Dr. B.R. Ramesh Rao is one of the best Nephrologist/Renal Specialist in Mumbai with an experience of over 3 decades in this field. His first assignment on Nephrology started at JJ Hospital Bombay during his residency programme in General Medicine. During this stint, Dr. Rao successfully managed patients with renal failure and general nephrological disorders. He became well conversant with the techniques of haemo and peritoneal dialysis. Later, he joined Renal Unit at Guy’s Hospital in London under Prof. Stewart Cameron. Hospital's Renal Unit is internationally renowned for its excellent care of the renal patients. Dr. Rao was actively involved in the management of patients with renal disease, renal failure and transplantation both as in and outpatients. He also learned a great deal about transplant immunology, CAPD, CAVHD, CAVH and other modalities of dialysis. During this time, he was regular in attending all renal seminars, renal biopsy, scan and radiology meetings. After spending a year with Guy’s Hospital, Dr. Rao joined Dulwich Hospital King’s College School of Medicine and Dentistry (London) as Registrar in Nephrology. His responsibilities included care and management of renal transplant patients, teaching and guiding the SHOs. It is at this hospital, Dr. Rao learnt and performed CAVHD, CAVH, CVVHD, Plasmaphoresis and Immuno- Adsorption. He has also spent some time with King Khalid Hospital (Hafr-al-Batin, Saudi Arabia) as Resident (Nephrology). Dr. Rao has been regularly participating in various case presentations, panel discussion & lectures organised at Bombay Nephrology Group, various medical associations of the city and hospital.
S L Raheja (A Fortis Associate) Hospital, Mahim.
Indian Society of Nephrology (ISN),Indian Society Of Haemodialysis,Association of Medical Consultants,Indian Medical Association (IMA),European Dialysis and Transplant Association.
DNB (Nephrology) - National board of examinations - 1991. MRCP (UK) - Royal College of Physicians - 1989. MD - Medicine - Mumbai University - 1983. MBBS - University Of Bombay - 1981.
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Nephrology is the medical specialty which is concerned with the treatment of kidney conditions and abnormalities, and a physician who practices this specialty of nephrology is called a nephrologist. Nephrology being the subspecialty of internal medicine, a nephrologist needs to complete the same training as an internist and then gain an additional fellowship in nephrology. Nephrologists are responsible for diagnosing causes and levels of kidney failure and prescribing appropriate treatment such as medication, diet changes, or dialysis.
Nephrologists are physicians who deal with diagnosis and treatment of diseases of the kidneys.
You should see a nephrologist when you start experiencing pain around your abdomen that usually radiates to your sides and lower back. Or when you suffer from a reduced amount of urine, swelling of your legs, ankles, and feet, unexplained shortness of breath, excessive drowsiness or fatigue, persistent nausea, confusion, pain, or from pressure in your chest.
Nephrologists can treat the following conditions:
Nephrologists treat the diseases of the kidneys. But before they can treat them, the nephrologists need to diagnose them, and they do that by performing several tests. They are as follows:
Since our kidneys are responsible for maintaining fluid balance and filtering out the excess fluids and waste from the blood, damage to the kidneys leads to fluid accumulation and overload which causes edema or swelling of the legs and face, and long term kidney diseases also lead to symptoms of high blood pressure and anemia. So, a physical examination is carried out by the doctor to diagnose edema or high blood pressure.
Blood tests are performed to reveal altered levels of urea, creatinine, and electrolytes including sodium, magnesium, potassium, calcium, phosphates, nitrogen etc.
A nephrologist may also perform a blood test for various organisms that may damage the kidneys including hepatitis C, hepatitis B, AIDS etc.
Nephrologists also perform urine analysis that may help them diagnose kidney damage by revealing excess proteins that are being excreted from the body in the urine. They also use microscopic analysis of urine to detect kidney and urinary tract infection.
They can also put imaging studies like Ultrasound scan, CT Scan, or MR angiography to work to detect kidney diseases.
Other tests performed by the nephrologists are Renal Biopsy, Intravenous Urography (IVU), Scintigraphy, and Renal Arteriography.
Usually, before your appointment, you are asked to bring information on:
During their first visit, the patients usually go through:
In some cases, additional tests are also performed:
One done with your first round of visit, your nephrologist will suggest a diagnosis, treatment plan, and follow-up visits.
When it comes to the difference between nephrology and urology, the former deals with only kidneys while the latter provides treatment for a condition relating to the bladder, urethra, ureters, kidneys, and adrenal glands. Urologists also cover male issues relating to the prostate and penis.
The nephrologists do not perform surgery. The surgeries like a kidney transplant are performed by transplant surgeons.