How to keep your kidneys Healthy?

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

The two major reasons for kidneys going bad are uncontrolled high blood pressure and uncontrolled high blood sugar ( diabetes ).

There are several other reasons for deterioration of kidney function.

 Loss of kidney functions may be acute and chronic. 

Acute kidney function failure is generally reversible but Chronic kidney disease is non reversible.

Cultivating these habits will help you in keeping your kidneys healthy.

Keep yourself well Hydrated: 

One important function of kidneys is to filter toxins, waste products and other unwanted compounds from the blood. Drinking less than required water will make your kidneys congested and calcified.

Ideal water intake would be 6 glasses of water at different intervals throughout the day. For those who are living in hot and humid climate where they perspire more or those who are are involved in strenuous exercises or work should drink at least 8 glasses of water during the day, everyday.

Coffee, black tea , soda or soft drinks and other caffeinated drinks work as diuretics and trigger frequent urination, therefore they are not good source of fluid intake. 

Filtered water and fresh fruit and vegetable juices are better choices for keeping you hydrated.

Holding Urine for long:

This may sound odd, but almost all of us do it frequently. It is better to answer the call of nature, when it calls. Holding back urine for long duration is never good for healthy kidneys.

Maintain healthy blood pressure:

A continuously elevated blood pressure is damaging to blood vessels throughout the body that includes arteries in kidney. A damage to arteries and blood vessels of kidney hampers the filtering abilities of kidney. Eating low salt, low fat diet, keeping stress levels low and a regular healthy life styles including regular exercises and avoiding being obese helps in maintaining normal blood pressure.

In case if it does not help, your doctor may prescribe BP controlling medications to keep your BP in check. 

Keeping Diabetes at Bay:

You are at a greater risk of developing a kidney disease, if you are diabetic.

As per the studies and data, about 30 % of patients of Type 1 diabetes ( Juvenile diabetes) and 10 to 40% of patients with Type 2 Diabetes will eventually suffer from Kidney disease.

Diabetes patients suffer injuries to blood vessels throughout the body, including kidneys. When blood vessels in kidneys are damaged, kidneys loses its ability of filtering the toxins and waste products.

Diabetes also causes damage to nerves therefore a diabetic person may have difficulty in emptying the bladder, The reverse pressure of full bladder can damage the kidneys.

When urine is retained longer in bladder , a kidney patient is prone to frequent UTIs because bacteria thrive in urine having higher blood sugar concentration.

Keeping a regular check on your diabetes help in protecting your kidney function.

Take oral medicines and insulin prescribed by your doctor regularly to keep diabetes at bay.

Eat Healthy:

A good diet for healthy kidney should consist of low fat , low sugar ,low salt ,low potassium and iron rich. It should be a balanced diet with more nutrition and should consist of plenty of greens and fruits. Many servings of red meat and processed meat are harmful to kidneys. Animal meat servings should be replaced with plant based proteins for protein intake . There are studies suggestive of higher red meat and animal meat consumption with increased risk of developing kidney diseases.

Kidney friendly foods are red bell peppers, cabbage, cauliflower, garlic, onion ,
apples, blueberries, cranberries, strawberries, raspberries, red grapes, cherries,
egg whites, fish and olive oil.

Exercise Regularly:

Regular exercise keeps your weight in check, increases blood circulation and helps in controlling blood sugar and blood pressure and cholesterol. Even brisk walking for forty minutes a day is a very good exercise. A good exercise session also helps you in being stress free and helps in getting a proper sleep pattern.

Sleep Well:

A good timely sleep is import for your kidney's health. Those who slept five hours or less in night have 65% higher risk of deterioration of kidney function as compared to their peers who get seven to eight hours of night sleep.

Cutting down on caffeinated drinks after two pm reduces the risk of being insomniac.

Using electronics gadgets at night time also hampers sleep pattern.

