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"Protect Kidney" is an initiative spearheaded by renowned Nephrologist Dr. Manik Kataruaka , MD, DM (Nephrology) to spread awareness related to kidney and its diseases. Read more Every 1 in 7 people suffer from kidney diseases. Are you the ONE? Learn More Where are the kidneys located? What do they actually do? And if I can survive with one, why do I have two? Awareness related to kidneys and their diseases are strikingly low. To really be careful, rather mindful about this organ, we need to know how important they are. Learn More Facts and Stats to risks and symptoms Things that you really need to know about Kidneys to prevent and avoid diseases that are absolutely not cool to have in the first place. Learn More Food for thought Pictures are more effective than a thousand words. Take a sneak peak on our infographics to get an overall idea about what and what not to do. Most importantly, when to see a doctor. Learn More Living with Kidney disease Don't be scared if you are just diagnosed with a kidney disease. One thing is for sure, you are not alone. Take a look at how you can live with the disease without compromising your quality of life. Learn More It's always good to have friends Share your pain or help someone out with everyday questions. Join the community to take the journey together. Definitely to make it long but not boring. Learn More Dr. Manik Kataruka is a renowned Nephrologist with an experience of more than 15 years. He is a Ramakrishna Mission pass out with an M.D in Paediatrics from SCB Medical College and a D.M in Nephrology from PGIMER, Chandigarh (University Gold Medalist). He is currently an Assistant Professor in Nephrology in NRS Medical College and established himself as a skilled Nephrologist specialising in Haemodialysis and Renal Transplant. He is a contributory author in D.C.Dutta's textbook of obstetrics. His paper on "Incidence and Risk Factors for Hepatitis C Virus and Hepatitis B Virus Seroconversion in End-Stage Renal Failure Patients on Maintenance Hemodialysis", published in the Journal of clinical and experimental hepatology in the July-August 2020 edition and "Utility of Determining Autoantibodies to M-type Phospholipase A2 Receptor in Diagnosing Primary Membranous Nephropathy: An Ideal Setting" published in the Indian Journal of Nephrology: sept 2017 are worth mentioning among many. "Protect Kidney" is his initiative to help people understand the necessity of keeping their kidneys under check while spreading awareness in simplistic yet creative fashion. Number is the within of all things 15+ Years of Experience 10K+ Patients treated 500+ On-going dialysis 100+ Transplants managed 12 Chambers Are You Ready to take care of your Kidneys? You do take care of your home water filter, don't you? You might have an AMC for that. Why not take care of your own body filter? Well, if you were looking for a good starting point, click the button below and get started. Get Started

Risks & Symptoms You need to be careful Diabetes Diabetes is the number one risk factor for kidney disease and the most common cause of kidney failure. High blood sugar from diabetes damages the kidneys and lowers their ability to filter waste and fluid from the blood. Over time, this causes kidney disease. If you have diabetes, controlling blood sugar, regular exercise and taking medicine can help slow or avoid damage to the kidneys. Blood Pressure The easiest of all to monitor. When you have high blood pressure, the force of your blood flowing through the tiny blood vessels in the kidneys can cause damage. High blood pressure can also be a symptom of kidney disease. Keeping your blood pressure under control can help prevent kidney disease or keep it from getting worse. All you need is a BP Monitor which is available now at your nearest medical store or your favorite online shop. But don't just keep monitoring. If you see a higher count, see a Nephrologist. Signs & symptoms Many people with even advanced kidney disease do not have any symptoms. Remember, the only way to know how well your kidneys are working is to get tested for kidney disease by an experienced nephrologist. If your kidneys are starting to fail, you may have one or more of these symptoms: Elevated blood pressure Froth in urine or change in colour of urine Itchy skin Feeling less hungry than normal Swelling in your hands, legs, feet or ankles Urinating (peeing) more or less than normal Looking pale Abnormal weakness to normal day to day work

