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Diagnostic and treatment of Kidney failure

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Best hospitals and doctors for kidney failure treatment abroad

The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

Cost for treatment

Chronic kidney disease diagnosis
 from  2311
Chronic kidney disease diagnosis with biopsy
 from  9314
Living-related kidney transplantation
 from  30785

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Nephrology and Rheumatology

Founded in 1834, the University Hospital Rechts der Isar Munich combines long traditions and the very latest achievements of modern medicine, thanks to which it belongs to Germany's leading hospitals. The medical facility includes 33 specialized departments, 20 interdisciplinary centers, in which patients are provided with f
Chronic kidney disease diagnosis
3160
Chronic kidney disease diagnosis with biopsy
14544
Living-related kidney transplantation
60824

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Endocrinology, Rheumatology and Nephrology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Chronic kidney disease diagnosis
3504
Chronic kidney disease diagnosis with biopsy
16037
Living-related kidney transplantation
60874

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Nephrology and Hypertension

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties. Ramdam serves over 2 million residents of the country, as well as the Israel Defense Forc
Chronic kidney disease diagnosis
3899 help3539
Chronic kidney disease diagnosis with biopsy
18042 help15942
Living-related kidney transplantation
67348 help60348

Hanyang University Medical Center Seoul

9.5/10
location_onSouth Korea, Seoul

Department of Nephrology

The Hanyang University Medical Center was founded in 1972 and today is one of the largest and most advanced providers of medical services in Korea and around the world. The medical institution runs 9 specialized centers and 26 departments fitted out with state-of-the-art equipment. The most important component of successful trea
Chronic kidney disease diagnosis
2977
Chronic kidney disease diagnosis with biopsy
12662
Living-related kidney transplantation
45713

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Nephrology, Transplantation Medicine, Hypertensiology and Intensive Medicine

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital in Germany has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe. With more than
Chronic kidney disease diagnosis
4330
Chronic kidney disease diagnosis with biopsy
21132
Living-related kidney transplantation
83502

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Gastroenterology, Hepatology, Nephrology, Infectology, Endocrinology and Diabetology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Chronic kidney disease diagnosis
3576
Chronic kidney disease diagnosis with biopsy
16191
Living-related kidney transplantation
60441

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Nephrology, Rheumatology, Osteology and Endocrinology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Chronic kidney disease diagnosis
3556
Chronic kidney disease diagnosis with biopsy
16259
Living-related kidney transplantation
60812

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Nephrology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Chronic kidney disease diagnosis
3137
Chronic kidney disease diagnosis with biopsy
14197
Living-related kidney transplantation
52993

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Nephrology

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Chronic kidney disease diagnosis
3952
Chronic kidney disease diagnosis with biopsy
18214
Living-related kidney transplantation
71689

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Nephrology, Rheumatology, Endocrinology and Kidney Transplantation

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Chronic kidney disease diagnosis
3957
Chronic kidney disease diagnosis with biopsy
18558
Living-related kidney transplantation
72127

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Nephrology, Rheumatology, Endocrinology and Diabetology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Chronic kidney disease diagnosis
3262
Chronic kidney disease diagnosis with biopsy
14132
Living-related kidney transplantation
53232

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Nephrology

The University Hospital of Giessen and Marburg (UKGM) offers medical care, modern diagnosis and comprehensive treatment at the advanced international level. As a maximum care hospital, the UKGM covers the entire spectrum of modern medicine ranging from ophthalmology up to trauma surgery and dentistry. The hospital is mainly focu
Chronic kidney disease diagnosis
3133
Chronic kidney disease diagnosis with biopsy
13512
Living-related kidney transplantation
49513

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Nephrology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Chronic kidney disease diagnosis
3536
Chronic kidney disease diagnosis with biopsy
16164
Living-related kidney transplantation
60526

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Nephrology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Chronic kidney disease diagnosis
0
Chronic kidney disease diagnosis with biopsy
0
Living-related kidney transplantation
0

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Internal Medicine, Nephrology, Hypertensiology and Rheumatology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Chronic kidney disease diagnosis
3159
Chronic kidney disease diagnosis with biopsy
14595
Living-related kidney transplantation
53384

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Nephrology

According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
Chronic kidney disease diagnosis
3258
Chronic kidney disease diagnosis with biopsy
14047
Living-related kidney transplantation
53014