Quit smoking , Cut down on your Alcohol Consumption:

Smoking increases blood pressure and heart rate, increases production of angiotensin II in kidneys, narrows the blood vessels in your body including the kidneys, is responsible for thickening and hardening of renal arteries and thus reduces the blood flow to kidneys. Smoking hastens the loss of kidney function.
Quit smoking, you can seek medical help for quitting smoking.

Excessive alcohol consumption can have profound negative effects on the kidneys and their function in maintaining the body's fluid, electrolyte, and acid-base balance. This leaves alcohols vulnerable to many kidney-related health problems. Hepatorenal failure refers to the most frequent and gravest condition in which the kidneys are damaged. It occurs in a person who has cirrhosis of the liver from long-term heavy alcohol consumption.

 Painkillers and OTC Medicines usage should be with caution:

Overusing Painkillers and other over the counter that is non prescribed medicines for long duration have a detrimental effect of the functioning of kidneys.

Go for periodic Kidney function test if you are in high risk group:

Go for a periodic kidney function test if you are in higher risk group. Consult with your nephrologist if certain abnormalities are found in the tests. Doctors can delay the progression of loss of kidney function with medication and a strict diet chart if it is not possible to reverse it.

Take good care of your kidneys, Your Kidneys will take good care of you.

Lung Cancer - Treatment in India | CMCS Health.

Lung Cancer - Treatment in India | CMCS Health.

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Lung cancer is uncontrolled abnormal cell growth in tissues of lungs.Lung cancer is also called carcinoma of lungs.

Precautions for a transplanted kidney to last you your lifetime - CMCS Health.

Precautions for a transplanted kidney to last you your lifetime - CMCS Health.

Congratulations! 

You have a successful Kidney transplant. The newly grafted kidney is functioning well in your body. You do not require Hemodialysis anymore.

Many of the patients think that after a successful kidney transplant, they are perfectly healthy and can do anything they want to do as they were doing before they suffered CRF or ESRD.

True! You are no longer dependent on Hemo-Dialysis, But you must take adequate precautions to make the new grafted kidney last you your lifetime.

When you return home after a successful Kidney transplant, you want to drive yourself, pursue a sport you were enjoying before your kidney disease, go to a movie or market, or any other crowded place, want to entertain guests at home, want to restart your intimate life with your partner.

You can do many of these things, but in moderation and with proper guidance and following instructions from your kidney transplant doctor's team.

Your Medications:

Your Body has a God-gifted immune system to ward off infections and form a defense mechanism.

Since the newly grafted kidney is not your own body part, your body's defense mechanism will take the graft as a foreign material and will attack the new kidney as a natural attempt to protect you. This may lead to rejection of the new kidney by your body. To save the new kidney from being rejected by your body's immune system. Your transplant team doctors will prescribe certain medications called immune suppressant medications. These medications are your lifeline as they protect the newly grafted kidney. Remember these basics about your life-saving medications.

• Your Transplant team doctors will prescribe your medication depending on the lab. Tests are done to know the exact dosage required. Never ever increase or decrease the dosage of your anti-rejection medications on your own or without your KTP doctor's approval. Do not change the brand of medicines, you were prescribed by your doctor.
• The Medicines prescribed to you have a biological half-life, so to maintain the presence of your medicines in your blood all the time, you must strictly adhere to the dosing schedule prescribed by your doctor,i.e. exact prescribed dose at a particular time of the day, every day. Do not delay the medicine time or jump the dosing schedule. You can put an alarm on your mobile phone to keep you reminded about your medicine time.
• Always carry your medication with you, when traveling or going out of the house, so you do not miss your dosing schedule.
• Stock an adequate quantity of your medication, so you do not miss your dosing schedule if you run out of stock before your next supply.
• Always keep a list of your medications and dosing schedule prescribed by your KTP Doctors with you.
• Do not take any over-the-counter medicines, for any short-term medical condition without approval from your KTP doctors.
• Keep the medications in a place as recommended on the medicine box, do not expose them to overheated or damp places.
• Keep a regular check on the expiry date of your medications, to avoid consuming expired medications.
• Do not discontinue your anti-rejection medication no matter how great you feel, even if you think your transplanted kidney is working well. Stopping them may cause rejection to occur.
• Your KTP Doctors will recommend periodic testing of blood levels of your anti-rejection medications to ensure the right dosing, Keep on doing these recommended blood tests at told intervals and inform your KTP doctors without fail so they can tailor the dose as per your body's requirement. Many transplanted patients slacken in this routine once they feel perfectly healthy, which exposes them to the risk of graft rejection.
• If you are diabetic or hypertensive, You will be required to keep a regular check on your blood pressure and blood sugar and take the prescribed medicines accordingly, as uncontrolled high blood pressure and blood sugar are major reasons for your kidney going bad.