Preventing CKD You are more likely to develop CKD if you have diabetes, high blood pressure, heart disease or a family history of Kidney failure. But you can protect your kidneys by managing health conditions that cause kidney damage. Read on to know what you can do and what you should not. 9 GOOD CHOICES YOU HAVE TO MAKE Make healthy food choices Stop smoking Be active. Make it a routine Aim for a healthy weight Get enough sleep Limit alcohol intake Explore stress reducing activity Ask questions Avoid pain killers Manage other diseases Make healthy food choices Choose foods that are healthy for your heart and your entire body: fresh fruits, fresh or frozen vegetables, whole grains, and low-fat or fat-free dairy products. Eat healthy meals, and cut back on salt and added sugars. Aim for less than 2,300 milligrams of sodium each day. Try to have less than 10 percent of your daily calories come from added sugars. Tips for making healthy food choices Cook with a mix of spices instead of salt. Try baking or broiling meat, chicken, and fish instead of frying. Serve foods without gravy or added fats. Try to choose foods with little or no added sugar. Gradually work your way down from whole milk to 2 percent milk until you’re drinking and cooking with fat-free (skim) or low-fat milk and milk products. Eat foods made from whole grains—such as whole wheat, brown rice, oats, and whole-grain corn. Use whole-grain bread for toast and sandwiches; substitute brown rice for white rice for home-cooked meals and when dining out. Read food labels. Choose foods low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars. Slow down at snack time. Eating a bag of low-fat popcorn takes longer than eating a slice of cake. Peel and eat an orange instead of drinking orange juice. Try keeping a written record of what you eat for a week. It can help you see when you tend to overeat or eat foods high in fat or calories. ​ Research has shown that the DASH (Dietary Approaches to Stop Hypertension) eating plan may help you lower your blood pressure. If you have diabetes, high blood pressure, or heart disease, you may want to locate and work with a dietitian to create a meal plan that meets your needs. DASH eating Be active. Make it a routine. You don't have to buy a gym membership for this. You can do Yoga, walk, run, jog, swim, cycle, play some sort of sport that makes you physically active. You don't need a six pack, be active for at least 30 minutes or more on most days. If you are not active now, ask your health care provider about the types and amounts of physical activity that are right for you. Whatever it takes, just be active! Aim for a healthy weight Indians start fasting with the drop of a hat. You have to understand that only through fasting you can not achieve a healthy weight. Your body will invariably suffer from mal-nutrition. ​ To reach and stay at a healthy weight over a long period of time, you must focus on your overall health and lifestyle habits, not just on what you eat. Successful weight-loss programs should promote healthy behaviors that help you lose weight safely, that you can stick with every day, and that help you keep the weight off. ​ Safe and successful weight-loss programs should include : ​ Lifestyle modification advice promoting healthy eating and physical activity. Keeping a food and activity journal for monitoring. Information related to stress management, adequate sleep time and drawbacks of weight loss medicines. A steady plan for healthy weight loss Get enough sleep Aim for 7 to 8 hours of sleep each night. If you have trouble sleeping, take steps to improve your sleep habits. You might be sleep deficient if you often feel like you could doze off while: Sitting and reading or watching TV Sitting still in a public place, such as a movie theater, meeting, or classroom Riding in a car for an hour without stopping Sitting and talking to someone Sitting quietly after lunch Sitting in traffic for a few minutes If any of the above applies to you, talk to your doctor. Stop smoking Any amount of emphasis is less for this issue. You have to stop smoking or using tobacco products to live a healthy life. There is no alternative. If you can't quit by yourself, talk to your doctor and seek professional help. Smoking damages your entire body. It doesn't make you cool or smart but just the other way round. Limit alcohol intake Drinking too much alcohol can increase your blood pressure and add extra calories, which can lead to weight gain. If you drink alcohol, limit yourself to one drink per day if you are a woman and two drinks per day if you are a man. One drink is: 12 ounces of beer 5 ounces of wine 1.5 ounces of liquor Explore stress-reducing activities Learning how to manage stress, relax, and cope with problems can improve emotional and physical health. Physical activity can help reduce stress, as can mind and body practices such as meditation, yoga, or tai chi Manage other diseases If you have diabetes, high blood pressure, or heart disease, the best way to protect your kidneys from damage is to - ​ Keep blood glucose numbers close to your goal. Checking your blood glucose, or blood sugar, level is an important way to manage your diabetes. Your health care team may want you to test your blood glucose one or more times a day. ​ Keep your blood pressure numbers close to your goal. The blood pressure goal for most people with diabetes is below 140/90 mm Hg. ​ Take all your medicines as prescribed. Talk with your health care provider about certain blood pressure medicines, called ACE inhibitors and ARBs, which may protect your kidneys. The names of these medicines end in –pril or –sartan. ​ Be careful about the daily use of over-the-counter pain medications. Regular use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, can damage your kidneys. ​ To help prevent heart attacks and stroke, keep your cholesterol levels in the target range. There are two kinds of cholesterol in your blood: LDL and HDL. LDL or “bad” cholesterol can build up and clog your blood vessels, which can cause a heart attack or stroke. HDL or “good” cholesterol helps remove the “bad” cholesterol from your blood vessels. A cholesterol test also may measure another type of blood fat called triglycerides. Avoid Pain killers Long term use of over-the-counter pain killers may shed harmful effect on kidney tissues and structure damaging the kidneys. Pain killers can also reduce the blood flow to the kidneys. You must tell your doctor about the pain medicines that you take either regularly or occasionally. Depending upon your condition, your doctor can help you manage pain. Ask questions ​Knowledge is power, reluctance is death. The more you know about your body, mind and health conditions, the more careful and respectful you can be towards your life. Don't be afraid to ask questions to your doctor. To start with you may ask the following -​ What should I do to keep my kidneys healthy? Do I need to be taking different medicines? Should I be more physically active? What kind of physical activity can I do? What can I eat? Am I at a healthy weight? Do I need to talk with a dietitian to get help with meal planning? Should I be taking ACE inhibitors or ARBs for my kidneys? What happens if I have kidney disease?

