In many teaching hospitals, it is time to reorganize departments and services. To the traditional departments of medicine, surgery or pediatrics, we now prefer departments focused on a theme. Thus, for example, neuroscience departments were created, bringing together neurologists, neurosurgeons and neuropsychologists, or even heart/lung departments, bringing together all the medico-surgical specialties whose organs are located in the thorax. For internal medicine, this type of rearrangement is gradually leading to a dispersion of specialties into new concepts whose clinical and/or economic relevance is questionable.
In this new movement, it seems opportune to ask the question: who is the best partner for nephrology? A priori, it would seem logical to associate it with urology. Such a grouping would have the advantage of a common theme, the kidney and the urinary tract. However, the gathering of nephrologists and urologists in one department does not seem to generate much enthusiasm because the whole would not be of sufficient size. So where to put nephrology? Why not in the heart/lung department? Granted, the kidney is not in the chest, but renal failure is a patient with high cardiovascular risk whose probability of dying from a cardiovascular event is ten times greater than that of dying from renal failure. Hypertension, heart failure, coronary artery disease, dyslipidemia, Peripheral arterial disease are part of the daily life of nephrologists. Close collaboration in this sector would make it possible to develop prevention in nephrology.
Nephrologists are sometimes found in the “abdominal” sector with gastroenterologists and visceral surgeons. This association is not very happy insofar as interactions with gastroenterologists are relatively infrequent even if there are common pathologies that affect the liver or the digestive tract and renal function.
All things considered, if one examines all of the clinical interactions that link the nephrologist with other specialties of medicine, a simple conclusion emerges: Isn’t the best place for nephrology simply in medicine? Internal? Do we really have to change in order to change? Nephrology is nourished on a daily basis by all the activities of internal medicine of which it is one of the most integrative sub-specialties. Without a very solid training in medicine, it is not possible to properly understand the profession of a nephrologist. That is why it is important to ensure that nephrology does not deviate from internal medicine. We must also prevent the break-up of our specialty into sub-specialties such as dialysis or transplantation. The development of hyper-specialists, necessary for research and teaching, carries a high risk of depletion of general nephrology in the long term. The future of nephrology should, therefore remain closely linked to that of internal medicine while maintaining privileged relations with all of our clinical partners.
Nephrologists could also approach endocrinologists. Diabetic nephropathy is the main cause of renal failure in our populations, and hypertension is also of interest to endocrinologists. Also, obesity, hyperparathyroidism, and metabolic and nutritional disorders are common problems in chronic kidney disease. These numerous points of contact would give a certain logic to this regrouping. But in fact, why not also consider immunology (glomerular diseases, transplantation), hematology (anemia), even rheumatology or intensive care?
Nephrology studies the causes of various diseases of the urinary system, their signs and symptoms, develop new effective methods of diagnosis and treatment, deals with the prevention of nephrological diseases. The term “nephrology” is derived from two Greek words “nephros” – a kidney and a “logo” – the doctrine in which the meaning of this science is.
What symptoms should be treated with a nephrologist
Kidneys perform an important function – responsible for the elimination of metabolic products, toxins and other harmful compounds. If there are any problems in their work, it affects the life of the whole body. But very often kidney and urinary system diseases occur without pronounced symptoms, and at some point, the disease progresses sharply and leads to the development of a number of severe complications.
You should make an appointment with a nephrologist when the following symptoms appear:
- Lower back pain, one-sided or two-sided.
- Violation of urination. It can be anuria (a condition in which urination completely stops), oliguria (urination occurs very rarely), polyuria (the volume of urine released increases),
- Hematuria (blood appears in the urine).
- Proteinuria (the appearance of protein in urine).
- Changing the color or smell of urine.
- Pain when urinating.
- Increase in body temperature for no apparent reason (e.g. signs of a cold).
- Expressed swelling of the legs and face.
Some symptoms require regular observation of a nephrologist. Do not delay a visit to the nephrologist, if you have been diagnosed with chronic kidney disease, hypertension, detected urinary system infections.
