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pediatric-nephrology-india · 3 months

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Child Kidney Doctor in India

Child Kidney Doctor in India

Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.

Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.

To schedule an appointment With Child Kidney Doctor in India, please contact: Name: Pediatric Nephrology India Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com

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drbhanumishra · 4 months

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HOW is Acute Kidney Injury Diagnosed?

Renal transplant Specialist in Delhi

🩺 Unveiling the diagnosis of Acute Kidney Failure (AKI)! 🤔🔍 From blood tests to imaging, the journey to diagnosis is intricate. Trust your healthcare team to navigate this path for timely intervention. 💙🌐

For more information book an appointment with us today.

📌 Dr. Bhanu Mishra

MBBS, MD, DNB (NEPHROLOGY)

🥼Associate Consultant Nephrologist & Renal

Transplant Physician

#DrBhanuMishra #AKIDiagnosis #KidneyHealth #HealthAwareness #TimelyIntervention

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bestpediatricnephrologistindelhi · 1 year

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Best Pediatric Nephrologist in Delhi

Child Kidney Specialist in India

A Glimpse On Chronic Kidney Disease

CKD (chronic kidney disease) is a lifelong condition in which the kidney function slowly declines over many years. It is common in adults but extremely rare in children. It can be caused by a number of conditions affecting the kidney and can present at birth or later on during childhood. All kidney conditions do not cause CKD and all kids with CKD do not always progress to the end stage. It is a complicated disease with a wide spectrum from which full recovery is not possible but timely specialist care can help your child live a long, healthy and wholesome life.

How Severe Is My Child’s Disease?

CKD is divided into 5 stages based on GFR [glomerular filtration rate- tells how well the tiny filters (glomeruli) inside your child’s kidney are cleaning the blood].

How Would My Child Be Treated?

Your child will require specialized medical care from a pediatric nephrologist. It is important that you regularly visit the clinic for follow-up appointments even if your child feels well. At each of these visits, the growth(height,weight) and kidney function of your child would be monitored to avoid any future complications. The medical treatment aims at-

Reducing blood pressure [by low salt diet and medicines]

Slowing protein loss in the urine [by medicines like ACE-I(angiotensin converting enzyme inhibitor) or ARB(angiotensin receptor blocker)]

Avoiding bone disease [by calcium and vitamin D supplements]

Controlling anemia [by erythropoietin supplements or blood transfusion]

Healthful living-

Ensure that your child eats at least five servings of fruits and vegetables a day. Cut down on his/her sugar and fat intake.

Get him/her plenty of exercise.

Avoid taking common medicines like ibuprofen/diclofenac without higher supervision as they cause further kidney damage.

Many children with progressive disease who develop ESRD would ultimately need dialysis, which uses special equipment to remove waste products and extra water from their body. The best treatment is a kidney transplant, in which a healthy kidney from another person is transplanted into the child. After a successful kidney transplant, the child can live a healthy life, but will need to take medicines to look after the new kidney.

What To Anticipate About My Kid’s Future?

CKD can take a heavy emotional toll not just on the kid but the entire household. Speaking with families of other children with CKD can be a huge support. Your child will need to take care of his or her health throughout life. As an adult, he/she will be supported by a new team. Due to the current medical advancements, children with CKD can reach their adulthood with better kidney outcomes. They should be encouraged to live a full and fulfilling life, pursue higher education, work and have a family.For any queries or concerns, please visit this website/contact Dr. Sethi today.

TAG : Child Kidney Specialist in Delhi, Child Kidney Doctor in Gurgaon, Pediatric Nephrology India

#Dr. Sidharth Kumar Sethi #Best Pediatric Nephrologist in Delhi #Nephrotic syndrome Specialist in India #Child Kidney Doctor in Delhi

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pediatric-nephrologist · 1 year

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What is Nephrotic syndrome? | Dr. Sidharth Kumar Sethi

Nephrotic syndrome is characterized by edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Minimal change disease, the most common cause in childhood, generally responds to corticosteroids, although most patients experience disease relapses. Focal segmental glomerulosclerosis is usually resistant to corticosteroids and carries a significant risk of kidney failure, necessitating renal transplantation. Nephrotic syndrome may also be secondary to gene mutations and systemic diseases such as lupus. Clinical evaluation involves distinguishing primary and secondary causes and monitoring for disease complications, including blood clots and serious infections such as spontaneous bacterial peritonitis. Immunosuppressive medications are used to prevent relapses and treat corticosteroid-resistant disease.