Precautions for warding off Infections: 

Since you are on Immunosuppression medication to avoid rejection of a newly transplanted kidney, you are prone to the dangers of acquiring viral and other infections easily. Following precautions need to be taken by a kidney transplant patient to keep on living a healthy disease-free life and save the kidney graft.

• Maintain good personal hygiene, like brushing off your teeth and cleaning your mouth after meals, wearing clean and sterilized clothing, and washing and sanitizing your hands frequently and before eating. Avoid getting shaved at parlors that use the same razors for many people. While getting haircuts tell your barber, to use proper precautions and use a new disposable blade.
• Avoid eating outside food or food cooked and served in unhygienic conditions, improperly or half-cooked foods. Fruits and vegetables must be properly washed and peeled off to avoid consuming pesticides or other impurities and disinfectants. Follow the diet plan prepared by your KTP team dietician. Avoid eating too much sugary, fatty, and fried foods. Ensure proper fluid intake as advised to you.
• When going to crowded places like cinema halls, airports, hospitals, buses or railway stations always cover your face with medical masks prepared for the purpose of warding off infections. Avoid shaking hands with many people.
• Avoid being around people who are suffering from contagious infections.
• .Tell the lab technician while at a pathology lab for blood tests to take adequate precautions.

Regular and proper Follow-up with your KTP doctors team as advised:

After a successful Life-saving Kidney transplant, your KTP team will give you proper guidelines and instructions for follow-up. You need to follow up on these instructions in totality.

You need to contact your KTP doctors team immediately if you have any of these abnormal symptoms:

• A fever higher than 100 Degrees Fahrenheit. Flu-like symptoms such as chills, aches, headaches, dizziness, nausea, or vomiting.
• Fluid retention ( Swelling or Edema )
• Sudden weight gain ( greater than 4 pounds and within 24 hours. 

• New pain or tenderness around the transplanted Kidney.

•  A significant decrease in urine output.

Maintaining a healthy lifestyle: 

Exercise regularly : 

The key is moderation and understanding your limits as a person, who has just undergone surgery. Your body is still weak and will take its own time to return back to full strength, so you should not push your body initially. Walking is the best exercise to start with. You can start with what time your body permits you without tiring it too much and gradually increase the time.

Do not start doing strenuous exercises and lifting weights initially as is not advised in any stomach surgery for at least three months.

Regular exercise post-kidney transplant helps a kidney-transplanted plant gain overall improved health as it improves blood circulation, and helps in controlling blood cholesterol, blood sugar, and body weight. Regular exercise increases endurance and improves muscle tone and the functioning of the lungs and heart. 

Driving:

Driving is not advised for the initial 2 to 4 weeks post-kidney transplant as your body may suffer from tremors, weakness, and blurred vision till the time you get used to your post-transplant medicines. These effects of medicines may last for a few months. Once your body gets used to your medications, with your KTP doctor's permission, you can resume driving.

