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Nephrology Profile Image

Nephrology

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. 

Hi, Malnutrition in patients with chronic kidney disease Patients with chronic kidney disease can suffer from malnutrition, especially when the disease progresses to more advanced stages. Nutritional status can be worse in patients with: other conditions like diabe...
18 Jan 2019
Hi, I am sure anyone would be worried after your experience. First of all, it is possible it was already in the toilet bowl, especially if: 1. you could see it with your naked eye and 2. you have no urinary symptoms However, it is also possible that the organism could...
15 Jan 2019
Hi, Please let me define first what chronic kidney disease and renal failure are. Chronic kidney disease is the consequence of many different disorders and diseases in the kidneys. Chronic kidney disease results in progressive damage, which eventually impairs all the functions...
16 Jan 2019
Hi, Here's the summarised answer to your concerns: First and foremost, diabetes is a common cause of protein leaking in the urine, hence, it's important to rule this out as a cause. Regarding the exact treatment of protein leaking in the urine, this will depend mainly on t...
16 Jan 2019
Hi, I am sorry to hear that your grandmother has diabetes and she is at risk of developing diabetic kidney disease (aka diabetic nephropathy); which means diabetes affecting the kidney, damaging it and potentially leading to kidney failure. In fact, diabetes is the most common ca...
11 Jan 2019
Thank you for your question - an interesting one for sure! "Low red blood cells" might be mentioned if you have low iron or an actual drop in your red cell count. PThe former is certainly more common and it might be due to insufficient intake of iron, low production or increa...
13 Jan 2019
Hi, Intravenous fluids play an important role in the management of many patients, especially if they are (1) dehydrated or not drinking well; (2) losing bodily fluids rapidly, eg through vomiting, diarrhoea, high fever or certain kidney diseases or other medical problems; (3) sho...
10 Jan 2019
Hi there. One crude but simple observation you can make is to look at the colour of your urine. If you experience a sharp pain originating from your right loin towards your right groin during urination and the urine colour turns dark brown or red, the chances of you having urinar...
21 Jul 2018
Hi, in Singapore, the specialist that deals with kidney stones most frequently is a urologist, so you may want to get a referral letter from your GP/polyclinic. About 12 percent of all people will have kidney stones at some point in their lives. Small stones are usually passed du...
24 Dec 2018

You Can Still Maintain An Almost Normal Lifestyle Even If You Need Kidney Dialysis, Says This Nephrologist

Every day, your kidneys filter approximately 180 litres of blood that is output by your heart. Waste and extra fluid are removed from your body, leaving a healthy balance of water, salts, and minerals. 

Considering the fact that you have 7 to 8 litres of blood in your body, your entire blood volume gets filtered almost 20 to 25 times per day!

Your kidneys also produce hormones that regulate your blood pressure and red blood production. This keeps your bones strong and healthy.

In essence, having healthy kidneys are super vital to good health! Therefore, it's no surprise that kidney issues may potentially lead to some pretty serious conditions. 

DxD invited Dr Francisco, an accredited Specialist Nephrologist to host a DxD Session on kidney dialysis. He has a lot of experience in treating chronic kidney disease and kidney failure. 

Here are the most important things you should know about your kidneys. 

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