Dr. Sidharth Kumar Sethi

Kidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

TAG- Paediatric Nephrologist in Delhi, Nephrotic syndrome Specialist in India

#paediatric nephrologist in delhi #Nephrotic Syndrome #Pediatric Nephrology India

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drsidharthkumarsethi · 2 years

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Recent literature has endorsed favorable outcomes following ABOi kidney transplantation in pediatric population. Nevertheless, reluctance to pursue an ABOi still remains pervasive. This could be ascribed to various legitimate reasons, namely less ext

#Pediatric Kidney Transplant Specialist in Delhi #Pediatric Nephrology India #Best Pediatric Nephrologist in India #Dr. Sidharth Kumar sethi #Pediatricnephrologyindia

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bestpediatricnephrologistinindia · 2 years

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Disparities in dialysis in children | Dr. Sidharth Kumar Sethi

Disparities In Dialysis In Children

HYPOTHESIS: Acute kidney injury (AKI) is a common cause of morbidity and mortality worldwide, with a pediatric incidence ranging from 19.3% to 24.1%. Treatment of pediatric AKI is a source of debate in varying geographical regions. Currently CRRT is the treatment for pediatric AKI, but limitations due to cost and accessibility force use of adult equipment and other therapeutic options such as peritoneal dialysis (PD) and hemodialysis (HD). It was hypothesized that more cost-effective measures would likely be used in developing countries due to lesser resource availability.

METHODS: A 26-question internet-based survey was distributed to 650 pediatric Nephrologists. There was a response rate of 34.3% (223 responses). The survey was distributed via pedneph and pcrrt email servers, inquiring about demographics, technology, resources, pediatric-specific supplies, and preference in renal replacement therapy (RRT) in pediatric AKI. The main method of analysis was to compare responses about treatments between nephrologists in developed countries and nephrologists in developing countries using difference-of-proportions tests.

RESULTS: PD was available in all centers surveyed, while HD was available in 85.1% and 54.1% (p = 0.00), CRRT was available in 60% and 33.3% (p = 0.001), and SLED was available in 20% and 25% (p = 0.45) centers of developed and developing world respectively. In developing countries, 68.5% (p = 0.000) of physicians preferred PD to costlier therapies, while in developed countries it was found that physicians favored HD (72%, p = 0.00) or CRRT (24%, p = 0.041) in infants.

CONCLUSIONS: Lack of availability of resources, trained physicians and funds often preclude standards of care in developing countries, and there is much development needed in terms of meeting higher global standards for treating pediatric AKI patients. PD remains the main modality of choice for treatment of AKI in infants in developing world.

About Dr.

Dr. Sidharth Kumar SethiKidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals

Tags = Pediatric Dialysis Specialist in India, Pediatric Dialysis Specialist in delhi, Pediatric Nephrology India, Best Pediatric Nephrologist in Delhi

For more information = http://www.pediatricnephrologyindia.com/

See more blogs = https://child-kidney-specialist-in-delhi.blogspot.com/2022/06/what-is-nephrotic-syndrome-and-what.html

#Pediatric Dialysis Specialist in India #Pediatric Dialysis Specialist in delhi #Pediatric Nephrology India #Best Pediatric Nephrologist in Delhi

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healthcare-gomedii · 8 months

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What Are The Best Kidney Treatments In India?

Determining the best kidney treatment in India involves considering various factors, including the specific kidney condition, the patient's individual health, the expertise of healthcare providers, and the available treatment options. India is known for its world-class medical facilities and highly skilled medical professionals, making it a popular destination for kidney treatment. Let's explore some of the top kidney treatment options in India.

Kidney Transplantation:

Kidney transplantation is often considered the most effective treatment for end-stage kidney disease (ESKD). India has a thriving kidney transplant program with well-established transplant centers in cities like Chennai, Delhi, Mumbai, and Hyderabad. Renowned hospitals and transplant surgeons in India have successfully performed numerous kidney transplants, including living donor and deceased donor transplants. The success rates for kidney transplantation in India are generally high, and the procedure offers the potential for a better quality of life. Hemodialysis and Peritoneal Dialysis:

Dialysis is a life-saving treatment for individuals with advanced kidney disease. India has a vast network of dialysis centers that provide both hemodialysis and peritoneal dialysis services. These centers are equipped with state-of-the-art dialysis machines and offer high-quality care. Patients can undergo regular dialysis sessions to manage their kidney condition and maintain overall health. Laparoscopic Nephrectomy:

