellness Approach:

Understanding that pediatric nephrology is not just about treating the symptoms but promoting overall well-being, Dr. Sethi adopts a holistic approach. He collaborates with multidisciplinary teams to address not only the medical aspects but also the emotional and social needs of his patients, ensuring a comprehensive and integrated healthcare experience.

Patient Testimonials:

The impact of Dr. Sidharth Sethi’s care is evident in the glowing testimonials from grateful parents. Many commend his ability to reassure both children and their families, turning what could be a stressful situation into a journey of hope and healing.

Conclusion:

In the landscape of pediatric nephrology in India, Dr. Sidharth Sethi shines as a beacon of excellence. His exceptional medical skills, combined with a compassionate and patient-centric approach, make him the undisputed best in his field. Parents seeking the best possible care for their children need look no further than Dr. Sethi’s practice, where expertise meets empathy, and healing is not just a goal but a shared journey toward a healthier, happier future for every young patient.

To schedule an appointment With the Best Pediatric Nephrology Doctor In India, please contact: Name: Pediatric Nephrology India Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com

You can also search for these treatments Pediatric Nephrology India, Best Pediatric Nephrologist In India, Best Pediatric Nephrologist In Gurgaon, Best Pediatric Nephrologist In Delhi, Child Kidney Specialist In Delhi, Child Kidney Specialist In Gurgaon, Child Kidney Specialist In India, Child Kidney Doctor In India, Child Kidney Doctor In Delhi, Child Kidney Doctor In Gurgaon, Pediatric Dialysis Specialist In India, Pediatric Dialysis Specialist In Delhi, Pediatric Kidney Transplant Specialist In Delhi, Nephrotic Syndrome Specialist In India, Nephrotic Syndrome Specialist In Delhi, Pediatric Nephrologist In Delhi, Best Pediatric Nephrology Doctor In India, Pediatric Kidney Doctor In India, Best Child Kidney Specialist In Delhi, Best Pediatric Nephrologist In Delhi, Best Paediatric Kidney Nephrologist In India, Best Child Kidney Doctor In India, Best Child Kidney Care In Delhi, Pediatric Nephrology,

[pediatric-nephrologist]

STARZ Neonatal AKI Risk Stratification Score | Dr. Sidharth Kumar Sethi

Sharing the ‘Research Letter’ published this week in ‘KI Reports’ on an attempt to find cut off scores for STARZ Neonatal AKI Risk Stratification Score from the TINKER group (a sub-section of PCRRT-ICONIC Group). There are multiple studies ongoing across the world to validate it in individual centres.

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- Nephrotic syndrome Specialist in Delhi, Best Child Kidney Specialist in Delhi

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Online Nephrology Consultation from Dr Rajesh Goel

Dr Rajesh Goel is a renowned specialist in the field of nephrology. He is the founder of Kidney Care Centre with hospitals in Saket, Delhi and Faridabad, Haryana. With over 18 years of experience and his exceptional skills, he has successfully completed thousands of kidney transplant surgeries and has treated patients with Chronic Kidney Diseases and End-Stage Kidney Diseases. 

There are times when it becomes infeasible for people to visit and consult a doctor at their clinic or hospital. At such times, it is helpful to receive online consultation with doctors from the comfort of our homes. If you are dealing with any kidney problem and want to get online consultation from a kidney specialist, Dr Rajesh Goel is the one to help you. Apart from the hospital, Dr Goel provides consultation online and over a phone call as well. You can consult him over a video call where you will be able to communicate with him face-to-face.

You can visit the website www.kidneycarecentre.in to book your online consultation with the best kidney doctor in Delhi. You can get an online nephrology consultation from Dr Rajesh Goel. He will provide you with the best guidance to help you get the most effective treatment for all your kidney-related problems. Kidney Care Centre provides outpatient consultation for all types of kidney diseases such as Acute Kidney Injury or AKI, Chronic Kidney Disease or CKD, nephrotic syndrome, kidney stones and stones in urinary bladder and ureter, Urinary Tract Infections(UTI), kidney cysts, hyponatremia, hyperuricemia and gout, hypertensive nephropathy, pre and post-kidney transplant management, lower urinary tract symptoms and more. Dr Rajesh Goel adheres with the principles of professionalism and ethics in his medical practice. He considers the detailed history of the patient, performs all necessary examinations and makes the diagnosis to provide the most efficient treatment. He works with empathy towards the patients and their families and the words of his patients have proved this. While providing consultation, he communicates effectively to understand the patient, their pain and condition. He offers effective guidance to the patients related to their diet and lifestyle to help them live a healthy life.   If you live in the remote areas or travelling is not feasible for you or if you are engrossed in busy schedules and want to get a consultation from the best doctor for any of your kidney-related problems, then your search online for nephrology doctors in India ends with Dr Rajesh Goel and his Kidney Care Centre where you will get expert advice and the best treatment for your ailment. You can book an appointment with Dr Rajesh Goel or an online consultation easily by visiting Online Consultation Kidney Specialist and filling up the form provided. Many patients have benefitted from the consultation with Dr Rajesh Goel. He provides the best advice for all kidney-related issues and is the most reliable nephrologist for online consultation. Book an online appointment at https://www.kidneycarecentre.in/online-consultation!

