Nephrology is a medical specialty that deals with the diagnosis and treatment of kidney disorders. Kidneys are vital organs that filter and manage waste from the blood. Kidney problems can cause serious health issues. Sterling Hospitals Rajkot .  Nephrology Department offers 24x7 services, including daily outpatient services, day-care facilities, it is well-equipped and staffed with experienced nephrologists to provide comprehensive care for critically ill patients with kidney disorders. The department has a state-of-the-art hemodialysis unit with 12 fully computerized machines. It also has a specialized water treatment plant to ensure the provision of high-quality water for effective dialysis. 

  Diseases Treated at Department Of Nephrology , Sterling Hospital  Rajkot 

• Chronic kidney disease (CKD): Nephrology Department at Sterling Hospitals Rajkot ,  provides comprehensive care for patients with CKD, which includes evaluation, management, and monitoring of CKD stages 1 to 5, as well as renal replacement therapy options such as dialysis or kidney transplantation.  

• Acute kidney injury (AKI): The department specializes in the diagnosis and management of AKI, which is a sudden and severe decrease in kidney function that can occur due to infections, medications, dehydration, or underlying medical conditions.  

• Hypertension-related kidney diseases: Hypertension (high blood pressure) can lead to kidney damage over time, and the Department offers specialized care for patients with this diseases, including diagnosis, treatment, and long-term management.  

• Diabetic nephropathy: Diabetes is a leading cause of kidney disease, and the department provides specialized care for patients, including monitoring, management of blood sugar levels, blood pressure control, and other preventive measures. 

• Glomerular diseases: The department is equipped to diagnose and manage various glomerular diseases, which are conditions that affect the glomeruli (tiny blood vessels) in the kidneys, including conditions such as nephrotic syndrome, IgA nephropathy, and lupus nephritis.  

• Urinary tract infections (UTIs): common infections that can affect the kidneys, and the Nephrology Department at Sterling Hospitals Rajkot ,  provides diagnosis and treatment of UTIs, including appropriate antibiotic therapy and preventive measures.  

• Polycystic kidney disease (PKD): a genetic disorder that causes the formation of cysts in the kidneys. The department offers specialized care including monitoring, management of complications, and coordination of care for kidney transplantation, if needed.  

• Renal stones: The department provides evaluation and management of renal stones, including medical and surgical options for stone removal and prevention of recurrence.  

• Electrolyte and acid-base imbalances: The department specializes in the diagnosis and management of various electrolyte and acid-base imbalances, such as hyperkalemia, hyponatremia, acidosis, and alkalosis, which can affect kidney function and overall health.  

• Other kidney-related conditions: The Nephrology Department also provides care for other kidney-related conditions, including inherited kidney disorders, kidney infections, cystic kidney diseases, and other rare and complex kidney disorders.  

Our nephrology unit is equipped with a spacious facility that includes cardiac monitoring, central oxygen supply, and other emergency treatment facilities. Moreover, mobile hemodialysis services in our CCU for patients on ventilators, ensuring timely and effective care.  

Our Services Include   

• Continuous Renal Replacement Therapy (CRRT) for multi-organ dysfunction, septicaemia, refractory congestive heart failure, and other critical conditions.  

• Peritoneal dialysis services, including Continuous Ambulatory Peritoneal Dialysis (CAPD) and training for end-stage renal failure patients.  

• Renal angiography and angioplasty procedures.  

• Renal biopsy with histopathological evaluation.  

• Extracorporeal therapy for sepsis.  

• Plasma exchange for specific conditions.  

• Emergency treatments for poisoning, fluid and electrolyte imbalance.  

• Procedures like Exchange Transfusion and Plasmapheresis.  

• Molecular Adsorbent Recirculating System (M.A.R.S.) therapy available.  

• Highly qualified nephrologists and skilled staff provide expert care with compassion.  

  At Sterling Hospitals Rajkot , , we are committed to providing the highest quality of care for patients. Our team of highly qualified nephrologists and dedicated staff are well-prepared to manage most critical cases with expertise and compassion.  

  Common procedures   

• Haemodialysis  

• Peritoneal dialysis  

• Renal biopsy  

• Continuous Renal Replacement Therapy (CRRT)  

• Molecular Adsorbent Recirculating System (M.A.R.S.)  

  Hemodialysis   

Common procedure performed at Sterling Hospitals Rajkot ,  for patients with end-stage renal disease (ESRD) or acute kidney injury (AKI).  

