division deals with kidney problems in children from birth to 18 years of age. Kidney problems in children are common and can occur due to developmental (birth) defects [due to infections/medications/hereditary/unknown factors during pregnancy], genetic factors (familial), or acquired during growing years [urinary tract infections, high blood pressure, kidney stones, immune system disturbances, cancer, etc].
The Division offers both Out-patient and In-patient services through a team of dedicated personnel. The outpatient services provide detailed evaluation and management including counselling of children with developmental kidney problems, UTI’s, Blood in urine, Bedwetting, Nephrotic syndrome, Nephritic syndrome, Kidney stone disease, High BP, and others. Inpatient services cater to sick children with a kidney infection, high blood pressure, kidney failure, disturbances in fluid & electrolytes, etc. The members of the Paediatric Nephrology division work closely with the Intensive Care Unit team taking care of very sick children with multiple problems who require precise management of their fluid and electrolyte status for an optimal outcome.
The Division also offers Special counselling for pregnant mothers with foetuses having kidney anomalies [Antenatal Counselling] and systematic care to newborn babies with such anomalies [Postnatal management].
The ESRD (End-Stage Renal Disease) program provides complete care to children including infants with irreversible kidney damage (failure) through dialysis and kidney transplantation. Both modalities of dialysis (Haemodialysis – Blood dialysis that has to be performed in the hospital 3-4 times a week and Peritoneal – Stomach dialysis that is performed by the family at home) are provided by the Division. Most children with ESRD do well on Peritoneal dialysis that is not only economical for the family but also allows the child to perform his or her daily activities including going to school, playing etc without any significant restrictions. The parents are educated and trained in-house regarding the performance of peritoneal dialysis. After the discharge, the child is reviewed regularly in the hospital as well as at home by Trained PD Nurse. Kidney transplantation in our country has come a long way since the earliest transplant was done in the 1970s. Children with irreversible kidney failure now have an option of kidney transplantation similar to the adult patients. For families with children having ESRD who do not opt for dialysis or kidney transplantation, palliative care to the child as well as support to the family is provided in a holistic manner.
Besides the above clinical services, the members have been actively conducting Out-reach Clinics once a month for the past 8 years in different districts of Andhra Pradesh (Vijayawada, Guntur, Rajahmundry) catering to families from interior places. Educating the practising paediatrician and post-graduates on common paediatric nephrology problems is also carried out on regular basis through seminars, CME’s, workshops, and State / national Meetings.
- Kidney biopsy for infants and children (under USG guidance and IV sedation)
- Acute and chronic dialysis (both peritoneal and haemodialysis)
- Continuous renal replacement therapy (CRRT) for sick ICU patients
- Charcoal hemoperfusion
- Kidney transplantation
- Prenatal counselling
- Post-natal management of prenatal kidney anomalies
- Assessment of kidney function and structure
- Kidney stone disease – evaluation & management
- Metabolic bone disease