Kidney Disease: 10 Frequently Asked Questions

These FAQ’s were answered by one of the best nephrologists in Ranchi, Dr Navin Kumar Burnwal, D.N.B (Nephrology), Orchid Medical Centre (ORCHID HOSPITAL) NABH accredited hospital.

1. What are the risk of factors of kidney disease?

  • Diabeties,
  • hypertension,
  • severe heart disease,
  • protein leakage from urine,
  • use of over the counters medicines including painkiller and antibiotics,
  • obesity,
  • smoking.

2. What are the symptoms of early kidney disease?

  • Weakness,
  • fatigue, 
  • change in urinary habit,
  • frequent Urine at night,
  • frothing in urine,
  • swelling of legs.

3. How to identify if a person has kidney problem?

Kidney problem of an early stage can be identified by a simple test:

  • serum creatinine level
  • urine routine,
  • and microscopy test.

4. Who should be screened for kidney problem and how frequently?

Any person with the presence of ‘said’ risk factors should screen for kidney problems. It should be done at least once a year.

5. What is creatinine? What is the signification of high blood creatinine?

  • Creatinine is a bio-product of muscles break down formed by lever and removed from body by kidney.
  • High blood creatinine level usually means kidney malfunction but sometimes it can be increased after strenuous exercise and animal protein intakes.

6. What are the symptoms that suggest a patient has advanced kidney disease?

  • Recent loss of weight,
  • excessive swelling of body,
  • breathing dificulty,           
  • repeated nausea,  
  • vomiting
  • decrease in urine output,
  • severely low hemoglobin level.

7. What are the treatment options for patient with advance stage of kidney disease?

  • Kidney transplantation.
  • Hemodialysis and peritoneal dialysis

are the treatment options for such patients.

8.Which mode of renal replacement therapy is considered best?

Kidney transplantation is the best fit available to patients with advance stage kidney problems.

9.How to prevent kidney problem?

  • Healthy diet,
  • regular exercise,
  • weight reduction,
  • quitting smoking,
  • good blood sugar level control in diabetic patient
  • and good bp control in hypertension patients,
  • avoiding over the counter medications,
  • regular screening for kidney problem and
  • early consultation of nephrologist of initial stage of kidney disease. 

These can reduce the risk of chronic kidney disease and the need for dialysis in already diagnosed cases of CKD.

10. What diet advice should be followed by kidney patient?

  • Kidney patient not on dialysis should follow:
    • low salt diet and
    • good amount of fluid intake,
    • their protein intake should be under 0-7-0.8 gm/1 kg of body
  • Patients who are on hemodialysis should follow:
    • low salt diet,
    • fluid intake 1 litter / day.
    • They should take high quantity and quality of protein in their diet.
  • All kidney patient should avoid
    • outside food,
    • fast food,
    • food that may contain preservatives,
    • chocolates,
    • green leafy vegetables, etc.

Consult our Nephrologist In Ranchi

Dr Navin Kumar Burnwal
D.N.B (Nephrology)
Consultant Nephrologist

10:00 AM – 05:00 PM

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