Sexual Activity and Fertility:

The most frequently asked question by a transplanted patient. A person's sexuality is affected when they suffer from CRF or ESRD. Men may suffer from impotence and loss of sex drive while women's menstrual cycle may become irregular or stop completely. Post kidney transplantation some of the aspects affecting the sexuality of a CRF or ESRD patient will definitely improve. Chronic fatigue experienced by a kidney patient diminishes post-transplantation and improved health makes sexual life more enjoyable. Men will have fewer problems in gaining and maintaining an erection while women will resume normal menstrual cycles and overcome lack of vaginal lubrication during coitus.
Sexual activity was not very important before the transplant but with improved health post-transplant, it comes higher on your agenda.
It is common for transplanted patients to resume living a normal life as they recover, and active sexual life is no exception.
For women, it is important to maintain good hygiene before, during, and after as they are more prone to urinary tract infections because of being on immunosuppression medications. Urinating before and after coitus and drinking more water reduces the chances of acquiring a UTI.
In case you get infected with UTI, consult your KTP doctor for the same.

Managing Diabetes:

Corticosteroid like prednisolone (Wyesolon) increases the blood sugar level but after two months when the dosage is reduced, it will start becoming normal. You may require your diabetes medicines or insulins to keep your blood sugar levels in check as advised by your doctors. Your doctors may advise a controlled carbohydrate diet and regular exercise to keep your blood sugar in check.

Managing Blood pressure:

The targeted blood pressure for a kidney transplanted patient is less than 130/80. You will require your blood pressure medicines to continue post-transplant under the supervision of your doctor. Doctors will advise you blood pressure medication, and keep your weight in check by advising exercise and a low-salt diet.

Maintaining a normal Lipid Profile:

Many kidney transplanted patients may have higher blood cholesterol and lipid profiles due to side effects of medication, gaining weight, poor diet, lack of exercise, a family history, and proteinuria in certain cases. Your KTP doctors will suggest a heart-healthy diet, regular exercises, and lipid-lowering medication for keeping a check on your lipid profile.

Controlling Obesity:

Weight gain is common after a successful transplant. However, being overweight may make you prone to heart disease and New-Onset diabetes post-transplant. To avoid being obese a kidney transplant patient should take a healthy, balanced diet and exercise regularly to burn extra calories. 

Bone Disease:

Bone diseases in a transplanted patient are called chronic kidney disease-related mineral and bone disorders. (CKD-MBD ). It may cause your bones to be brittle and prone to easy fractures. Your KTP team may recommend routine blood tests for calcium, phosphorus, parathyroid hormone (PTH), and vitamin D.

Gout:

Due to side effects of your kidney transplant medication like cyclosporine, your body may find it difficult to excrete excessive uric acid from the bloodstream. High blood uric acid results in the deposition of uric acid crystals in joints causing swelling and pain termed as Gout. Certain dietary control may be advised by your doctors like cutting down on red meat, seafood, sugared soft drinks, and alcoholic beverages, especially beer. 

Travel:

Traveling should be avoided in the first two months after the transplant to cut down the chances of infection. If traveling to another continent, you may require certain vaccinations to protect you from any epidemic disease prevailing. You must also carry a sufficient quantity of your post-transplant medications with you.

Vaccination:

Live vaccines like Varicella Zoster, BCG, smallpox, intranasal influenzas, Live oral typhoid Ty21a, measles, mumps, rubella, oral polio, yellow fever, and live Japanese B encephalitis vaccines must be avoided.

Vaccines that can be taken after consulting your KTP doctors team are DPT, Haemophilus Influenza B, Hepatitis B ( Before transplant), Hepatitis A, Pneumovax, Inactivated polio, Influenza types A & B, Meningococcus ( In high-risk cases), and Typhoid.

Skin Care:

Corticosteroids like Prednisolone (wyesolon) may cause acne on your face, shoulders, chest, or back. Cyclosporine may cause these areas to be oily. Wash this area thoroughly with water at least three times a day every day. Avoid vigorous rubbing or scrubbing, instead use a wet washcloth and mild soap to remove accumulating oils, dead skin, and bacteria. Avoid using soaps that contain oils or cream-based.

Eye care:

Kidney transplant patients are advised to have annual periodic eye check-ups with an ophthalmologist. Prednisolone (Wyesolone) can cause cataracts and changes in vision.

Dental Care:

You should brush your teeth at least once or twice every day, Use mouth rinse after meals to avoid accumulation of bacteria.