Laparoscopic nephrectomy is a minimally invasive surgical technique used to remove a diseased or non-functioning kidney. It involves smaller incisions, reduced post-operative pain, and quicker recovery compared to traditional open surgery. Leading hospitals in India have experienced urologists and surgeons who perform laparoscopic nephrectomy with precision. Treatment for Kidney Stones: India has skilled urologists who specialize in the diagnosis and treatment of kidney stones. Various treatments, including shockwave lithotripsy, laser lithotripsy, and minimally invasive surgeries, are available to manage kidney stones effectively. Patients with kidney stones can receive comprehensive care and guidance on dietary and lifestyle changes. Pediatric Kidney Care: India also excels in pediatric nephrology and offers advanced treatments for kidney conditions in children. Leading pediatric hospitals provide specialized care for young patients with congenital kidney disorders, kidney infections, and other kidney-related issues. Treatment for Chronic Kidney Disease (CKD): Managing CKD involves a combination of medication, lifestyle modifications, and close monitoring. Nephrologists in India work with patients to slow the progression of CKD and prevent complications. They provide guidance on diet, medication, and regular check-ups to maintain kidney function. Medical Tourism: India is a hub for medical tourism, attracting patients from around the world. The cost of kidney treatment in India is often more affordable than in many Western countries, making it an attractive option for international patients seeking high-quality care. Ultimately, the "best" kidney treatment in India depends on the specific diagnosis and individual circumstances. It is crucial for patients to consult with experienced nephrologists and urologists who can assess their condition and recommend the most appropriate treatment plan. India's healthcare infrastructure, skilled medical professionals, and range of treatment options make it a top destination for kidney care.

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bestpediatric · 3 years

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What is nephrotic syndrome and what causes it? - Dr. Sidharth Kumar Sethi

Nephrotic syndrome is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering system gets damaged, the kidney tends to filter substances which it usually doesn’t, and filter less of substances which it usually does. All of these issues give rise to some characteristic findings, which include:

Large amounts of protein present in the urine which results from leakage of protein through the damaged nephrons which usually prevent protein leak. This is known as proteinuria in medical terms and is calculated according to your child’s age and body weight.

Low levels of protein in the blood, which results from the protein leaking out into the urine, and is called Hypoalbuminemia.

Edema or tissue swelling in all areas of the body, which is the result of reduced levels of protein in the blood. This swelling is especially evident around the eyes, in the face, and in the abdomen which is known as ascites. The swelling results because the protein in the blood actually acts like a sponge which helps to keep most of the fluid in the blood, and when there is a reduced amount of proteins in the blood, the water tends to leak out from the blood into the tissues, resulting in swelling.

Increased levels of cholesterol in the blood, which results from reduced levels of protein in the blood which is a signal for the body to increase its production of certain types of fat.

The symptoms and signs of nephrotic syndrome:

The signs and symptoms that children often present with include:

Malaise and fatigue

Abdominal pain and swelling

Frothy urine

Increased body weight and facial edema

Loss of appetite

Paleness of the nail bed

Dull hair

Development of intolerance to certain food or allergies

The cartilage of the ears may feel less firm

The different types of nephrotic syndrome:

There are different types of nephrotic syndromes in existence as a result of the different causes. Some of these causes include, diabetes, hepatitis B and C, medications such as corticosteroids, and conditions like systemic lupus erythematosis, and cancer of the kidneys. The most common type of nephrotic syndrome to affect children is one that is known as idiopathic nephrotic syndrome, where there is no identifiable underlying cause.

Nephrotic syndrome can also be categorized according to the way the kidney tissue appears when it is viewed under a microscope following a biopsy. According to this tow forms have been recognized, Minimal Change Disease (MCD) and Focal Glomerular Sclerosis (FSGS).

Minimal Change Disease (MSD):

This is most common form to affect children and you will see that the renal cells look almost normal when seen under the microscope. It responds well to steroids, and has a good outcome in most cases. This form doesn’t have any lasting damage on kidney function, and relapses less and less frequently as the child ages, and is usually absent in adulthood. It is very rare for a child affected by minimal change disease to require dialysis or kidney transplant.

Focal Glomerular Sclerosis (FSGS):

This form of disease is present only in about 10% of the children with nephrotic syndrome. It requires biopsies in order to be diagnosed and doesn’t usually respond to steroid therapy, and is an aggressive form, which more often than not requires the child to undergo dialysis or a kidney transplant.

