Nephrology
At Amara, we’re emphatic on the importance of kidney health that would cater to the overall health and well-being of our patients. With cutting-edge technologies and the best minds in the field of Nephrology, we’re committed to offering the finest surgical and non-surgical solutions to treat a broad range of kidney-related ailments and diseases including kidney stones, kidney injury, Post transplant management and followups, kidney failure, chronic kidney disease and more.
MEET OUR TEAM
Dr. Sivaparvathi K
Consultant
(Nephrologist)
Mon - Sat : 9:00 am to 5:00 pm
- EDUCATION
- EXPERIENCE
- RESEARCH
- REWARDS
Dr. Radhika H
Consultant Intensivist & critical care medicine
Mon - Sat : 10 AM - 4 PM
- EDUCATION
- EXPERIENCE
- RESEARCH
- REWARDS
Dr. Goutham P
Consultant Intensivist & critical care medicine
Mon - Sat : 10 AM - 4 PM
- EDUCATION
- EXPERIENCE
- RESEARCH
- REWARDS
SERVICES
Management of Acute Kidney Injury
Acute Kidney Injury (AKI) is a sudden episode of kidney failure or kidney damage that occurs within a few hours or days. It causes a build-up of waste products in the blood and can affect other organs if not promptly managed. AKI is often reversible with timely diagnosis and appropriate treatment.
At our hospital, we provide comprehensive and evidence-based management of AKI, guided by a multidisciplinary team including nephrologists, intensivists, and specialized nurses. Our approach includes:
Early Detection and Monitoring: Prompt recognition through clinical evaluation and laboratory testing (e.g., serum creatinine, urine output).
Identifying and Treating the Underlying Cause: Such as infections, dehydration, medication toxicity, or obstruction.
Fluid and Electrolyte Management: Careful regulation of fluids and electrolytes to support kidney recovery and prevent complications.
Medication Review and Adjustment: Avoiding nephrotoxic drugs and adjusting dosages based on kidney function.
Renal Replacement Therapy (Dialysis): Initiated when necessary, using state-of-the-art equipment and protocols.
Ongoing Monitoring and Follow-up Care: Ensuring recovery or managing the transition to chronic kidney disease if applicable.
Our goal is to provide timely and effective care to reduce the risk of complications and improve patient outcomes. We are committed to supporting patients and families through education and personalized treatment plans.
Peritoneal Dialysis: IPD & CAPD
Peritoneal Dialysis (PD)
Peritoneal Dialysis (PD) is an effective treatment option for patients with kidney failure. It uses the lining of the abdomen (peritoneum) as a natural filter to remove waste products and excess fluid from the blood, offering an alternative to traditional hemodialysis. PD is especially beneficial for patients seeking greater flexibility and independence in managing their treatment.
Types of Peritoneal Dialysis:
1. Intermittent Peritoneal Dialysis (IPD)
Intermittent Peritoneal Dialysis (IPD) is typically performed in a hospital setting and is suitable for patients who require temporary or short-term dialysis. During IPD, dialysis fluid is infused into the abdominal cavity for a set period and then drained out in cycles. Each session may last several hours and is usually carried out multiple times a week.
Benefits of IPD:
Short-term dialysis support
Useful for patients recovering from acute kidney injury
Supervised by medical professionals in a clinical environment
2. Continuous Ambulatory Peritoneal Dialysis (CAPD)
Continuous Ambulatory Peritoneal Dialysis (CAPD) is a home-based, manual form of dialysis that does not require a machine. Patients perform several exchanges of dialysis fluid throughout the day, allowing them to maintain an active lifestyle while managing their treatment.
Key Features of CAPD:
Performed manually 3–5 times a day
Each exchange takes about 30–40 minutes
Offers greater independence and flexibility
Can be integrated into daily routine at home or work
Why Choose Peritoneal Dialysis?
Less dietary restrictions compared to hemodialysis
Better blood pressure control
Preserves residual kidney function
Suitable for patients who prefer home-based care
Our nephrology team provides comprehensive training and support to help patients confidently manage peritoneal dialysis at home. Whether you need temporary support through IPD or are considering CAPD for long-term care, we are here to guide you every step of the way.