Quitting smoking:

Kidney transplant patients must quit smoking after the transplant to avoid complications and chest infections.

Pregnancy:

Pregnancy may occur after a successful kidney transplant. Your KTP team will advise you to avoid pregnancy in the first year of the transplant. Proper monitoring by your KTP team and Gynecologist is needed for the safety of both mother and baby and dose adjustment of your medication may be needed.

Click on the following Useful Links to Learn More About Kidney Transplant in India.

For Any other queries feel free to contact us.

With Love from India.

Successful bone Surgery for Nigerian guest in India-CMCS Health.

Successful bone Surgery for Nigerian guests in India-CMCS Health.

Mr Ugwu Chinenye is a bright young man from Nigeria. He met with a road accident in Nigeria and suffered multiple fractures. Surgery was done at a hospital in Abuja, Nigeria but after many months of surgery and having his leg in repeated plaster casts, the bone could not join. It made him walk with a big limp and that too with a walking stick.
The family doctor in Nigeria recommended the guest to us with X-ray films of the patient.
We discussed the case with leading orthopedic surgeons of New Delhi and Gurgaon and selected Dr Raju Ishwaran at Max Hospital for his surgery.

After receiving their passport scan copies, we sent them a visa assistance letter and treatment offer letter and helped them procure Medical and medical X visas for patients and attendants.
On their arrival in India, we received them at the Airport and took them to their guest house booked for them for their India stay as per their choice and budget.

They were immediately given two prepaid SIM cards and Internet connectivity on their arrival in India for communication with family members back home.
As per their scheduled appointment, they were taken to the hospital for consultation with their treating doctor at Max Hospital, Saket, New Delhi, India.
The treating doctor at Max Hospital recommended certain tests for Mr. Ugwu to decide on the treatment course and budget after evaluation.

Proper evaluation and transparency in medical treatment play a big role in the successful outcome of treatment. We at CMCS Health practice strong professional ethics for our Global guests's best benefit.
A proper explanation by the treating doctor before the start of surgery/treatment prepares the patient better mentally.

Guest Mr. Chinenye was given an estimate for surgery and explained about the treatment course and expected outcome. The doctor has decided a redo surgery for him with an implant for the joining of the bone, surgery was also intended to Correct the shortening of the limb.
The guest was admitted to the hospital one day before surgery and after essential tests before surgery, surgery was performed the next day by the treating doctor.
Recovery was quick and smooth for the guest and soon he was made to walk after surgery.

The guest was discharged from the hospital after successful surgery, with instructions to walk with crutches and not put weight on their legs for at least three months.

Post-treatment sightseeing and shopping for gifts for people back home in Nigeria.

Drop to the Airport after successful surgery, good memories of India, and a smile on face.

Important Links about Nigerian Patients' Medical Treatment in India:

Best Medical Tourism Assistance for Nigerian Patients.

Indian Medical Visa for Nigerian Patients.

Medical Treatments in India with Best Doctors in Best Indian Hospitals.

Awareness series-CMCS Health. Good health is taking good care of your vitals.

Awareness series-CMCS Health. Good health is taking good care of your vitals.

Human Body is a miracle of nature. It serves us well when we take good care of it.Know your Vitals.

CMCS Health is a registered medical and healthcare consultancy firm based in National capital region of India,Gurgaon.

We arrange and co ordinate specialized medical treatment for global guests seeking specialized medical treatment in India. We know our social responsibility as an organization dedicated to good health for humans.

We do believe in prevention is better than cure. In this series we are trying to create awareness for a healthy living by knowing our bodies and its vital organs.

The five major vitals in human body are Brain,Heart,Liver,Kidneys and lungs.

All these organs are devised for different functioning and they acts as a cohesive unit for a healthy human body.

Know Your Brain:

Human Brain is the main organ of central nervous system.

What are functions of Human Brain:

What is good for brain:

What harms brain:

What are diseased conditions of brains:

Medical treatments for Brain diseases:

https://youtu.be/u4xiiKFwuX4