About the disease

Chronic or acute kidney disease is renal disease, when kidney gradually stops to function. It is also called chronic or acute renal failure. This disease can develop as a result of failure of secretory renal function. Primarily, kidneys are responsible for filtrating waste and eliminating excessive fluids that can be present in blood. In the course of this disease there is a progressive long-term accumulation of toxins in blood, which are normally eliminated from body by urine. Kidney disease can have chronic and acute forms. Chronic renal failure usually manifests itself after there was a progressive destruction of nephrons. Then, it results in impaired excretory function and a person feels symptoms of intoxication. This disease needs to be treated once diagnosed, because its prognosis is not very favorable. Findings shows that only in 2013 almost 100 000 people died from this disease, because there was no timely treatment. Nevertheless, this number has significantly decreased with respect to 1990, when almost 410 000 people died from kidney disease.

In most cases, acute or chronic renal failure is caused by some damage, which could appear as a result of acquired or congenital trauma or injury. It is also caused by type 1 or 2 diabetes, long history of hypertension, viral hepatitis B or C. If a person lives in country with high rate of malaria cases, kidney disease can develop as a result of having malaria. Also if a person suffers from an excessive amount of kidney stones or if there is urinary tract obstruction, it can also be a widespread cause of chronic or acute kidney disease. Some drugs and toxic substances contribute to development of this disease as well.  Another renal failure cause is progressive liver disease. Food intoxication rarely contributes to the development of acute or chronic renal failure.

Symptoms

Symptoms depend on chronic or acute kidney disease stages. Early signs of disease are fatigue, frequent night urination, polyuria, which means an excretion of 3-5 liters of urine a day, and general dehydration. With renal failure progression almost all organs and systems become affected.  General weakness increases. There can also be:

  • Nausea
  • Itching
  • Muscle pain
  • Signs of intoxication.
  • Dryness
  • Hoarseness
  • Bitterness in mouth
  • Increasing weight loss
  • Pain
  • Heaviness in pit of stomach
  • Loose stools
  • Pain in heart
  • High blood pressure

Dysfunctional blood clotting, which can in the longer run result in nasal or gastrointestinal bleeding is another chronic or acute renal failure symptom.

In later stages people can have attacks of asthma and pulmonary edema. Complications can result in coma. Patients become more prone to infections, such as colds, pneumonia, which accelerates development of chronic renal failure.

Diagnosis

  • Diagnosis generally includes laboratory tests to check for decreased hemoglobin, signs of inflammation or tendency to bleeding.
  • Biochemical analysis of blood can indicate increased levels of nitrogen metabolism, violation of electrolyte metabolism and reduced total protein in blood.
  • Analysis of urine is necessary to determine amount of protein in urine. It can also show degree of kidney damage.
  • Removing a sample of kidney tissue can also help with diagnosis as it determined stage of disease and assesses degree of damage done to kidneys. A doctor can also conduct an ultrasound examination of urinary system. Based on this information, he makes conclusion about disease prognosis and selects treatment.

Treatment 

  • The most effective chronic kidney disease treatment is living-related kidney transplantation, as chances for recovery in this case are very high. In this type of transplantation relatives of  a patient donate their kidney. According to Kidney Link.org, this transplantation is the safest because of antigen and gene compatibility. There are also decreased and living unrelated types of donors, who can donate their kidney. The basic requirement for donors is to have the same blood type and not have renal infections. For the rest of the life, person who underwent kidney transplantation is required to take special drugs, so that his body will not reject new kidney. 
  • Renal replacement, which is another treatment option, consists of hemodialysis and peritoneal dialysis.
  • Hemodialysis is a method of extrahepatic blood purification, during which body toxins are eliminated and disorders of electrolyte balance are normalized. This is done by filtering the blood through semipermeable membrane of plasma. During hemodialysis a doctor surgically establishes a special catheter, through which harmful substances and excessive water are removed. This process lasts a few hours.
  • Dialysis is used as a treatment in the preparation period of kidney transplantation.

After treatment begins the period of general therapeutic rehabilitation, when a person is returning to his normal lifestyle. One of the most important parts of this period is diet. Main components in diet with chronic or acute kidney disease are fats and carbohydrates. Fats need to be of vegetable origin and they must be eaten in amount sufficient to provide normal caloric intake. Source of carbohydrates should also have vegetable origin, except for beans, mushrooms and nuts. People should also avoid eating dried fruits, potatoes (fried and baked), chocolate, bananas, grapes and figs. They are also not recommended to drink milk and eat dairy products, as these products contain high level of protein. Coffee is also forbidden. It can be substituted by green tea.




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