The Nephrology Department at Joshi Hospital is dedicated to the diagnosis, treatment, and long-term management of diseases affecting the kidneys. Kidneys play a vital role in maintaining overall health by filtering waste, balancing electrolytes, regulating blood pressure, and supporting red blood cell production. When kidney function is impaired—whether due to acute illness, chronic conditions, or systemic diseases—timely and specialized care becomes essential. The Nephrology team at Joshi Hospital offers comprehensive services to help patients maintain kidney health and prevent complications.

Kidney disorders require close monitoring and often involve complex evaluation, as symptoms may be subtle in the early stages. The department focuses on early detection, preventive strategies, and evidence-based treatment plans to preserve kidney function for as long as possible. With a patient-centered approach, the team ensures that individuals receive detailed assessments, clear guidance, and continuous support throughout their treatment journey.

Scope of Services

The Nephrology department provides complete care for a wide range of kidney-related conditions, including:

• Acute kidney injury (AKI)
• Chronic kidney disease (CKD) across all stages
• End-stage renal disease (ESRD)
• Electrolyte and fluid imbalances
• Diabetic kidney disease
• Hypertensive kidney disease
• Glomerulonephritis
• Nephrotic and nephritic syndromes
• Polycystic kidney disease (PKD)
• Kidney infections and pyelonephritis
• Recurrent urinary tract infections (UTIs)
• Kidney stones and metabolic stone disorders
• Autoimmune kidney diseases

The department works with advanced diagnostic capabilities to provide accurate evaluation and targeted treatment.

Advanced Diagnostics

To ensure precise diagnosis and effective management, Joshi Hospital offers a comprehensive range of nephrology-specific tests and imaging studies, including:

• Kidney function tests (KFT)
• Urinalysis and protein tests
• 24-hour urine studies
• Renal ultrasound
• Doppler studies for renal blood flow
• CT/MRI for complex evaluations
• Kidney biopsy for definitive diagnosis
• Electrolyte and metabolic evaluations

These diagnostic tools help identify the underlying cause of symptoms and guide personalized treatment plans.

Management of Chronic Kidney Disease (CKD)

CKD is a long-term condition that requires regular monitoring and lifestyle adjustments. The department provides structured CKD management, which includes:

• Slowing progression of disease
• Blood pressure and diabetes control
• Nutritional guidance for kidney-friendly diets
• Medication optimization
• Screening for complications such as anemia or bone disorders

The goal is to maintain kidney function, prevent hospitalization, and improve quality of life.

Dialysis Services

For patients with advanced kidney failure or sudden decline in kidney function, dialysis becomes essential. The department offers:

• Hemodialysis services with monitored care
• Peritoneal dialysis consultation and training
• Vascular access care, including fistula and catheter management
• Dialysis for acute kidney injury
• Fluid and electrolyte management during dialysis

Dialysis sessions are supervised by experienced nephrologists and trained nurses, ensuring patient safety and comfort.

Hypertension & Diabetes-Related Kidney Care

High blood pressure and diabetes are among the most common causes of kidney damage. The department offers integrated care to manage:

• Diabetic nephropathy
• Hypertensive nephrosclerosis
• Metabolic complications
• Proteinuria management

This includes regular monitoring, medication adjustments, and lifestyle guidance to protect kidney function.

Kidney Stone & Metabolic Stone Disorder Management

Kidney stones are a recurring problem for many individuals. The nephrology team provides:

• Evaluation of stone-forming risk factors
• Dietary and metabolic counselling
• Medical management to prevent recurrence
• Collaboration with urology for interventional treatments, if needed

Early prevention significantly reduces the chances of repeated stone formation.

Autoimmune & Glomerular Diseases

Many kidney disorders are autoimmune in nature. The department provides specialized care for:

• Lupus nephritis
• Vasculitis-related kidney disease
• Glomerulonephritis
• Rapidly progressive kidney diseases

Treatment plans include immunosuppressive therapy, monitoring, and follow-ups to prevent relapses.

Pre- and Post-Transplant Nephrology Care

While kidney transplant surgeries are performed by specialized surgeons, nephrologists play a crucial role in:

• Evaluating transplant suitability
• Preparing patients before transplant
• Monitoring kidney function
• Managing immunosuppressive medications
• Preventing rejection and infections

Long-term follow-up ensures stable kidney function after transplant.