[bhuwank]

Story of Cholesterol

Cholesterol is the most well known villain in the Medical world today. It is one of the most important items forming the walls in every cell of the body and is indispensable for existence of life. Lately the increased blood level of this very important organic chemical has been found to be one of the leading cause of the killer Heart Attacks. Thus, more and more people know it for its notorious role rather than useful role.

 Cholesterol is a long chain fatty acid (different from triglycerides or oils or fats which has three fatty acids) – consisting of 27 carbon atoms, 46 hydrogen atoms and one oxygen atom. It is supposed to be “the highly decorated small molecule in Biology”. It has been so important in medical science that since 1986 a number of noble prices have been awarded to the scientists making breakthrough in the research of cholesterol. This tiny molecule forms a major role in the heart disease and in the long run it has indirectly proved more fatal than the most powerful atom bombs!

Cholesterol is found only in animals. Plants and vegetables contain related molecules, which are not absorbed by the human body. All animal products can predispose to high intake of cholesterol. 93% of the body’s cholesterol is located in the cells and only 7% which circulates in the blood, has been held responsible for the formation of blockage.

 Cholesterol level in the blood is not safe when about 200mg/100 ml. For reversal of blockages it is recommended to keep this level at 130mg/100ml. On an average the intake of cholesterol by humans who eat meat is above 600 mg/day. Vegetarians who take a lot of milk and milk products have about 200-400 mg/day.

 The maintenance level of blood cholesterol depends on (i) Intake in form of food (ii) Production of cholesterol inside liver and other tissues (iii) Use of cholesterol by the body.

 The intake of cholesterol in food can be lowered by non-consumption of non-vegetarian food items and can be easily curtailed. As it may not be feasible to cut the production inside the body without harming the liver, SAAOL recommends a minimal intake. (10mg/day or less). However, in some people who are genetically conditioned to produce little more cholesterol, have to take some drugs, if they cannot control the blood level by diet alone. Exercise and physical activity leads to more breakdown of cholesterol. Stress or tension can additionally increase blood cholesterol level.

 TRIGLYCERIDES THE EDIBLE OIL

 We already know that Energy or Calories are derived in our body from only three kinds of food – Carbohydrates (Cereals, fruits, vegetables, Sugar and items made from them), Proteins (Pulses or dals, non vegetarian food) and fats. More than 99% of the consumed fats, by almost all of us, are Triglycerides. When the body breaks these triglycerides, each gram of Triglyceride will give us 9 calories of energy.

 WHICH OIL IS GOOD?

 It is a deep rooted belief in Indian house holds that one cannot prepare meals without oil but with taste intact. A variety of oils are available in the market. Many oil manufactures claim that consumption of their brand will help reduce the chances of heart disease. The slogan which is commonly used is “Heart friendly oil” which is not true. All oil manufacturing companies give one reason or the other in favour of their product, e.g. “Oil keeps your family active and fit”, “oil adds healthy goodness to your cooking”, “helps reduce cholesterol levels”, “brings out the true taste of good food while making it easy to digest”, “one feels active throughout the day… if you consume our oil” and “soy oil is healthy for heart as it is rich in polyunsaturates”…..  and so on. All vegetable oils have one thing common in their composition i.e. zero percent cholesterol content.

The fact is that cholesterol is present only in animal products. And since all these oils come from plant products , there is no question of cholesterol being present in them. The oil companies highlight the “zero cholesterol “ slogan in order to promote their product and the consumer gets misleaded. No oil made from vegetable or plant origin contains cholesterol.

 All oils, whether corn oil, soya oil, sun flower oil or Kardi oil, are full of triglycerides. Consumption of 10gm of any oil will provide 90 cal. What one must understand is that this is just a marketing strategy used by the promoters of the oil companies. Triglycerides i.e. Oil in any form whether saturated , monounsatured, polyunsaturated or mixed, promotes the process of blockaging and is hence Bad for the heart.

 SHOULD OIL AND CHOLESTEROL BE RESTRICTED IN YOUR CHILD

 No. Nutrition for children should promote growth and meet energy and nutrient needs without promoting overfatness. Parents can assist their children in making positive food choices.  Habits formed in childhood are likely to carry into adult years. No food should be forbidden in a child’s diet. Children grow till the age of 30 years and in the growing years their body requires these fats. Keeping fat intake at moderate levels without going to extremes is the key. Parents who are too restrictive with fat intake will limit a child’s ability to eat sufficient calories to maintain growth. However screening is advocated for children and adolescents whose parents and grandparents develop heart disease or have high lipids.

