Guiding Your Kidney Health Journey, Every Step of the Way

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In CKD stage 1 and 2, kidney function is only mildly to moderately impaired, making detection crucial for early intervention. Diagnosis typically involves routine screening through blood tests to assess creatinine levels and estimate the glomerular filtration rate (eGFR), as well as urine tests to check for proteinuria or hematuria.

Dr Mehta diagnoses CKD in early stages through comprehensive evaluations, assessing kidney function, and identifying risk factors contributing to disease progression. He provides personalized treatment plans for patients with CKD in early stages involving lifestyle modifications, medication management, and addressing underlying conditions like hypertension and diabetes. This ultimately results in slow disease progression and preserve kidney function, ultimately improving patient outcomes and quality of life. 

In CKD stage 3, symptoms may become more apparent. Common symptoms include fatigue, swelling in the legs or feet due to fluid retention, changes in urine output, difficulty concentrating, itching, high blood pressure, appetite changes, muscle cramps, and bone pain.

Dr Mehta provides essential treatments focused on slowing the progression of kidney disease and managing associated complications. It involves optimizing blood pressure control through medications and lifestyle modifications to protect the kidneys from further damage. He also addresses underlying conditions such as diabetes, adjusting medications as necessary to maintain tight blood sugar control and prevent further kidney deterioration and recommends dietary changes to manage electrolyte imbalances and minimize the burden on the kidneys.

In CKD stage 4 and 5, symptoms become more pronounced and complications more prevalent due to significant decline in kidney function. Patients may experience extreme fatigue, severe swelling, decreased urine output, nausea, shortness of breath, persistent itching, muscle cramps, and difficulty concentrating.

Dr Mehta takes care of various aspects of care at CKD in advanced stages, including coordinating renal replacement therapy (RRT) options such as dialysis or kidney transplantation. He guides dietary restrictions and lifestyle modifications to optimize health outcomes. Additionally, he offers emotional support, facilitates discussions around end-of-life care and palliative options, and ensures seamless communication and collaboration among multidisciplinary healthcare teams. 

Dr Mehta takes care of various aspects of dialysis care, including initiating and managing dialysis treatment, monitoring patients' dialysis adequacy, and addressing complications or side effects. He also oversees vascular access placement, such as arteriovenous fistulas or grafts, crucial for dialysis procedures.

Depending on the patient’s medical needs, preferences, and lifestyle he suggests appropriate type of dialysis and inserts vascular access including temporary and permanent dialysis catheters. He also prescribes the dialysis treatment regimen, including frequency, duration, and dialysate composition, tailored to each patient's specific condition and manages complications such as hypotension, electrolyte imbalances, access-related issues, and infections. 

Dr Mehta provides expertise and guidance at every step of the Peritoneal Dialysis. He evaluates patients' medical history, comorbidities, and overall health to determine if PD is a suitable treatment option, considering factors such as residual kidney function, cardiovascular status, and abdominal anatomy. He oversees the placement of peritoneal catheters, ensuring proper technique and minimizing the risk of complications. Once PD is initiated, Dr. Mehta monitors patients closely, adjusting dialysis prescriptions, assessing dialysis adequacy, and managing any complications that may arise, such as peritonitis or fluid overload. He provides education and training to patients and caregivers on performing PD exchanges, maintaining catheter hygiene, and recognizing signs of infection or other issues requiring medical attention. 

Dr Mehta evaluates candidates for transplantation, assesses their medical history, conducts physical examinations, and performs necessary tests to determine eligibility and suitability for the procedure. He guides patients through the transplant evaluation process, educates them about the risks and benefits of transplantation, and conducts necessary medical and psychosocial evaluations. During the transplant surgery, he works closely with transplant surgeons to monitor the patient's condition and provide immediate postoperative care.

Following transplantation, he manages immunosuppressive therapy to prevent rejection of the transplanted kidney while minimizing the risk of complications. He monitors graft function through regular clinic visits, laboratory testing, and imaging studies, adjusting medication regimens as needed to optimize outcomes and ensure the long-term success of the transplant.

Kidney biopsies are essential diagnostic procedures for identifying the underlying causes of kidney disease. Before performing a kidney biopsy, Dr. Mehta carefully assesses patients' clinical history, laboratory results, and imaging studies to determine the necessity and safety of the procedure. During the biopsy procedure, he uses imaging guidance to obtain a tissue sample from the kidney, ensuring accuracy and minimizing complications. Following the biopsy, he collaborates closely with pathologists to analyze the tissue samples, interpreting histopathological findings to establish a definitive diagnosis and guide treatment decisions. He also monitors patients for potential complications, such as bleeding or infection, and provides appropriate post-biopsy care and follow-up.