Dr A Rajvanshi B
About Me
Dr A Rajvanshi B
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
HYPERTENSIVE NEPHROPATHY
This condition develops due to persistently high blood pressure damaging kidney vessels over time. It often progresses silently until significant impairment occurs affecting kidney filtering capabilities adversely impacting overall health status.
- Risk Factors : Chronic hypertension especially uncontrolled contributes substantially ; other contributors include family history & lifestyle habits .
- Symptoms : Usually asymptomatic early ; later signs include fatigue , swelling & changes in urination patterns .
- Diagnosis : Combination of elevated blood pressure readings , abnormal renal function tests plus imaging studies detecting structural damage .
- Management : Strict blood pressure control with medications , dietary modifications restricting salt intake plus regular monitoring slows progression .
- Prognosis : Early intervention improves outcomes ; advanced cases can lead toward chronic renal failure necessitating dialysis or transplantation .
A proactive approach towards managing hypertension plays a critical role in preserving kidney health long term .
DIALYSIS INITIATION FOR ACUTE RENAL FAILURE
When kidneys suddenly fail to remove toxins effectively causing dangerous imbalances in body fluids and electrolytes, dialysis becomes a lifesaving measure. This process mechanically filters waste products from the bloodstream when natural filtration fails temporarily or permanently.
- Indications: Severe metabolic acidosis , hyperkalemia unresponsive to medical therapy , fluid overload causing respiratory difficulty , uremic symptoms like confusion .
- Diagnosis : Assessment includes rising creatinine , blood urea nitrogen levels alongside clinical status evaluation .
- Procedure : Two main types are hemodialysis (blood cleaned via machine) or peritoneal dialysis (using abdominal membrane) chosen based on patient condition .
- Expectations : Dialysis might be short-term until kidneys recover , or long-term if permanent loss occurs ; requires close monitoring for complications .
Dialysis initiation decisions should be made promptly under specialist supervision ensuring safety during critical illness phases .
NEPHROTIC SYNDROME
This disorder is characterized by excessive protein loss through kidneys leading to swelling and increased risk of infections. It primarily affects the filtering membrane of glomeruli causing leakage of proteins into urine.
- Symptoms include: Noticeable swelling (edema), especially around eyes and legs; foamy urine due to proteinuria; fatigue due to low albumin levels;
- The causes range widely, including primary kidney diseases or systemic conditions like diabetes;
- A detailed workup consists of urine tests assessing protein level and blood tests evaluating kidney function;
- Treatment involves controlling symptoms with diuretics for swelling relief , steroids or immunosuppressive drugs depending on cause;
- The course can vary but early detection helps reduce complications such as blood clots or infections from weakened immunity;
Caring for nephrotic syndrome requires regular follow-up and lifestyle adjustments alongside medical treatment strategies .
HYPERKALEMIA EMERGENCY MANAGEMENT
High potassium levels in the blood can be life-threatening if not treated urgently. Hyperkalemia disrupts heart rhythm and muscle function.
- Recognition: Symptoms include muscle weakness, palpitations, chest pain, or even sudden cardiac arrest in severe cases.
- Causes: Acute or chronic kidney disease reduces potassium elimination; certain medications also contribute.
- Diagnosis: Blood tests showing elevated serum potassium confirm diagnosis; ECG monitoring detects cardiac effects.
- Treatment approach: Emergency interventions include intravenous calcium gluconate to stabilize heart muscles, insulin with glucose to shift potassium into cells, diuretics, or dialysis if necessary.
- Prognosis: Rapid treatment is critical to prevent fatal arrhythmias; ongoing management targets underlying causes to avoid recurrence.
If you suspect hyperkalemia symptoms, immediate medical attention is essential due to potential risks.
ACUTE GLOMERULONEPHRITIS
This condition refers to inflammation of the glomeruli, the filtering units of the kidney. It can develop quickly after infections or immune-related events.
- Symptoms: Blood in urine (hematuria), swelling particularly around eyes and ankles, high blood pressure, and decreased urine output are common signs.
- Causes: Often triggered by post-infectious processes such as streptococcal throat infection or autoimmune diseases.
- Diagnosis: Urinalysis revealing proteinuria and hematuria along with blood tests and kidney biopsy if needed.
- Treatment options: May include antibiotics for infections, corticosteroids to reduce inflammation, and blood pressure control medications.
- Outlook: Early treatment helps prevent progression to chronic kidney disease; monitoring is essential for recovery assessment.
Timely medical care can significantly improve outcomes in acute glomerulonephritis cases.
ACUTE KIDNEY INJURY (AKI)
Acute Kidney Injury is a sudden decline in kidney function, often developing within hours to days. It affects the body's ability to filter waste and maintain fluid and electrolyte balance.
- Causes: Common triggers include severe infections, dehydration, certain medications, or obstruction of the urinary tract.
- Symptoms: Patients may experience reduced urine output, swelling, fatigue, and confusion.
- Diagnosis: Blood tests measuring creatinine levels and urine output monitoring are crucial for identifying AKI.
- Treatment: Management involves addressing the underlying cause, ensuring adequate hydration, and sometimes dialysis in severe cases.
- Expectations: With prompt treatment, many patients recover kidney function fully; however, severe cases may lead to lasting impairment.
Early recognition and intervention are vital in preventing complications associated with AKI.