Kidneys (Renal Medicine)

Department of Nephrology ​

A well-trained team & the best of facilities to treat your conditions

Nephrology is a specialty of medicine and pediatric that focuses on kidneys diseases. The kidneys are vital for life as they perform the essential functions of removing excess water and waste products from the blood. They regulate the body’s fluid, electrolyte, acid-base levels, blood pressure, play a vital role in the production of red blood cells, and help maintain healthy bones, but they are altered by several disease conditions also by drugs and toxins.

Treatment & services

  • Blood tests reveal raised or altered levels of urea, creatinine, and electrolytes, including sodium, potassium, calcium, magnesium, phosphates, blood urea nitrogen, and more
  • Urine analysis, which may reveal excess proteins that are being excreted along with urine from the body. This is a sign of kidney damage that is mainly seen in diabetic nephropathy or long-term kidney diseases
  • Glomerular Filtration Rate (GFR), a test to estimate kidney function level and determine the stage of chronic kidney disease. In clinical practice, the estimation of GFR is based on serum creatinine, age, gender
  • Ultrasound scanning, one of the most typical and most used non-invasive imaging studies for kidneys diseases such as hydronephrosis, polycystic kidney disease, kidney stones, etc.

Other imaging studies, including:

  • Computed Tomography scan (CT scan) or Magnetic resonance imaging (MRI) scan. This can also help detect renal tumors and cancer
  • MR angiography to detect abnormalities in the blood vessels within the kidneys
  • Renal biopsy: If a kidney lesion is detected, a small amount of renal tissue is taken using long thin hollow needles under the guidance of ultrasound or other imaging studies
  • In patients with normal kidney function, Intravenous urography (IVU), a test where an iodinated contrast dye is injected into the veins of the person, which is then imaged using X rays or other imaging studies like CT scan to detect the flow of the blood and formation of urine in the kidneys as well as its outflow as it traverses through the kidneys
  • Scintigraphy, another test using radioactive isotopes that helps to detect abnormal functions of the kidney and its vessels
  • Renal Arteriography involves inserting a thin catheter into the femoral artery and under guidance through an imaging study

Consultants Nephrologists at the Department of Nephrology at Fakeeh University Hospital are well-trained to deal with the following diseases that come under the scope of Nephrology:

  • Primary and Secondary high blood pressure diagnosis and treatment
  • Urine abnormalities which include excess excretion of protein, sugar, blood, casts, crystals, etc.
  • Glomerular disorders that affect the tiny filtering systems of the kidneys called the glomerulus
  • Renal vascular diseases are affecting the blood vessel networks within the kidneys
  • Renal injury (failure) that can be sudden or acute, or chronic (long term)
  • Kidney and bladder stones
  • Kidney and urinary tract infections
  • Effects of diseases like diabetes and high blood pressure on kidneys.
  • Acid-base imbalances and electrolytes (metabolic) disorders
  • Secondary effects of drugs and toxins on the kidneys
  • A metabolic disorder, such as gout
  • Autoimmune diseases, including autoimmune vasculitis, lupus, etc.
  • Polycystic kidneys diseases where large cysts or fluid-filled sacs are formed within the kidney impairing its functions-this is a congenital, inherited condition
  • Preparation for Dialysis and management of vascular access for dialysis and short /long-term complications
  • Prevention of malnutrition and muscular hypotrophy in dialyzed patients
  • Treatment of Anemia and Secondary hyperparathyroidism
  • Preparing patients in end-stage renal disease for a kidney transplant and following them after the transplantation surgery
  • Replacement therapy with Hemodialysis/Hemodiafiltration

Dialysis

When both kidneys can no longer take care of the above functions, i.e., at end-stage kidney disease, Dialysis, a treatment performing some of the functions done by healthy kidneys, is necessitated. Dialysis removes waste, salt, and extra water to prevent them from building up in the body. It retains a safe level of certain chemicals in the blood, such as potassium, sodium, and bicarbonate, helping to control blood pressure. One needs Dialysis usually by the time one loses about 85 to 90 percent of one’s kidney function and has a GFR of <15.
 
Fakeeh University Hospital has a well-equipped State-of-The-Art Dialysis Unit with experienced staff, with the capacity to provide dialysis care with a caring, patient-centered approach.

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