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Nephrology

Medical evaluation of kidney function, kidney disease, fluid/electrolyte problems and related blood-pressure concerns.
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Dr. Jaydev Kumhar
Dr. Jaydev KumharNephrologistView profile →
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Nephrology clinical care
Conditions & symptoms

When to consult this department

  • Abnormal creatinine, eGFR or urine-protein results
  • Swelling of feet/face or unexplained fluid retention
  • Long-standing or difficult-to-control high blood pressure
  • Diabetes with concern about kidney function
  • Repeated electrolyte abnormalities
  • Known chronic kidney disease needing monitoring or specialist input
Treatments & services

Conditions and care covered

  • Chronic kidney disease
  • Protein or blood in urine — medical evaluation
  • Kidney effects of diabetes or hypertension
  • Electrolyte and fluid-balance disorders
  • Acute changes in kidney function
  • Glomerular and other medical kidney diseases
How the department works

How your concern is evaluated

The nephrologist reviews medical conditions such as diabetes and high blood pressure, medicines, swelling, urine changes and previous kidney test results. Key tests often include serum creatinine with estimated GFR and urine testing for protein/albumin. Depending on the case, electrolytes, blood counts, ultrasound or other investigations may be needed to identify the cause and monitor progression.

Listen

Understand the problem

The specialist first reviews your symptoms, when they began, previous treatment, current medicines and relevant medical history.

Examine

Clinical examination

A focused examination is performed according to the symptoms and the body system involved.

Investigate

Investigations, when needed

Tests are advised when they can help clarify the diagnosis, assess severity or guide treatment.

Plan

Care plan and follow-up

The care plan is based on the diagnosis and may include medicines, monitoring, rehabilitation, a procedure, surgery or referral when appropriate.

When to consult

Common reasons to seek consultation

  • Abnormal creatinine, eGFR or urine-protein results
  • Swelling of feet/face or unexplained fluid retention
  • Long-standing or difficult-to-control high blood pressure
  • Diabetes with concern about kidney function
  • Repeated electrolyte abnormalities
  • Known chronic kidney disease needing monitoring or specialist input
Conditions and care covered

Conditions commonly managed

  • Chronic kidney disease
  • Protein or blood in urine — medical evaluation
  • Kidney effects of diabetes or hypertension
  • Electrolyte and fluid-balance disorders
  • Acute changes in kidney function
  • Glomerular and other medical kidney diseases
  • Kidney-related anaemia/mineral issues — evaluation
  • Planning and follow-up for advanced renal disease
Evaluation

Assessment and investigations

The specialist decides which investigations are appropriate after reviewing the history and examination findings.

01

Serum creatinine and estimated GFR

02

Urine albumin/protein and urinalysis

03

Electrolytes and related blood tests

04

Kidney ultrasound when indicated

05

Additional immune, infection or specialised tests depending on suspected cause

Care at Sarvodya Hospital

Care available in this speciality

Nephrology care focuses on kidney function, fluid and electrolyte problems and kidney-related medical conditions.

Nephrology specialist consultation
Patient questions

Frequently asked questions

Practical information to help patients prepare for a specialist consultation.

Can kidney disease exist without symptoms?

Yes. Early chronic kidney disease may have few or no symptoms, which is why blood and urine testing are important in people at risk or with abnormal prior results.

What do eGFR and urine albumin show?

eGFR estimates how well the kidneys filter blood. Urine albumin/protein testing can show kidney damage even when filtration is still relatively preserved.

How is nephrology different from urology?

Nephrology focuses on kidney function and medical kidney disease; urology focuses more on the urinary tract and conditions that may require procedural or surgical treatment.

Urgent warning signs

When to seek urgent medical attention

Seek urgent medical attention for severe breathlessness with swelling, very low urine output, confusion, severe weakness with suspected electrolyte disturbance, or rapidly worsening illness.

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Appointment & department assistance

Need an appointment with this department?

Call 8800260056 to confirm current doctor availability and OPD timing, or send an appointment request on WhatsApp.

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Planning your visit

Planning a visit to the Nephrology department

Your visit begins with the main health concern. The specialist reviews the history and examination findings before deciding whether tests, treatment or follow-up are needed.

01

Confirm OPD availability

Describe the main concern and ask for the current specialist and OPD timing.

02

Bring relevant medical records

Bring previous prescriptions, reports, scans and a current medicine list if available.

03

Meet the specialist

The specialist reviews the symptoms, medical history and examination findings before advising the next step.

04

Care plan and follow-up

Depending on the diagnosis, care may involve medicines, further investigations, a procedure, rehabilitation or scheduled follow-up.

Before your visit

What to bring to your appointment

Previous records help the specialist understand what has already been evaluated and avoid unnecessary repetition.