Chronic Kidney Disease
Acute Kidney Injury
Dialysis
Kidney Transplantation
Liver Donor Transplantation
Diseased / Cadaver Donor Compatible Transplantation
ABO Compatible Transplantation
ABO Incompatible Transplantation
Swap Donor Exchange Transplantation
Preemptive Transplantation
Chronic Kidney Disease
Acute Kidney Injury
Dialysis
Kidney Transplantation
Liver Donor Transplantation
Diseased / Cadaver Donor Compatible Transplantation
ABO Compatible Transplantation
ABO Incompatible Transplantation
Swap Donor Exchange Transplantation
Preemptive Transplantation
FAQS

Frequently Asked Questions

About Kidneys – General FAQs

1. What do kidneys do in our body?

Kidneys are vital organs that act like natural filters. Scientifically, they remove waste products (like urea and creatinine) and excess fluid from the blood through urine formation. In simple terms, they clean your blood and keep your body’s water and chemical balance normal.

2. How many kidneys does a person normally have?

Most people have two kidneys. However, scientifically, even one healthy kidney is enough to maintain normal body function. In simple words, you can live a normal life with just one working kidney.

3. Where are the kidneys located in the body?

Kidneys are located at the back of the abdomen, on either side of the spine, just below the rib cage. In simple terms, they sit in your lower back area.

4. What waste products do kidneys remove?

Kidneys remove metabolic waste like urea (from protein breakdown), creatinine (from muscle activity), and toxins. Simply put, they remove harmful substances that your body does not need.

5. How do kidneys control body water?

Kidneys regulate fluid balance by adjusting how much water is excreted in urine. Scientifically, they respond to hormones like ADH (antidiuretic hormone). In simple terms, they decide how much water your body should keep or remove.

Kidney Care & Treatment – General FAQs

1. What are the early signs of kidney disease?

Early signs include swelling in the legs or face, tiredness, changes in urine, and high blood pressure. In some cases, symptoms may not appear early, so regular health check-ups are important.

2. When is dialysis required for a patient?

Dialysis is needed when the kidneys are no longer able to remove waste and excess fluids properly. It is usually recommended in advanced kidney disease based on medical evaluation.

3. What types of dialysis are available?

There are two main types: Hemodialysis and Peritoneal Dialysis. Hemodialysis uses a machine to clean the blood, while peritoneal dialysis uses the body’s abdominal lining.

4. Is kidney transplantation safe?

Yes, kidney transplantation is a safe and effective treatment when done by experienced specialists. It helps improve quality of life with proper care and follow-up.

5. How can I maintain good kidney health?

Stay hydrated, eat a balanced diet, control blood pressure and sugar levels, and avoid unnecessary medications. Regular check-ups also help in early detection.

Acute Kidney Injury (AKI) – Patient Education

1. What is Acute Kidney Injury (AKI)?

Acute Kidney Injury (AKI) means a sudden decrease in kidney function over a short period—usually hours to days. Scientifically, it leads to accumulation of waste products like creatinine and urea. In simple terms, the kidneys suddenly stop working properly.

2. How quickly does AKI develop?

AKI develops rapidly, often within hours to a few days. Unlike chronic kidney disease, it is not a slow process. In simple words, kidney function drops suddenly.

3. What are the common causes of AKI?

Common causes include dehydration, severe infections (sepsis), low blood pressure, certain medicines, and blockage of urine flow. Simply put, anything that reduces blood flow to kidneys or directly damages them can cause AKI.

4. Can dehydration cause AKI?

Yes. Severe dehydration reduces blood supply to the kidneys, leading to injury. In simple terms, not having enough fluid in the body can harm your kidneys.

5. Can infections lead to AKI?

Yes, especially severe infections like sepsis. These can reduce blood flow and cause direct kidney damage. Simply put, serious infections can shut down kidney function.

6. Can medicines damage the kidneys?

Yes. Painkillers (NSAIDs), some antibiotics, and contrast dyes used in scans can cause AKI. In simple words, unnecessary or excessive medicines can harm your kidneys.

7. What happens to urine in AKI?

Urine output may decrease significantly or even stop (called oliguria or anuria). However, in some cases, urine may appear normal. Simply put, reduced urine is a warning sign.

8. What are the symptoms of AKI?

Symptoms may include reduced urine, swelling in legs or face, fatigue, nausea, confusion, and shortness of breath. In simple terms, the body starts retaining fluid and toxins.

9. Can AKI occur without symptoms?

Yes. Early AKI may not cause noticeable symptoms and is detected only through blood tests. Simply put, it can be silent in the beginning.

10. Who is at higher risk of AKI?

People with diabetes, high blood pressure, elderly individuals, hospitalized patients, and those with pre-existing kidney disease are at higher risk. Simply put, vulnerable patients need extra care.

11. What is creatinine and why is it important?

Creatinine is a waste product measured in blood to assess kidney function. In AKI, creatinine levels rise. Simply put, higher creatinine means poorer kidney function.

12. What is oliguria?

Oliguria means reduced urine output (less than normal). It is an important sign of kidney dysfunction. Simply put, passing less urine than usual is concerning.