• Indications: Hemodialysis is indicated when the kidneys are unable to effectively filter and cleanse the blood, leading to a build-up of waste products and excess fluid in the body. It is commonly used for patients with ESRD, where the kidneys have permanently lost their function, or for patients with AKI, which is a sudden and severe decline in kidney function. 
• Procedure: During hemodialysis, blood is drawn from the patient's body and passed through a specialized machine called a dialyzer, which acts as an artificial kidney. The dialyzer removes waste products, excess fluid, and toxins from the blood, and then returns the cleansed blood back to the patient's body. The procedure is typically performed multiple times a week, and each session can last several hours. 
• Risks: Hemodialysis, like any medical procedure, carries some risks. These may include infection at the access site (the area where blood is drawn and returned), bleeding, low blood pressure, muscle cramps, electrolyte imbalances, and allergic reactions. In some cases, complications such as infection, clotting of the access site, or damage to blood vessels or nerves may occur. 
• Recovery: Recovery after hemodialysis is generally well-tolerated, and most patients can resume their normal activities after the procedure. However, it is important to follow the prescribed treatment plan and adhere to dietary and fluid restrictions as recommended by the nephrologist to optimize the outcomes of hemodialysis.  

The Nephrology Department at Sterling Hospitals Rajkot ,  is well-equipped with state-of-the-art facilities and experienced nephrologists who are skilled in performing hemodialysis and managing patients with kidney diseases. The department follows strict infection control protocols and provides personalized care to ensure the safety and well-being of patients undergoing hemodialysis.   

Peritoneal dialysis   

It is a type of renal replacement therapy that is used to treat patients with end-stage renal disease (ESRD) at the Nephrology Department of Sterling Hospitals Ahmedabad. Here's a brief overview:  

• Procedure: Peritoneal dialysis involves using the peritoneal membrane, which lines the abdominal cavity, as a natural filter to remove waste products and excess fluid from the body. A special dialysis solution is introduced into the abdominal cavity through a catheter, and the peritoneal membrane acts as a filter to remove waste products and excess fluid. The solution is then drained out and replaced with fresh solution in a cyclical process that can be done at home by the patient or with the help of a caregiver. 

• Indications: Peritoneal dialysis is indicated for patients with ESRD who have intact peritoneal membrane and are able to perform the procedure themselves or with assistance. It is also used in cases where hemodialysis is not feasible or preferred by the patient due to medical or lifestyle reasons.  

• Risks: Peritoneal dialysis, like any medical procedure, carries some risks. These may include infection at the catheter site, peritonitis (infection of the peritoneal membrane), hernia, leaks, bleeding, and electrolyte imbalances. It is important to closely monitor and manage these risks to ensure the safety and effectiveness of peritoneal dialysis. 

• Recovery: Recovery after peritoneal dialysis is generally well-tolerated, and most patients can continue their normal activities while undergoing the procedure at home. However, regular monitoring by the nephrologist and adherence to the prescribed treatment plan, including proper technique and hygiene, are crucial for successful outcomes.  

The Nephrology Department at Sterling Hospitals Rajkot ,  has experienced nephrologists who are skilled in performing peritoneal dialysis and managing patients with kidney diseases. The department provides comprehensive care, including patient education, training, and ongoing support for patients undergoing peritoneal dialysis, to ensure optimal outcomes.  

Kidney biopsy  

It is a diagnostic procedure that involves the removal of a small tissue sample from the kidney for microscopic examination. This procedure is performed at the Nephrology Department of Sterling Hospitals Ahmedabad. Here's a brief overview:  

• Procedure: Kidney biopsy is usually performed using a needle guided by ultrasound or CT scan to obtain a small sample of kidney tissue for examination. The tissue is then analyzed under a microscope by a pathologist to determine the cause of kidney disease and guide appropriate treatment.  

• Indications: Kidney biopsy is indicated in cases where the cause of kidney disease is not clear from other diagnostic tests. It is commonly performed in patients with unexplained hematuria (blood in urine), proteinuria (protein in urine), decreased kidney function, suspected glomerulonephritis, or other kidney disorders.  

• Risks: Kidney biopsy, like any invasive procedure, carries some risks. These may include bleeding, infection, damage to surrounding organs or blood vessels, and allergic reactions to the local anesthetic or contrast dye used during the procedure. However, the risks are generally low and can be minimized with careful patient selection, skilled performance of the procedure, and close monitoring during and after the biopsy.  

