A K Sharma Dr
About Me
A K Sharma Dr
MD
Nephrologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
MANAGEMENT OF POLYCYSTIC KIDNEY DISEASE (PKD)
Polycystic Kidney Disease is a genetic disorder characterized by numerous cysts developing in both kidneys. These cysts can enlarge over time leading to loss of normal kidney tissue functionality causing progressive decline in renal capability.
- Etiology & Symptoms : It’s inherited primarily through autosomal dominant patterns; common signs include flank pain, high blood pressure, hematuria;
- Diagnostic tools : Ultrasound imaging confirms typical cyst formation patterns along with family history evaluation;
- Treatment modalities : Focused on controlling hypertension aggressively, managing complications such as urinary tract infections plus lifestyle modifications;
- Long term outlook : While no cure exists yet slowing progression via medication adherence remains key longitudinally;
The approach focuses on symptom management combined with close surveillance aiming at delaying onset of end-stage renal disease requiring dialysis or transplantation interventions later on effectively supporting quality life years despite diagnosis.
TREATMENT OF GLOMERULONEPHRITIS
The management of glomerulonephritis focuses on controlling inflammation within the glomeruli - essential filtering units of the kidneys - that affects their ability to filter blood properly. This condition ranges from mild asymptomatic disease to severe renal failure requiring intensive therapy.
- Underlying causes : Can be autoimmune, infection-related, or idiopathic; symptoms include swelling, hypertension, and abnormal urine tests with protein or blood presence;
- Diagnostic approach : Kidney function tests combined with urine analysis and sometimes biopsy provide essential insights;
- Therapeutic strategies : Include immunosuppressants such as corticosteroids, blood pressure control agents like ACE inhibitors;
- Expected progression : Early intervention improves prognosis though some cases progress gradually towards chronic kidney disease;
Proper monitoring through regular tests supports tailored treatment plans aiming at preserving long-term renal function while minimizing complications.
RENAL TRANSPLANTATION
A kidney transplant represents a potentially curative treatment for end-stage renal disease. It involves surgically placing a healthy donor kidney into the recipient's body to restore renal function.
- Candidates selection: Assessed through comprehensive evaluations including immunological compatibility and overall health status.
- Surgical process: The diseased kidneys are generally left in place; the new organ is placed in the lower abdomen connecting blood vessels and urinary tract carefully.
- Post-operative care: Lifelong immunosuppressive medications are essential to prevent rejection alongside routine follow-up checks.
- Pitfalls to watch for:If rejection episodes or infections occur early identification and management are crucial for graft survival.
PERITONEAL DIALYSIS
This dialysis option offers an alternative to hemodialysis by using the body's abdominal lining to filter wastes and excess fluids. It can be performed at home with proper training and equipment.
- Candidacy factors: Suitable for patients wanting more flexible scheduling or those with vascular access difficulties for hemodialysis.
- Treatment approach: A sterile fluid is introduced into the peritoneal cavity via a catheter where waste diffuses into it before drainage.
- Maintenance needs: Requires strict aseptic techniques to prevent infections like peritonitis during exchanges.
- Lifestyle considerations: Offers greater independence but demands patient commitment for daily management of exchanges and monitoring.
This modality provides effective renal replacement therapy while allowing patients more control over their treatment schedules in comparison to center-based options.
KIDNEY BIOPSY
A kidney biopsy is an important diagnostic procedure used to obtain detailed information about kidney tissue health. It helps in determining the precise nature of renal diseases.
- Indications: Used when there is unexplained proteinuria, hematuria, or impaired renal function unresponsive to standard treatments.
- Procedure details: A small tissue sample is extracted using a needle guided by ultrasound or CT imaging under local anesthesia.
- Risks and precautions: Possible complications include bleeding or pain; monitoring after the procedure ensures early detection of any issues.
- Diagnosis and impact: Provides critical data on inflammation, scarring, or specific diseases aiding targeted therapy decisions.
This minimally invasive technique allows doctors to tailor interventions effectively based on underlying pathological changes within the kidneys.
HEMODIALYSIS
When kidney function diminishes significantly, hemodialysis becomes a vital procedure to perform the filtering work of the kidneys. It helps remove waste products and excess fluids from the blood.
- Causes and symptoms: Typically required in chronic kidney failure or acute kidney injury; symptoms include fatigue, swelling, and high blood pressure.
- Diagnosis: Blood tests showing elevated creatinine and urea levels, along with symptoms of fluid overload.
- Treatment process: Blood is drawn from the patient’s body, cleaned through a dialysis machine, then returned; usually done multiple times per week.
- Management tips: Patients often require dietary adjustments and fluid restrictions alongside treatment.
- What to expect: Sessions generally last 3-5 hours; initial adjustment period may involve side effects like low blood pressure or cramps.
This life-sustaining therapy can greatly improve quality of life in cases of advanced kidney dysfunction by performing crucial filtering duties that failing kidneys can no longer manage.