Speciality

Nephrology

Nephrology at Nirmal Hospital focuses on the evaluation and management of kidney diseases, including acute kidney injury, chronic kidney disease, renal failure, diabetic kidney disease, hypertension-related kidney problems and electrolyte disorders. The specialty also covers dialysis-related care and long-term monitoring to help manage kidney function and associated complications.

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Department overview

The Nephrology specialty at Nirmal Hospital provides specialist evaluation and management for conditions affecting the kidneys and their role in maintaining fluid balance, electrolyte levels and overall health. Care may involve assessing changes in kidney function, identifying underlying medical conditions and developing an appropriate treatment and monitoring plan. The specialty covers acute kidney injury, chronic kidney disease, renal failure, glomerular diseases, nephrotic and nephritic syndromes, and kidney complications associated with diabetes and hypertension. Evaluation and treatment planning are tailored to the patient's condition, medical history, kidney function and associated health concerns. Nephrology care also includes the assessment and management of electrolyte and acid-base disorders, kidney-related complications in critically ill patients, and care for people receiving dialysis. Pre-dialysis and post-dialysis management form part of the documented clinical expertise, with an emphasis on monitoring, managing complications and coordinating appropriate ongoing care. Consultant Nephrologist: Dr. Anilkumar Karashanbhai Patel, MBBS, MD (General Medicine), DNB (Nephrology), has specialist training in the diagnosis and management of kidney diseases. His clinical focus includes preserving kidney function where possible, managing renal failure and supporting patients with complex kidney-related medical conditions.

The kidneys help remove waste products from the blood, regulate fluid and electrolyte balance, and contribute to blood pressure regulation. Nephrology focuses on identifying and managing disorders that affect these functions. Kidney conditions may develop suddenly, as in acute kidney injury, or progress over time, as in chronic kidney disease. Diabetes, hypertension, inflammatory kidney disorders and other medical conditions can contribute to kidney damage. Assessment by a nephrologist may involve reviewing symptoms, medical history, medications, blood pressure, laboratory results and other relevant investigations. The management plan depends on the underlying cause, severity of kidney impairment and the patient's overall health. Depending on the condition, care may include treatment of contributing diseases, monitoring of kidney function, management of fluid and electrolyte disturbances, and planning for renal replacement therapy when clinically indicated. Patients with advanced kidney disease may require specialist guidance regarding dialysis and the management of related complications. Regular follow-up can help monitor disease progression, review treatment response and support decisions about ongoing care.

Services

Specialist nephrology consultation
Kidney function assessment and clinical evaluation
Acute kidney injury assessment and management
Chronic kidney disease evaluation and follow-up
Renal failure assessment and management planning
Diabetic kidney disease evaluation
Hypertension-related kidney disease management
Glomerular and other renal disease assessment
Electrolyte and acid-base disorder management
Pre-dialysis assessment and care planning
Post-dialysis patient management
Kidney-related critical care consultation
Long-term kidney disease monitoring

Treatments

Medical management of acute kidney injury
Chronic kidney disease management
Management of renal failure and associated complications
Diabetic kidney disease management
Management of hypertension associated with kidney disease
Management of glomerular and renal disorders
Management of nephrotic and nephritic syndromes
Electrolyte and acid-base disorder management
Dialysis-related care and treatment planning
Pre-dialysis preparation and clinical management
Post-dialysis monitoring and complication management
Kidney-related care for critically ill patients

Conditions

Acute Kidney Injury (AKI)
Chronic Kidney Disease (CKD)
Renal Failure
Diabetic Kidney Disease
Hypertension-Related Kidney Disease
Glomerular Diseases
Nephrotic Syndrome
Nephritic Syndrome
Electrolyte Disorders
Acid-Base Disorders
Kidney-Related Complications in Critical Illness

Procedures

Kidney function blood tests, including serum creatinine and estimated glomerular filtration rate (eGFR)
Blood urea testing
Electrolyte testing
Urine routine examination and urinalysis
Urine protein assessment, including urine albumin-to-creatinine ratio where indicated
Kidney imaging, such as renal ultrasound, when clinically indicated
Dialysis assessment and treatment planning
Hemodialysis-related clinical management
Peritoneal dialysis-related clinical management

Care at Nirmal