Nephrotic Syndrome (Glomerular Disease): Children & Adults
Nephrotic syndrome is a kidney disorder that occurs when the glomeruli—tiny filtering units within the kidneys—become damaged. This damage leads to the leakage of large amounts of protein into the urine (proteinuria), resulting in swelling (edema), low blood protein levels, and high cholesterol.
Nephrotic syndrome can affect both children and adults, though the causes and treatment approaches may vary by age group.
In Children
Nephrotic syndrome in children is most commonly caused by a condition called minimal change disease, which often responds well to corticosteroid treatment. Children may experience:
Swelling around the eyes, ankles, and abdomen
Fatigue
Frothy or foamy urine
Weight gain due to fluid retention
In Adults
In adults, nephrotic syndrome may result from primary glomerular diseases such as focal segmental glomerulosclerosis (FSGS) or membranous nephropathy, or as a complication of systemic diseases like diabetes or lupus. Adults may present with:
Persistent swelling
High blood pressure
Increased risk of blood clots and infections
Progressive loss of kidney function
Diagnosis & Treatment
Diagnosis involves urine tests, blood tests, and often a kidney biopsy to identify the underlying cause. Treatment focuses on:
Managing symptoms (e.g., diuretics for swelling, statins for cholesterol)
Controlling blood pressure
Treating the underlying cause
Preventing complications
Comprehensive Care at Amara Hospital
At Amara Hospital, our nephrology team offers specialized, age-appropriate care for patients with nephrotic syndrome. From advanced diagnostics to individualized treatment plans and long-term management, we are dedicated to improving kidney health and quality of life for both children and adults.
Management of Chronic Kidney Disease
Chronic Kidney Disease (CKD) is a long-term condition characterized by a gradual loss of kidney function over time. Effective management is essential to slow disease progression, prevent complications, and improve quality of life.
At Amara Hospital, our multidisciplinary team of nephrologists, dietitians, and healthcare professionals provides comprehensive care tailored to each patient’s needs. Our approach includes:
Early Detection & Diagnosis: Regular screening for at-risk individuals, including those with diabetes, high blood pressure, or a family history of kidney disease.
Medication Management: Prescribing and adjusting medications to control blood pressure, blood sugar, and reduce proteinuria.
Dietary & Lifestyle Counseling: Personalized nutrition plans to reduce kidney workload, along with support for smoking cessation, weight management, and physical activity.
Monitoring & Follow-up: Routine lab tests and imaging to track kidney function and manage associated conditions such as anemia, bone disease, and electrolyte imbalances.
Preparation for Advanced Care: When necessary, we guide patients through options like dialysis and kidney transplantation, ensuring they are well-informed and supported throughout the process.
Our goal is to empower patients with the knowledge and tools to manage CKD effectively, preserve kidney function, and maintain a healthy, active life.
Renal Biopsy
Renal Biopsy
A renal biopsy, also known as a kidney biopsy, is a medical procedure used to collect a small sample of kidney tissue for examination under a microscope. This helps doctors diagnose kidney conditions, assess the severity of kidney disease, and guide appropriate treatment plans.
Why is a Renal Biopsy Performed?
A renal biopsy may be recommended if you have:
Unexplained kidney problems such as blood or protein in the urine
Decreased kidney function
Suspected inflammation or infection of the kidneys
Kidney disease of unknown cause
Monitoring after a kidney transplant
How is the Procedure Done?
Most renal biopsies are performed using a needle biopsy:
The patient lies on their stomach or side, depending on which kidney is being biopsied.
The skin is cleaned and numbed with a local anesthetic.
Using imaging guidance (ultrasound or CT scan), the doctor inserts a thin needle through the skin to obtain a tissue sample.
The sample is sent to a laboratory for analysis.
The procedure usually takes about 30 to 60 minutes and is followed by a period of observation to monitor for any complications.
Risks and Safety
Renal biopsy is generally safe, but as with any invasive procedure, there are potential risks, including:
Bleeding at the biopsy site
Infection
Pain or discomfort
Rarely, injury to the kidney
Our team takes all necessary precautions to ensure patient safety and comfort during and after the procedure.