13. Can vomiting or diarrhea cause AKI?

Yes. Both can lead to dehydration and reduced blood flow to kidneys. Simply put, fluid loss from the body can damage kidneys.

14. Is AKI reversible?

In many cases, yes—if treated early and the cause is corrected. However, severe or delayed cases can lead to permanent damage. Simply put, early treatment improves recovery.

15. How is AKI diagnosed?

AKI is diagnosed using blood tests (creatinine), urine tests, and sometimes imaging like ultrasound. Simply put, doctors check your blood and urine.

16. Can AKI require dialysis?

Yes, in severe cases where kidneys cannot remove waste or excess fluid. Dialysis may be temporary until kidneys recover. Simply put, a machine may help clean the blood.

17. What are danger signs in AKI?

Severe breathlessness, no urine, confusion, and swelling are serious signs. These require urgent medical attention. Simply put, these are emergency symptoms.

18. Can contrast dye used in CT scans cause AKI?

Yes, especially in high-risk patients. This is called contrast-induced kidney injury. Simply put, certain scans can affect kidney function.

19. How can AKI be prevented?

Stay well hydrated, avoid unnecessary medicines, control BP and diabetes, and seek early treatment for infections. Simply put, good care and awareness can prevent AKI.

20. When should you consult a doctor?

If you notice reduced urine, swelling, vomiting, diarrhea, or weakness—especially if you have risk factors. Simply put, don’t ignore early warning signs.

Chronic Kidney Disease (CKD) – Patient Education

1. What is Chronic Kidney Disease (CKD)?

Chronic Kidney Disease means a gradual and permanent loss of kidney function over months to years. Scientifically, it is defined by reduced eGFR or kidney damage for more than 3 months.

2. How is CKD different from AKI?

CKD develops slowly and is usually permanent, while AKI is sudden and often reversible.

3. What are the common causes of CKD?

Diabetes and high blood pressure are the most common causes. Others include glomerulonephritis, genetic diseases, and long-term drug use.

4. Can diabetes damage kidneys?

Yes. High blood sugar damages kidney filters (glomeruli), leading to diabetic nephropathy.

5. Can high blood pressure cause CKD?

Yes. Long-standing hypertension damages kidney blood vessels.

6. What are the early symptoms of CKD?

Often there are no symptoms in early stages.

7. Often there are no symptoms in early stages.

Swelling, fatigue, loss of appetite, nausea, decreased urine, itching, and breathlessness.

8. What is eGFR?

Estimated Glomerular Filtration Rate (eGFR) measures how well kidneys filter blood.

9. What is creatinine?

Creatinine is a waste product in blood used to assess kidney function.

10. Can CKD be cured?

CKD cannot usually be cured, but progression can be slowed with proper treatment.

11. What are the stages of CKD?

CKD is divided into 5 stages based on eGFR—from mild (Stage 1) to kidney failure (Stage 5).

12. Can CKD lead to kidney failure?

Yes. If untreated, CKD can progress to end-stage kidney disease requiring dialysis or transplant.

13. What tests detect CKD early?

Blood test (creatinine, eGFR) and urine test (protein/albumin).

14. What is protein in urine?

Protein leakage in urine (albuminuria) is an early sign of kidney damage.

15. Can painkillers cause CKD?

Yes. Long-term use of NSAIDs can damage kidneys.

16. How does CKD affect the body?

It causes fluid retention, anemia, bone disease, and electrolyte imbalance.

17. Can CKD patients drink normal water?

Depends on stage and doctor advice. Early CKD → normal hydration; advanced CKD → fluid restriction.

18. What diet is recommended in CKD?

Low salt, controlled protein, low potassium/phosphorus (in advanced stages).

19. How can CKD be prevented?

Control diabetes and BP, avoid unnecessary drugs, maintain healthy lifestyle.

20. When should you see a doctor?

If you have diabetes, BP, swelling, or abnormal reports.

Dialysis – Patient Education

1. What is dialysis?

Dialysis is a medical treatment that performs the function of kidneys when they are unable to work properly. Scientifically, it removes waste products, excess fluid, and maintains electrolyte balance. In simple terms, it is an artificial way to clean your blood when kidneys fail.

2. Why is dialysis needed?

Dialysis is required when kidneys fail to remove toxins and fluid from the body, usually in advanced kidney disease (Stage 5 CKD) or severe AKI. In simple terms, it is needed when kidneys stop working adequately.

3. What are the main types of dialysis?

There are two main types: Hemodialysis (blood cleaned by a machine) and Peritoneal Dialysis (using the abdomen lining as a filter). In simple terms, one uses a machine, the other uses your body's lining.

4. What is hemodialysis?

Hemodialysis involves passing blood through a machine (dialyzer) that filters waste and returns clean blood to the body. In simple terms, blood is cleaned outside the body using a machine.

5. What is peritoneal dialysis?

Peritoneal dialysis uses the inner lining of the abdomen (peritoneum) to filter blood using dialysis fluid. In simple terms, fluid inside your abdomen helps remove waste.

6. How often is dialysis done?

Hemodialysis is usually done 2–3 times per week, each session lasting 3–5 hours. Peritoneal dialysis is done daily. In simple terms, machine dialysis is a few times weekly, while home dialysis is daily.