Conditions in which urgent consultation of a nephrologist is required:
- Acute pain in the lower back is of unclear origin.
- Renal colic.
- The genitourinary system is injured.
- There is an acute delay in the urine.
When a nephrologist’s consultation is necessary for the child
Very often, children suffer from kidney disease. If your child has symptoms such as:
- Swelling of the eyes (or some swelling);
- Changing the color and smell of urine;
- Reducing or increasing the number of urination (inconsistency with the age norm);
- redness of the external genitalia and complaints of pain when urinating.
You need the advice of a Pediatric nephrologist.
What diseases a nephrologist treats
The nephrologist treats the following diseases:
- Pyelonephritis (an infectious-inflammatory disease that affects the parenchy kidneys and the cup-lohan system).
- Glomerulonephritis (defeat of renal tangles at the immune level).
- Urinary tract infections.
- Kidney amyloidosis (a metabolic disorder in the kidneys, which provokes the formation of amyloid).
- Hypertensive disease in combination with renal pathology.
- Metabolic and diabetic nephropathy.
- Drug damage to the kidneys (violation of kidney function on the background of taking certain drugs).
- Chronic renal failure.
What treatments are used
In the treatment of kidney and urinary system diseases, one of two areas can be chosen: specific or non-oprosthive.
Specific treatment is aimed at eliminating or relieving a particular disease.
Non-oprosthive treatment is practiced as a universal technique for all kidney disorders.
The choice of medicines and treatments depends on a particular disease. Vitamins, steroids and antihypertensives are used as general strengthening measures.
In severe form of renal failure dialysis is used.
List of Best Nephrologist in India 2021
- Dr. Akhil Mishra
- Dr. Ashok Kumar Sarin
- Dr. Vinay Sakhuja
- Dr. Raja Mahesh
- Dr. Vijay Kher
- Dr. R Aruna
- Dr. S Rajagopalan Seshadri
- Dr. Satish Chandra Chhabra
- Dr. C M Thiagarajan
- Dr. Prem P Varma
Best Nephrologist in India
Dr. Akhil Mishra-
50+ Years Experience
Qualification: MBBS, MD (Medicine), DM (Nephrology)
Consultation: Indraprastha Apollo Hospitals (New Delhi)
Dr. Ashok Kumar Sarin –
42+ Years Experience
Qualification: MBBS, MD (Medicine)
Consultation: Indraprastha Apollo Hospitals, New Delhi
Dr. Vinay Sakhuja –
38+ Years Experience
Qualification: M.B.B.S., M.D. (Medicine), D.M. (Nephrology), M.N.A.M.S., F.A.M.S.
Consultation: Max Super Speciality Hospital, Mohali, Chandigarh
Dr. Raja Mahesh –
43+ Years Experience
Qualification: MBBS, MD (Nephrology)
Consultation: Apollo First Med Hospitals, Chennai & Apollo Hospitals Greams Road, Chennai
Dr. Vijay Kher
37+ Years Experience
Qualification: MBBS, MD (Medicine), DM (Nephrology), DNB
Consultation: Medanta – The Medicity, Gurgaon
Dr. R Aruna –
42+ Years Experience
Qualification: MBBS, MD (General Medicine), DM (Nephrology)
Consultation: Yashoda Hospitals, Malakpet, Hyderabad
Dr. S Rajagopalan Seshadri
24+ Years Experience
Qualification: MBBS, MD (Medicine), DNB
Consultation: Apollo Hospitals, Greams Road, Chennai
Dr. Satish Chandra Chhabra
31+ Years Experience
Qualification: MBBS, MD (Medicine), DNB, DM (Nephrology)
Consultation: Max Super Speciality hospital, Patparganj, New Delhi
Dr. C M Thiagarajan
32+ Years Experience
Qualification: MBBS, MD (Medicine), MNAMS
Consultation: Fortis Malar Hospital ,Chennai
Dr. Prem P Varma
38+ Years Experience
Qualification: MBBS, MD (Medicine), MNAMS
Consultation: Venkateshwar Hospital, New Delhi