At Manipal Hospitals, patients seeking end stage renal disease treatment receive comprehensive care from the first consultation. Diagnostic investigations confirm the diagnosis and identify contributing conditions. Nephrologists, dietitians, and specialist nurses collaborate to develop a personalised treatment plan.
Doctors tailor medical management based on the underlying cause, degree of kidney function, comorbidities, treatment tolerance, and patient preferences. Patients starting dialysis (haemodialysis or peritoneal dialysis) receive education and ongoing clinical support, while those on haemodialysis are trained in vascular access care. Patients eligible for kidney transplantation are guided through evaluation, listing, and post-transplant care.
Dietitians prescribe an individualised diet with adequate protein intake (often higher for patients on dialysis), with restrictions on sodium, potassium, and phosphate. Fluid intake may be limited based on urine output and dialysis modality.
Haemodialysis may cause muscle cramps and hypotension, while peritoneal dialysis can lead to peritonitis or catheter-related infections with fever and abdominal pain. Moreover, ESRD may cause bone disease, hypertension, cardiovascular issues, neuropathy, and anaemia. Regular follow-up and advanced care help improve outcomes and quality of life.