 HOW CHOLESTEROL LEVEL RUNS IN THE FAMILY?

Mr. Basu, 55, retired cannot sit on the breakfast table without a newspaper. Being an avid reader he has read in one of those articles that sometimes HIGH Cholesterol levels run in the family.

He called on one of his friend who is a doctor, to confirm it. Aware that his levels are elevated he asked his two sons to go in for a check, who reluctantly agreed, only to be surprised to find alarmingly high levels of Cholesterol, despite a low fat intake in the meals.

Average diet supplies about 500 milligrams of cholesterol per day. Another 1000 milligram is synthesized in the body. Liver and Intestines are the principal sources for blood cholesterol. Also it is produced in Skin, Adrenal glands, Testes & Ovary. It is used in the formation of Vitamin D, few Hormones and Skin.

The increase in Cholesterol can be classified as secondary and primary.

Secondary means precipitation because of another disease e.g. Diabetes, Myxoedema, Nephrotic syndrome, chronic alcoholism and few drugs which include Steroids (life saving anti inflammatory agents), Oral Contraceptives (the birth control pill), etc.

Primary can be because of genetic factors (i.e. genes passed on in a family) and also to add to it is the dietary and physical activity factors.

Known as Familial Hypercholesterolemia there is an increase of LDL and Cholesterol levels in the blood. Either the LDL binding to the cells is poor or transfer inside the cells is poor leaving it suspended in the blood and subsequently harming the inside of wall of blood vessels. Normally the Cholesterol inside the body, but her this mechanism fails, hence excessive synthesis of Cholesterol by the Liver leading to elevated levels of Cholesterol and also LDL. The receptors for LDL in the cells may be markedly reduced or even altogether absent.

 Hope you liked this article.

This article is written by Dr. Bimal Chajjer (India’s best heart specialist)

[pediatricnephrologyindia]

What Is Nephrotic Syndrome And What Causes It?

Nephrotic syndrome is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering system gets damaged, the kidney tends to filter substances which it usually doesn’t, and filter less of substances which it usually does. All of these issues give rise to some characteristic findings, which include:

Large amounts of protein present in the urine which results from leakage of protein through the damaged nephrons which usually prevent protein leak. This is known as proteinuria in medical terms and is calculated according to your child’s age and body weight.

Low levels of protein in the blood, which results from the protein leaking out into the urine, and is called Hypoalbuminemia.

Edema or tissue swelling in all areas of the body, which is the result of reduced levels of protein in the blood. This swelling is especially evident around the eyes, in the face, and in the abdomen which is known as ascites. The swelling results because the protein in the blood actually acts like a sponge which helps to keep most of the fluid in the blood, and when there is a reduced amount of proteins in the blood, the water tends to leak out from the blood into the tissues, resulting in swelling.

Increased levels of cholesterol in the blood, which results from reduced levels of protein in the blood which is a signal for the body to increase its production of certain types of fat.

The symptoms and signs of nephrotic syndrome:The signs and symptoms that children often present with include:

Malaise and fatigue

Abdominal pain and swelling

Frothy urine

Increased body weight and facial edema

Loss of appetite

Paleness of the nail bed

Dull hair

Development of intolerance to certain food or allergies

The cartilage of the ears may feel less firm

The different types of nephrotic syndrome:There are different types of nephrotic syndromes in existence as a result of the different causes. Some of these causes include, diabetes, hepatitis B and C, medications such as corticosteroids, and conditions like systemic lupus erythematosis, and cancer of the kidneys. The most common type of nephrotic syndrome to affect children is one that is known as idiopathic nephrotic syndrome, where there is no identifiable underlying cause.

Nephrotic syndrome can also be categorized according to the way the kidney tissue appears when it is viewed under a microscope following a biopsy. According to this tow forms have been recognized, Minimal Change Disease (MCD) and Focal Glomerular Sclerosis (FSGS).

Minimal Change Disease (MSD):This is most common form to affect children and you will see that the renal cells look almost normal when seen under the microscope. It responds well to steroids, and has a good outcome in most cases. This form doesn’t have any lasting damage on kidney function, and relapses less and less frequently as the child ages, and is usually absent in adulthood. It is very rare for a child affected by minimal change disease to require dialysis or kidney transplant.

Focal Glomerular Sclerosis (FSGS):This form of disease is present only in about 10% of the children with nephrotic syndrome. It requires biopsies in order to be diagnosed and doesn’t usually respond to steroid therapy, and is an aggressive form, which more often than not requires the child to undergo dialysis or a kidney transplant.

