Dr. Kailash Nath Singh
Dr. Kailash N Singh
M.B.B.S , M.D ( Internal Medicine), D.N.B (Nephrology), F.I.S.O.T Specialist in Kidney Disease and Organ Transplant
Advance Training In Kidney Transplant From Vancouver , Canada

Indications of Kidney Disease

Chronic kidney disease(CKD) mainly does worse kidney slowly, and symptoms of CKD can not appear until the patient kidneys are badly damaged. In the late stages of Chronic Kidney Disease, your kidney might be a failure (ESRD).

The patient can notice symptoms that are caused by waste and extra fluid building up in your body.

What are the symptoms of kidney failure?

There are less or no symptoms in mild to moderate kidney failure. Thus, early or even late kidney failure is usually detected on a preventive health check-up.

Swelling over body sometimes it is first noticed over feet (around ankles) or over face (around eyes). Nausea, vomiting, hiccoughs. Breathlessness on exertion or physical activity. Low sugar levels (hypoglycaemia) in the case of diabetic-related kidney failure. Generalized weakness, easy fatigability.

Life-threatening presentation

  • Convulsions
  • Abnormal heart rate (due to high potassium)
  •  Chest pain (pericarditis)
  • Altered sensorium (uremic encephalopathy)
  • Severe metabolic acidosis

How to delay chronic kidney disease progression?

  • Detection of kidney disease at an early stage.
  • Control of blood pressure (less than 135/85 mmHg, less than 130/80 mmHg in proteinuria cases)
  • Control of blood sugar (HbA1c less than 7%)
  • Avoid nephrotoxic agents (common painkillers, some antibiotics and indigenous agents) and many others
  • Proper treatment of infections.
  • Proper treatment of urine outflow obstruction.
  • Avoid tobacco consumption and smoking
  • Healthy lifestyle
  • Very high protein intake
  • Proper treatment of stones
  • Some kidney harmful or nephrotoxic medications.

Get the Consultation about Chronic Kidney Disease


Dr. Kailash N Singh is Senior Consultant & Incharge, Nephrology & Multi-organ Transplant Unit,
Co-ordinator Dialysis Services, Indraprastha Apollo Hospital, New Delhi


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