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Kidneys

Nephrology is the study of normal kidney function and kidney disease, the preservation of kidney health, and the treatment of kidney disease, from diet and medication to dialysis. Nephrology also studies systemic conditions that affect the kidneys, such as diabetes and autoimmune disease.

Overview

History and physical examination are central to the diagnostic workup in nephrology.

The history typically includes the present illness, family history, general medical history, diet, medication use, drug use and occupation.

The physical examination typically includes an assessment of volume state, blood pressure, heart, lungs, peripheral arteries, joints, abdomen and flank.

Treatment

Kidney problems can have significant impact on quality and length of life, and so psychological support, health education and advanced care planning play key roles in nephrology.

When the kidneys are no longer able to sustain the demands of the body, end-stage kidney failure is said to have occurred.

Without dialysis, death from kidney failure will eventually result. Dialysis is an artificial method of replacing some kidney function to prolong life.

At present, renal transplantation is the most effective treatment for end-stage kidney failure although its worldwide availability is limited by lack of availability of donor organs. 

Patients whose kidneys have failed completely (end-stage renal disease) require some form of therapy to replace the function of their kidneys in order to sustain life. Haemodialysis is one of three forms of renal replacement therapy, with the other 2 being peritoneal dialysis and ...
23 Jan 2020
Typical symptoms of a kidney infection are pain over the left or right loin (the area of your below your ribs) adjacent to your spine fever sometimes chills nausea and vomiting loss of appetite pain passing urine - this may be present if the urine infection is a...
21 Jan 2020
The kidneys' function is to remove the waste in our blood by acting as filters. These filters (called glomeruli) prevent the excretion of the protein in the blood. Normal kidneys excrete very small amounts of protein in the urine. Albumin is the most common protein in the urin...
13 Jan 2020

The Ultimate Guide to Seeing a Urologist in Singapore (2020)

The Ultimate Guide to Seeing a Urologist in Singapore (2020)

Most of us don’t realise the importance of our urological health.

Your urinary tract filters waste from your bloodstream and expels them from your body along with excess fluid as urine, so a healthy urinary tract is vital for maintaining your physical well-being. 

Having healthy kidneys, which are part of the urinary tract, helps to:

  • prevent metabolic waste products from building up
  • remove excess fluids in your body
  • maintain balance of electrolytes
  • produce hormones that help regulate blood pressure
  • make red blood cells
  • keep bones strong

As our urinary tract plays such important functions, we cannot afford to take it for granted.

However, urinary tract infections (UTIs) can still happen even if you have done all that you could do to prevent it. You may then start wondering:

  • Who should I see?
  • At what point should I see them?
  • What happens when I see them?

In this article, I will be covering all your doubts about seeing a urologist. Hopefully, after reading this article, you can make the most informed decision when it comes to your urological health!

327 views 13 Jan 2020

A TCM Physician Reveals How Kidney Stones Can Be Treated with TCM

A TCM Physician Reveals How Kidney Stones Can Be Treated with TCM

Our two kidneys are important organs in our body. Do you know that TCM can help you to manage your kidney problems? Kidney stones can range in sizes from a grain of sand to that of a pearl. However, it can also be larger than that.

These stones are made up of minerals and chemical deposits. Although formed in the kidneys, they may travel to other parts of the urinary tract. As these stones move, symptoms like abdominal pain, pain when urinating and blood in the urine can show up.

In this article, I will share with you how TCM can help treat and prevent kidney stones.

Read on to find out more!

347 views 5 Dec 2019
Dr Ronny Tan Ban Wei
"Urologist fellowship trained in Andrology & Prosthetic Urology"
Whatsapp
The most common cause of blood in the urine is still urinary tract infection . Typically, this is also associated with pain with the passage of blood in the urine. The other common cause would be urinary tract stones . Stones can be found in the kidney, the ureter, the bladder ...
20 Nov 2019
Spironolactone (Aldactone) costs about S$1.00 or more per tablet. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. In fact, it is primarily used to treat: ...
6 Nov 2019

How Are Kidney Stones Treated with TCM?

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Kidneys are one of the important organs in our body. Clinically, many patients seek help from TCM to manage their kidney issues such as proteinuria and kidney stones etc.

During consultation, TCM physicians will first diagnose the patients by asking a series of question, looking at the tongue and taking the pulse. Common diagnosis for kidney diseases are dampness, heat-dampness, kidney qi or yin deficiency. According to the patient’s condition and body constitution, the TCM physician will prescribe herbal medicine and/or administer acupuncture for the patient.

172 views 1 Nov 2019
Dr Ronny Tan Ban Wei
"Urologist fellowship trained in Andrology & Prosthetic Urology"
Whatsapp
UTI or urinary tract infections are broadly divided into upper tract and lower tract infections. The lower tract consists of the urethra, bladder and the prostate and seminal vesicles (in men). The upper tract consists of the ureters and the kidneys. Lower tract UTI would usually...
21 Oct 2019
The normal range for potassium in the blood is approximately 3.5 to 5.2 mmol/L , though these values can vary slightly between different laboratories and countries. Hypokalaemia or low levels of potassium can occur for many reasons. Commonly, this occurs due to losses from the...
31 Aug 2019
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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