What is congenital nephrotic syndrome?

As the word suggests this form of nephrotic syndrome is present at birth, but it is most likely that the condition will go unnoticed at the time of birth and be discovered only when the baby is few months old. It is a very rare condition and is caused by a genetic predisposition where both parents have to be carriers of the condition. It is a very aggressive and severe form of nephrotic syndrome where the affected baby will require a kidney transplant as soon as possible, ideally within the first few years of life. And till a transplant becomes possible, the baby will require transfusions of blood protein almost every day, because the protein leaks out from the kidneys at a rapid rate. They will also require frequent boosting of their immune system and hormones in order to keep them healthy till the transplant can be done, and till they reach the appropriate weight with which a transplant becomes possible, which is about 15 pounds when the child is roughly around one year.

For More Info.(http://www.pediatricnephrologyindia.com/)

Tag = Best Pediatric Nephrologist in India, Best Pediatric Nephrologist in Gurgaon, Best Pediatric Nephrologist in Delhi, Pediatric Kidney Transplant Specialist in Delhi, Nephrotic syndrome Specialist in India

#Best Pediatric Nephrologist in India #Best Pediatric Nephrologist in Gurgaon #Best Pediatric Nephrologist in Delhi #Pediatric Kidney Transplant Specialist in Delhi #Nephrotic syndrome Specialist in India

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pediatric-nephrology-india · 3 months

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Best Pediatric Nephrology Doctor In India

In the realm of pediatric nephrology, where the delicate health of children is at stake, finding the right specialist is crucial. Among the multitude of healthcare professionals in India, one name stands out prominently — Dr. Sidharth Sethi. Renowned for his expertise, compassion, and commitment to pediatric nephrology, Dr. Sethi is widely regarded as the best in his field. Let’s delve into the exceptional qualities that make him the go-to pediatric nephrologist in India.

A Distinguished Career:

Dr. Sidharth Sethi has carved a niche for himself through years of relentless dedication to pediatric nephrology. Armed with an impeccable academic record and extensive training, he brings a wealth of knowledge and experience to the table. After graduating from prestigious institutions and undergoing specialized training in pediatric nephrology, Dr. Sethi has honed his skills to perfection.

Kidney Disease Care especially for Children

Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.

Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.

Clinical Excellence:

One of the defining characteristics of Dr. Sethi’s practice is his unwavering commitment to clinical excellence. His diagnostic acumen is unparalleled, ensuring accurate and swift identification of renal issues in children. From congenital kidney abnormalities to complex renal disorders, Dr. Sethi handles each case with precision and expertise, earning him the trust of both patients and peers.

Compassionate Patient Care:

Beyond medical expertise, Dr. Sidharth Sethi is celebrated for his compassionate approach to patient care. Dealing with pediatric patients requires a special touch, and Dr. Sethi is known for his ability to connect with children and their families. His empathetic demeanor creates a supportive environment, making the healthcare journey more manageable for young patients and their worried parents.

Cutting-Edge Technology and Treatment:

Staying at the forefront of advancements in pediatric nephrology, Dr. Sethi employs state-of-the-art technology and innovative treatments. Whether it’s advanced imaging techniques or the latest therapeutic interventions, his practice reflects a commitment to providing the best possible care using the most current and effective methods available.

Holistic Wellness Approach:

Understanding that pediatric nephrology is not just about treating the symptoms but promoting overall well-being, Dr. Sethi adopts a holistic approach. He collaborates with multidisciplinary teams to address not only the medical aspects but also the emotional and social needs of his patients, ensuring a comprehensive and integrated healthcare experience.

Patient Testimonials:

The impact of Dr. Sidharth Sethi’s care is evident in the glowing testimonials from grateful parents. Many commend his ability to reassure both children and their families, turning what could be a stressful situation into a journey of hope and healing.

Conclusion:

In the landscape of pediatric nephrology in India, Dr. Sidharth Sethi shines as a beacon of excellence. His exceptional medical skills, combined with a compassionate and patient-centric approach, make him the undisputed best in his field. Parents seeking the best possible care for their children need look no further than Dr. Sethi’s practice, where expertise meets empathy, and healing is not just a goal but a shared journey toward a healthier, happier future for every young patient.

