Dr Hemant Malhotr
About Me
Dr Hemant Malhotr
MBBS
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 ELECTROLYTE IMBALANCE DUE TO KIDNEY DYSFUNCTION
Kidneys regulate vital minerals like potassium, sodium, calcium, and phosphate. When they malfunction, electrolyte disturbances develop that require careful oversight for preventing complications.
- Causes & clinical clues : Chronic or acute kidney impairment disrupts electrolyte clearance ; signs may include muscle weakness , irregular heartbeat , numbness , or confusion .
- Diagnostic processes : Blood serum tests measure levels of key electrolytes ; ECG monitoring detects cardiac effects particularly from potassium abnormalities .
- Treatment involves : Correcting imbalances through diet modification such as potassium-restricted diets , medications like phosphate binders , or intravenous supplementation depending on deficiency type .
- Preventative strategies : Avoidance of medications harming electrolyte status , regular lab evaluations ensure timely detection before severe manifestations arise .
With structured management focusing on balance restoration , patients can reduce risks associated with abnormal mineral levels linked to impaired kidney function .
DIETARY MANAGEMENT FOR NEPHROTIC SYNDROME
The nephrotic syndrome encompasses conditions causing significant protein loss through urine leading to swelling and other complications. Dietary adjustments play a key role in managing this syndrome effectively.
- Syndrome features & symptoms:: Heavy proteinuria results in edema especially around eyes and legs; fatigue may also be present due to protein depletion from the body systems.
- Nutritional assessment guides therapy:: Evaluating daily protein loss determines dietary requirements balancing adequate nutrition without worsening proteinuria excessively.
- Treatment dietary goals include:: Moderated protein intake tailored individually; sodium restriction helps minimize fluid retention while ensuring sufficient calories prevents muscle breakdown;
- Supplementation consideration : Vitamins D and calcium often require attention given altered metabolism associated with nephrotic state .
- Ongoing monitoring : Tracking weight changes , edema severity , laboratory markers supports diet adjustments adapted over time .
Through controlled nutritional plans alongside medications , individuals experiencing nephrotic syndrome can stabilize symptoms improve their overall wellbeing .
ACUTE KIDNEY INJURY (AKI) PREVENTION & RECOVERY
Acute Kidney Injury occurs when kidneys suddenly fail to filter waste due to injury or illness. Prompt recognition is vital since AKI can be reversible with timely care.
- Main causes & warning signs: Common triggers include dehydration, infections, certain medications; symptoms may involve decreased urine output or fluid retention causing swelling.
- Diagnosis includes: Blood urea nitrogen (BUN), creatinine levels rise quickly; urine tests assess the underlying cause while imaging rules out obstruction.
- Treatment principles: Addressing the root cause promptly—fluid replacement if dehydrated or stopping nephrotoxic drugs—supports recovery of kidney function.
- Supportive care involves: Monitoring vital signs closely along with electrolyte balance correction; temporary dialysis may be required in severe cases to assist filtration during recovery phase.
A rapid response guided by healthcare professionals can significantly improve outcomes from acute episodes affecting the kidneys’ filtering capacity.
POLYCYSTIC KIDNEY DISEASE (PKD) SUPPORT
Polycystic Kidney Disease (PKD) is a genetic disorder characterized by multiple cysts forming in the kidneys, potentially impairing their function. Understanding PKD’s impact enables optimal care planning.
- Causative factors & signs: It is inherited; common signs include abdominal discomfort, high blood pressure, urinary tract infections, or hematuria (blood in urine).
- Diagnostic tools: Ultrasound imaging predominantly confirms cyst presence; genetic testing may also support diagnosis in some cases.
- Treatment focuses on symptom relief: Addressing high blood pressure control, pain management for cyst-related discomfort, and infection treatment when needed.
- Lifestyle guidance: Maintaining hydration without excessive fluid overload and a balanced diet supports kidney health while regular monitoring tracks disease progress.
A comprehensive plan emphasizing symptom control alongside monitoring helps maintain wellbeing for those living with PKD over time.
HYPERTENSIVE NEPHROPATHY CARE
High blood pressure can damage kidneys over time, leading to hypertensive nephropathy. Recognizing this condition early helps prevent further renal impairment.
- Main causes & symptoms: Persistently elevated blood pressure stresses kidney vessels; symptoms might be absent initially but can include headaches or swelling in advanced stages.
- Diagnosis involves: Blood pressure monitoring, kidney function blood tests, urine analysis for proteinuria, and sometimes imaging to assess kidney structure.
- Treatment strategies: Emphasize strict blood pressure control using medications such as ACE inhibitors or ARBs alongside lifestyle changes like reducing salt intake.
- Lifestyle recommendations: Weight management, regular exercise, limiting alcohol consumption, and smoking cessation benefit both hypertension and kidney health.
A proactive approach combining medication with lifestyle measures can protect renal function in patients affected by high blood pressure-related kidney disease.
CHRONIC KIDNEY DISEASE (CKD) MANAGEMENT
Chronic Kidney Disease (CKD) is a long-term condition where kidney function gradually declines. Early recognition and management are crucial to slowing disease progression and maintaining quality of life.
- Causes and symptoms: Diabetes, hypertension, and family history are common causes; early CKD often shows no symptoms but may include fatigue or swelling.
- Diagnostic methods: Blood tests measuring creatinine and estimated glomerular filtration rate (eGFR), urine tests for protein, and imaging studies help evaluate kidney health.
- Treatment approach: Focuses on controlling underlying causes like blood pressure and blood sugar, dietary modifications low in sodium and protein, and avoiding nephrotoxic substances.
- Monitoring: Regular follow-ups with kidney function tests are essential to detect progression or complications early.
By adopting lifestyle adjustments and medical therapies tailored to the individual, it is possible to manage CKD effectively and delay its advancement.