What is congenital nephrotic syndrome?As the word suggests this form of nephrotic syndrome is present at birth, but it is most likely that the condition will go unnoticed at the time of birth and be discovered only when the baby is few months old. It is a very rare condition and is caused by a genetic predisposition where both parents have to be carriers of the condition. It is a very aggressive and severe form of nephrotic syndrome where the affected baby will require a kidney transplant as soon as possible, ideally within the first few years of life. And till a transplant becomes possible, the baby will require transfusions of blood protein almost every day, because the protein leaks out from the kidneys at a rapid rate. They will also require frequent boosting of their immune system and hormones in order to keep them healthy till the transplant can be done, and till they reach the appropriate weight with which a transplant becomes possible, which is about 15 pounds when the child is roughly around one year.

Tags = Nephrotic syndrome Specialist in Delhi, Nephrotic syndrome Specialist in India,   nephrotic syndrome, Nephrotic syndrome causes, signs of nephrotic syndrome, types of nephrotic syndrome

[drsidharthsethi-blog]

Nephrotic Syndrome In Childhood

Nephrotic syndrome is a disease of the kidneys which occurs in childhood. It is often called nephrosis or minimal change disease, and is a disease which is characterized by increased leakage of proteins from the body in the urine. This results in increased levels of protein present in the urine and low levels of protein present in the blood. Which in turn will cause fluid present in the blood to move into and within the body tissues, resulting in swelling or edema of the tissues. This swelling is especially apparent around your child’s eyes, in the face, in the abdomen which is known as ascites and in the legs. You will be able to notice this swelling as weight gain in the child, and you may also notice that your child does not pass urine as frequently as he/she used to.

This type of protein leak and edema is not specific to nephrotic syndrome alone, and can be seen with other diseases of the kidney as well such as glomerulonephritis.

What is the cause of nephrotic syndrome?

There are variety of causes of nephrotic syndrome, but the most common type to affect children is known as Idiopathic, meaning that an identifiable cause has not been recognized yet.  Idiopathic nephrotic syndrome is much more common in boys than in girls and affects children in the age range of 1 ½ to 5 years.

Symptoms of nephrotic syndrome:

You should suspect that your child may be suffering from nephrotic syndrome, if they develop some of the following:

Facial edema and puffiness around the eyes, which is initially present only in the mornings and gradually begins to appear throughout the day.

Abdominal pain and swelling

Frothy urine

Increased body weight

Malaise and fatigue

Loss of appetite

Paleness of the nail bed

How can nephrotic syndrome be treated?

The mainstay of treatment for nephrotic syndrome is a daily dose of steroids, prednisolone, which is given according to your child’s body weight, with the aim of reducing the loss of protein in the urine, and making sure that your child is passing an adequate volume of urine.

How does prednisolone act?

It acts by stopping the leakage of protein from the kidney and into the urine. It also helps your child pass urine more often, which means that gradually more and more fluid is passing out of the body and the swelling will go down after a few weeks of treatment.

Although known to be very effective in the treatment of nephrotic syndrome, prednisolone can have side effects when large doses are used for long periods of time, such as:

Increased appetite

Low immunity and high risk of infection

Weight gain

Fluctuation of mood

Poor growth rate

Hyper activity

Development of acne

Is there any other form of treatment for nephrotic syndrome?

In the case that prednisolone does not have any effect on your child’s symptoms, then the doctor may prescribe more potent medication known as immuno suppressive drugs. These act by lowering the immunity in your body, therefore your child will be more susceptible to infections and also have other side effects like loss of hair and reduced production of blood cells. Therefore you must always discuss treatment options in detail with your doctor before commencing. Your child may require vaccination against conditions like chicken pox prior to commencing treatment.

What happens during treatment?

Once your child has been started on any form of treatment it is important that he/she is closely monitored for response and relapses. This monitoring can be done even at home, using a simple urine protein test, which will indicate the level of protein present in the urine. If the urine protein continues to reduce, then the doctor will suggest weaning off the steroid dose.

But if the home urine protein test shows 2+ protein levels or more, for three consecutive days, then you should promptly inform your doctor about this, because it may mean that your child is relapsing. During these relapses, it is important for you to restrict the fluid and salt intake of your child, because increased levels of salt and fluid can further aggravate the condition.

Will the disease flare up again?

When it comes to childhood nephrotic syndrome, it is common for children to relapse frequently, which is about 3-4 times a year, especially within the first two years after the onset of the disease. The lesser the relapses a child suffers, better the outcome of the disease, although nephrotic syndrome in childhood is not known to cause permanent kidney damage or altered kidney function. And the natural progression of the disease is such that the child usually outgrows it as they approach adulthood, with relapses occurring less frequently as they grow older, and going into complete remission when they are adults.