Renal Health & Intervention
Centre for Renal Health and Intervention The department of Nephrology at the Centre for Renal Health and Intervention (CRHI), Meitra Hospital, Kozhikode aims to provide comprehensive clinical care integrated with transparent, ethical practices and cutting edge research. Our endeavour is to facilitate an exceptional experience for patients tethered to the best possible clinical outcomes, in tune with the larger Meitra Hospital vision. The department in phase one of inception is manned by two consultants and assisted by a dedicated team of Dialysis nurses, Technicians and other support staff. Comprehensive Nephrology care is offered; comprising of outpatient services including multidisciplinary speciality clinics, in patient renal care including consultation service and ICU dialysis, maintenance hemodialysis, peritoneal dialysis, treatment of poisoning, renal biopsy and management of Glomerular disease, Plasmapheresis and Plasma Exchange, The centre is equipped to provide the full range of transplantation services both living donor and deceased donor kidney transplantation. The hemodialysis unit and outpatient clinics of the CRHI are located on the first floor in the main outpatient area adjacent to the day care space. The outpatient department will function daily 9.30 AM to 5.00 PM. Maintenance hemodialysis unit will be operational Monday to Saturday 7.30 AM to 5.30 PM. Emergency hemodialysis will be provided round the clock. Inpatient services are available throughout the day.

Polycystic Kidney Disease (PKD)

Polycystic kidney disease is a genetic disorder which causes clusters of cysts to grow in the kidneys. Cysts are non-cancerous fluid filled sacs. Kidney cysts cause enlargement of the kidneys and affects its function and may lead to kidney failure overtime. Polycystic kidney disease can lead to other complications including high blood pressure and other damages to the brain and heart.

Causes

Genetic mutation and hereditary factors are the known causes of polycystic kidney disease.

Symptoms

Symptoms of polycystic kidney disease includes:

  • Pain in the lower back or sides of abdomen
  • Increase in the size of abdomen
  • High blood pressure
  • Hematuria or blood in the urine
  • Frequent urinary tract infections
  • Headaches
  • Kidney stones
Diagnosis

Imaging procedures are the major diagnostic procedure in identifying polycystic kidney disease, size and number of cysts and finding out the amount of damaged and healthy kidney tissues.

  • Ultrasound
  • CT – Computerised tomography scan
  • MRI – Magnetic resonance imaging
Prevention
  • Genetic counselling to assess the risk of passing on the condition.
  • Eat a low salt diet.
  • Avoid smoking and alcoholism.
  • Exercise regularly.
  • Have good control over your blood pressure, sugar and cholesterol levels.
  • Eat a healthy, nutritious and well balanced diet.
Treatment

There is no exact treatment method or cure for polycystic kidney disease. Treatment can be done to manage the signs and symptoms and reduce further complications.

  • Lifestyle changes are a major part in the treatment for polycystic kidney disease. It involves healthy measures like avoiding caffeine, drinking plenty of water, maintaining healthy weight, control of blood pressure, sugar and cholesterol levels and regular exercise.
  • Medications such as antibiotics may be required to relieve pain or infections.
  • Tolvaptan therapy is the use of medicines to reduce the rate of cyst development in kidneys.
  • Kidney transplant wherein a damaged kidney is replaced by a healthy kidney may be recommended in severe cases.

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