Aftercare
Following the biopsy, patients are usually observed for several hours and may be advised to:
Avoid heavy lifting or strenuous activity for a few days
Monitor for symptoms such as fever, worsening pain, or blood in the urine
Stay hydrated and rest as advised by the care team
Continuous Renal Replacement Therapy (CRRT)
Continuous Renal Replacement Therapy (CRRT) is an advanced form of dialysis used to support critically ill patients with acute kidney injury (AKI) who are hemodynamically unstable. Unlike traditional dialysis, CRRT works continuously over 24 hours, gently removing waste products, excess fluids, and toxins from the blood. This slow and steady process helps maintain electrolyte balance and blood pressure more effectively in critically ill patients.
CRRT is commonly provided in the Intensive Care Unit (ICU) and is closely monitored by a multidisciplinary team, including nephrologists, intensivists, and specially trained nurses. It can be tailored to meet the individual needs of each patient, offering a safer and more controlled approach to renal support during severe illness.
Hemodialysis
Hemodialysis is a life-saving treatment for patients with advanced kidney failure or end-stage renal disease (ESRD). It helps to remove waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions naturally.
During the procedure, the patient’s blood is filtered through a dialysis machine (also called an artificial kidney) via a special access point, typically in the arm. The clean, filtered blood is then returned to the body. Each session typically lasts 3 to 5 hours and is usually performed three times a week.
At our hospital, we provide state-of-the-art hemodialysis services in a comfortable, safe, and closely monitored environment. Our expert nephrologists, trained nurses, and dedicated dialysis team ensure personalized care and attention to every patient.
Key Features:
Advanced dialysis machines for efficient treatment
Strict infection control protocols
Individualized treatment plans
Comfortable, patient-friendly dialysis units
24/7 emergency support for dialysis patients
If you or a loved one is in need of hemodialysis, our team is here to support you every step of the way.
Post-Transplant Follow-ups
After an organ transplant, ongoing care is essential to ensure the health and longevity of both the patient and the transplanted organ. Our Post-Transplant Follow-up Program provides comprehensive, long-term care tailored to each patient’s needs.
Our multidisciplinary team closely monitors patients through regular clinic visits, lab tests, and imaging to detect any signs of rejection, infection, or complications early. We also provide personalized medication management, lifestyle guidance, and support for emotional well-being.
Our goal is to help every transplant recipient achieve the best possible quality of life with continuous, compassionate care.
Permcath Placement
A Permcath (Permanent Catheter) Placement is a medical procedure used to insert a long-term catheter into a patient’s vein, typically for the purpose of dialysis or long-term intravenous access. This procedure is often performed in patients with chronic kidney disease or other conditions requiring frequent or continuous vascular access.
Procedure Overview:
Preparation: The patient is positioned comfortably, and local anesthesia is administered to numb the area where the catheter will be inserted, typically in the neck, chest, or groin.
Insertion: A small incision is made, and the catheter is carefully threaded into a large vein. It is placed securely to allow for the efficient flow of blood and fluids.
Post-Procedure Care: After the placement, the catheter is securely fixed in place, and the patient is monitored for any complications or signs of infection. The area around the insertion site is cleaned and dressed to minimize the risk of infection.
Why is Permcath Placement Performed?
Permcath placement is often used for:
Hemodialysis: In patients with kidney failure who require regular dialysis treatments.
Chemotherapy: To provide an access point for administering chemotherapy in cancer patients.
Long-term intravenous therapy: For patients requiring extended treatments or medications through an IV.
Benefits:
Provides a reliable and long-term solution for vascular access.
Minimizes the discomfort of frequent needle insertions.
Allows for consistent and controlled treatment administration.
Post-Procedure Care:
Patients should avoid heavy lifting or strenuous activity for a few days after the procedure.
Regular monitoring for signs of infection, such as redness, swelling, or fever, is essential.
The catheter site should be kept clean and dry.
Permcath placement is a safe and effective procedure, ensuring patients receive the necess