• Recovery: Recovery after kidney biopsy depends on the individual patient and the specific circumstances of the procedure. Most patients are observed for several hours after the biopsy to monitor for any complications. Rest, hydration, and avoiding strenuous activities are typically recommended for a few days after the procedure. Results of the biopsy are usually available within a few days to a week.  

The Nephrology Department at Sterling Hospitals Rajkot ,  has experienced nephrologists who are skilled in performing kidney biopsies and interpreting the results. The department uses state-of-the-art imaging and biopsy techniques to ensure accurate diagnosis and appropriate treatment for patients with kidney diseases.  

Continuous Renal Replacement Therapy (CRRT)  

Continuous Renal Replacement Therapy (CRRT) is a specialized form of hemodialysis that is performed continuously over an extended period of time, typically 24 hours a day, to manage acute kidney injury (AKI) or other critically ill patients with renal dysfunction. Here's an overview of CRRT, including its indications, risks, and benefits:  

• Indications: CRRT is indicated in patients with AKI or acute-on-chronic kidney disease (CKD) who require intensive renal support due to severe renal dysfunction, fluid overload, electrolyte imbalances, or other complications. It is commonly used in critically ill patients in the Intensive Care Unit (ICU), such as those with sepsis, multi-organ dysfunction syndrome (MODS), or post-surgery.  

• Procedure: CRRT involves the continuous removal of waste products, excess fluids, and electrolytes from the blood using a specialized machine and filter system. The blood is continuously circulated through the machine, and the filtered blood is returned to the patient. CRRT is typically performed by trained ICU staff under the guidance of a nephrologist.  

• Risks: Like other forms of hemodialysis, CRRT carries some risks, including bleeding, infection, clotting of the filter, air or blood leaks, electrolyte imbalances, and changes in blood pressure. Close monitoring and careful management are required to minimize these risks and ensure safe and effective therapy.  

• Benefits: CRRT provides continuous, gentle, and precise removal of waste products, excess fluids, and electrolytes from the body, which can help manage acute kidney injury, fluid overload, and electrolyte imbalances in critically ill patients. It allows for close monitoring and adjustments of the treatment parameters to tailor the therapy to the patient's specific needs.  

The Nephrology Department at Sterling Hospitals Rajkot ,  is well-equipped with state-of-the-art CRRT machines and a skilled team of nephrologists and ICU staff experienced in managing CRRT for critically ill patients. The department follows best practices and guidelines to ensure safe and effective CRRT therapy, and provides comprehensive care for patients with AKI or other renal disorders.  

Molecular Adsorbent Recirculating System (M.A.R.S.)  

Molecular Adsorbent Recirculating System (M.A.R.S.) is a specialized extracorporeal therapy used in the management of acute liver failure and liver dysfunction. Here's an overview of M.A.R.S., including its indications, risks, and benefits:  

• Indications: M.A.R.S. is indicated in patients with acute liver failure or severe liver dysfunction who require intensive liver support. It is used when other conventional treatments, such as medical management or conventional hemodialysis, are not effective in managing the liver dysfunction. M.A.R.S. can help remove toxins and improve liver function in critically ill patients with liver failure.  

• Procedure: M.A.R.S. involves the use of a specialized machine and filter system to remove toxins, such as bilirubin and ammonia, from the blood. The blood is circulated through the machine, and the toxins are adsorbed onto the filter and removed from the body. The filtered blood is then returned to the patient. M.A.R.S. is typically performed by trained ICU staff under the guidance of a hepatologist or liver specialist.  

• Risks: Like other extracorporeal therapies, M.A.R.S. carries some risks, including bleeding, infection, clotting of the filter, air or blood leaks, electrolyte imbalances, and changes in blood pressure. Close monitoring and careful management are required to minimize these risks and ensure safe and effective therapy.  

• Benefits: M.A.R.S. provides a specialized and targeted approach to removing toxins from the blood in patients with acute liver failure or liver dysfunction. It can help improve liver function, reduce complications, and support the overall management of critically ill patients with liver failure.  

The Nephrology Department at Sterling Hospitals  is equipped with state-of-the-art M.A.R.S. machines and a skilled team of hepatologists and ICU staff experienced in managing M.A.R.S. therapy for patients with acute liver failure or liver dysfunction. The department follows best practices and guidelines to ensure safe and effective M.A.R.S. therapy, and provides comprehensive care for patients with liver disorders.