To schedule an appointment With the Best Pediatric Nephrology Doctor In India, please contact: Name: Pediatric Nephrology India Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com

You can also search for these treatments Pediatric Nephrology India, Best Pediatric Nephrologist In India, Best Pediatric Nephrologist In Gurgaon, Best Pediatric Nephrologist In Delhi, Child Kidney Specialist In Delhi, Child Kidney Specialist In Gurgaon, Child Kidney Specialist In India, Child Kidney Doctor In India, Child Kidney Doctor In Delhi, Child Kidney Doctor In Gurgaon, Pediatric Dialysis Specialist In India, Pediatric Dialysis Specialist In Delhi, Pediatric Kidney Transplant Specialist In Delhi, Nephrotic Syndrome Specialist In India, Nephrotic Syndrome Specialist In Delhi, Pediatric Nephrologist In Delhi, Best Pediatric Nephrology Doctor In India, Pediatric Kidney Doctor In India, Best Child Kidney Specialist In Delhi, Best Pediatric Nephrologist In Delhi, Best Paediatric Kidney Nephrologist In India, Best Child Kidney Doctor In India, Best Child Kidney Care In Delhi, Pediatric Nephrology,

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drbhanumishra · 4 months

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Renal Wellness with Dr. Bhanu Mishra: Your Expert Kidney Specialist in Delhi

In the vibrant city of Delhi, the pursuit of kidney health is entrusted to the expertise of Dr. Bhanu Mishra, a distinguished Kidney Specialist in Delhi providing comprehensive and compassionate care. As a renowned expert in nephrology, Dr. Mishra combines medical proficiency with a patient-centric approach to address a spectrum of kidney-related conditions.

#best pediatric nephrologist in delhi #best nephrology doctor near me

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bestpediatricnephrologistindelhi · 1 year

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#Dr. Sidharth Kumar Sethi #Pediatric Nephrology India #Child Kidney Doctor in Gurgaon #Child Kidney Specialist in India

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pediatric-nephrologist · 2 years

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Best Pediatric Nephrologist in India - Dr. Sidharth Kumar Sethi

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.

He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections.

He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

TAG- Best Pediatric Nephrologist in India, Child Kidney Specialist in India, Nephrotic syndrome Specialist in Delhi, Pediatric Dialysis Specialist in India

#Best Pediatric Nephrologist in India #Child Kidney Specialist in India #Pediatric Dialysis specialist in India #Nephrotic Syndrome Specialist in Delhi

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drsidharthkumarsethi · 2 years

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Pediatric Kidney Transplant Specialist in Delhi - Dr. Sidharth Kumar Sethi

ABO Incompatible Kidney Transplant In Children

Recent literature has endorsed favorable outcomes following ABOi kidney transplantation in pediatric population. Nevertheless, reluctance to pursue an ABOi still remains pervasive. This could be ascribed to various legitimate reasons, namely less extensive pediatric ABOi data, technical difficulties encountered during PP, cost restraints, and concerns regarding higher rates of antibody-mediated rejection, infectious complications, and post-transplant lymphoproliferative disorder as compared to adults. However, given the similar excellent outcomes of both ABOi and ABOc kidney transplantation, clinicians should consider this option sooner if a compatible donor or swap is not available. Here, we describe the outcomes of three pediatric ABOi performed at our institute in India (from 2014 till now), wherein distinct apheresis modalities had been employed in each desensitization protocol, and our techniques evolved with advancing science in apheresis. This case series includes India’s first published pediatric ABO-incompatible transplant (Case 2) and the youngest child to undergo ABO-incompatible renal transplant in SAARC nations (Case 3).

Tags - Pediatric Kidney Transplant Specialist in Delhi, Pediatric Nephrology India, Best Pediatric Nephrologist in India

For more information link - www.pediatricnephrologyindia.com

#Pediatric Kidney Transplant Specialist in Delhi #Pediatric Nephrology India #Best Pediatric Nephrologist in India #Dr. Sidharth Kumar Serthi #Pediatricnephrologyindia

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bestpediatricnephrologistinindia · 2 years

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Nephrotic syndrome is disease of the kidneys where the filtering system made of functional units called the nephrons, gets damaged. This is the name given to the collection of findings which develop as a result of such a damage. When the filtering

#Pediatric Nephrology India #Nephrotic syndrome Specialist in India #Nephrotic syndrome Specialist in Delhi #Best Pediatric Nephrologist in Gurgaon #Best Pediatric Nephrologist in Delhi

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pediatricnephrologyindia · 3 years

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Pediatric Continuous Renal Replacement Therapy (PCRRT)

Pediatric Continuous Renal Replacement Therapy (PCRRT) Expert Committee Recommendation On Prescribing Prolonged Intermittent Renal Replacement Therapy (PIRRT) In Critically Ill Children

Introduction

Recently, prolonged intermittent renal replacement therapies (PIRRT) have emerged as cost‐effective alternatives to conventional CRRT and their use in the pediatric population has started to become more prominent. However, there is a lack of consensus guidelines on the use of PIRRT in pediatric patients in an intensive care setting.

Methods

A literature search was performed on PubMed/Medline, Embase, and Google Scholar in conjunction with medical librarians from both India and the Cleveland Clinic hospital system to find relevant articles. The Pediatric Continuous Renal Replacement Therapy workgroup analyzed all articles for relevancy, proposed recommendations, and graded each recommendation for their strength of evidence.

Results

Of the 60 studies eligible for review, the workgroup considered data from 37 studies to formulate guidelines for the use of PIRRT in children. The guidelines focused on the definition, indications, machines, and prescription of PIRRT.

Conclusion

Although the literature on the use of PIRRT in children is limited, the current studies give credence to their benefits and these expert recommendations are a valuable first step in the continued study of PIRRT in the pediatric population.

Tag: Best Pediatric Nephrologist in Delhi, Disparities In Dialysis In Children,

Nephrotic syndrome Specialist in India

#Pediatric Continuous Renal Replacement Therapy #Nephrotic syndrome Specialist in India #Best Pediatric Nephrologist in Delhi

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drsidharthsethi-blog · 5 years

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Testing For And Diagnosing Nephrotic Syndrome In Children

Nephrotic syndrome explained:

Nephrotic syndrome is a condition which affects the kidneys and the miniscule filtering system within it, called the nephrons. There is damage to these structures as a result of various reasons, and mostly in children the cause remains unknown, also known as idiopathic nephrotic syndrome. As a result of this damage, the kidney starts to filter less of the substances that it usually helps our body get rid of, and it also starts to filter in excess certain substances which are useful to the body. Therefore an affected child usually presents with certain characteristic symptoms, including, swelling of the tissues, especially in the face and abdomen.

Diagnosing the condition:

It is when a child presents with this characteristic symptom of swelling in most areas of the body, that your doctor/pediatrician will suspect nephrotic syndrome. It is very important that the diagnosis is made correctly, because only then can prompt treatment be started in order to effectively manage the condition. Nephrotic syndrome is a condition which can be accurately diagnosed using a few tests, because the condition has some telltale signs which can easily be detected.

The investigations used to diagnose nephrotic syndrome:

The diagnostic tests which are carried out when a doctor suspects nephrotic syndrome in your child include:

Urine test – to look for the levels of protein in the urine, because nephrotic syndrome results in increased leakage of protein form the kidney and high levels of protein in the urine. The urine is also tested under the microscope in order to look for signs of inflammation of the kidney and kidney damage, which may indicate the type of nephrotic syndrome your child is suffering from.

Blood test – in order to look for the level of protein in the blood, because the increased leakage of protein in the urine, will result in reduced levels of protein in the blood, which is the reason why the child develops swelling within the body tissues.

Renal biopsy – Children usually do not require kidney biopsy at the onset. Which is a test where a small sample of kidney tissue is drawn out using a needle, and viewed under a microscope, in order to see the changes which have occurred in the kidney tissue. Some children may require additional immuno suppression if they frequently relapse or are steroid dependent.

Nephrotic syndrome can present in two forms. The first known as Minimal Change Disease is the most common form to affect children, and is a form that doesn’t show a lot of damage or change in the urine test, and even in the biopsy, there will not be any identifiable damage to the filtering system of the kidney. The second form known as Focal Glomerular Sclerosis, is a more aggressive form of the disease, and shows extensive damage in the urine test as well as renal biopsy.

On certain occasions, if your child is very symptomatic, your doctor will begin treatment straight away without waiting for the tests to confirm which form of nephrotic syndrome your child is suffering from. The treatment for nephrotic syndrome is a course of steroids, which are administered daily, till your child becomes symptom free. Once the treatment has commenced if it is minimal change disease, it will respond well to the treatment and immediate signs of improvement can be seen in your child. But if it Focal Glomerular Sclerosis, then it will not respond well to treatment with steroids.

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