Just like your heart, lungs and liver, kidneys are vital too! Your kidneys clean your blood, help control your blood pressure, help make red blood cells and keep your bones healthy. Why kidneys are vital? Kidneys are two bean-shaped organs located in lower back area. You need at least one healthy kidney to keep your body working well. They help control your blood pressure and help keep your bones healthy. However, the kidneys' most important job is to clean out the waste from the blood. If the kidneys gradually stop working, known as having kidney failure, waste removal gets hampered. In this stage, with the help of medicines and lifestyle changes, further deterioration can be delayed. But if both the kidneys are totally damaged, then you might need dialysis or a kidney transplant to stay alive. Unfortunately, there is no treatment at this stage to reverse the kidney functions. Prevalence of Kidney disease in India Unfortunately, there is no study to find the exact numbers of kidney disease in India. Data from USA has shown that, 1 in every 7 adult people is suffering from kidney disease. In India, 150 to 200 people per 10lakh population are suffering from complete kidney failure that means they require dialysis for the rest of their lives. Nearly 1 lakh new patients require dialysis initiation every year in India. Just to be scared... 90% people with kidney disease are unaware they have it because kidney diseases frequently remain silent till the last stage. Without routine investigations, sometime it is very difficult to diagnose the kidney disease even by an experienced doctor. That’s why kidney diseases have been identified as "Silent killer". High Blood Pressure High blood pressure is very common in India and it usually runs in families. Without routine check-ups, you will not know if you are hypertensive.1 in 5 adults with high blood pressure may have some form of kidney disease. High blood pressure is the second most common cause of kidney failure. So, you need to control blood pressure to protect your kidneys Diabetes and their love for Kidneys Diabetes love Kidneys! It is the leading cause of kidney disease. So much so, that about 1 in every 3 adults with diabetes has kidney disease. Why do we need two kidneys, if we can live with one? Let's answer the question with a question. Why do you need a stepney in a car? Because, if you get a flat, it would really be handy. You might just help someone in need. Just that the car you are lending your spare, must be of the same make and model. Heart attack, stroke, kidney failure and death Kidney diseases can all lead to the above. But you can really prevent them. Slow the disease down or even stop. Early bird catches the worm Despite all the scares, one good thing is that kidney disease can be detected with simple blood and urine tests at an early stage if you just make it a routine to keep them under a check. Moreover, it can often be prevented, and the progression of kidney disease to kidney failure can often be slowed down or stopped. Free but valuable We often hate unsolicited advise. Just like we do not listen to our parents and regret later on in our lives. Being physically active, keeping a healthy weight, consuming kidney-friendly foods and fluids and getting tested for kidney disease can help protect your kidneys. Even small changes can make a big difference. But are you listening? 10 points to save your life Make sure you get your kidneys checked by a Nephrologist and follow up as advised. Make healthy food choices. We will provide a diet but you already know what and what not to eat. Don't you? Make physical activity part of your routine. (Buying a gym membership doesn't count if you find excuses not to go there) Aim for a healthy weight. Do not starve, just eat right. Get enough sleep. Stop smoking. Stop/limit alcohol intake. Explore stress reducing activity. Manage diabetes, high blood pressure and heart disease. Reluctance can kill you. Be aware and spread awareness Learn More

Kidney Stones Kidney stones (also called renal calculi, nephrolithiasis or urolithiasis) are hard deposits made of minerals and salts that form inside your kidneys. Passing kidney stones can be quite painful, but the stones usually cause no permanent damage if they're recognized in a timely fashion. At a glance Causes Diet, excess body weight, some medical conditions, and certain supplements and medications are among the many causes of kidney stones. Asymptomatic stones A kidney stone usually will not cause symptoms until it moves around within the kidney or passes into one of the ureters. If a kidney stone becomes lodged in the ureters, it may block the flow of urine and cause the kidney to swell and the ureter to spasm, which can be very painful. Symptoms Severe, sharp pain in the side and back, below the ribs. Pain that radiates to the lower abdomen and groin. Pain that comes in waves and fluctuates in intensity. Pain or burning sensation while urinating. Other signs Pink, red or brown urine. Cloudy or foul-smelling urine. A persistent need to urinate, urinating more often than usual or urinating in small amounts. Nausea and vomiting. Fever and chills if an infection is present. Risk factors From family history to diet, there can be a host of risk factors that can make you vulnerable to the condition. Click here to know more When to see a doctor? Pain so severe that you can't sit still or find a comfortable position Pain accompanied by nausea and vomiting Pain accompanied by fever and chills Blood in your urine​ Difficulty passing urine RISK FACTORS Family or personal history If someone in your family has had kidney stones, you're more likely to develop stones, too. If you've already had one or more kidney stones, you're at increased risk of developing another. RISK FACTORS

Just diagnosed If your doctor has just told you that you have a Chronic Kidney Disease (CKD) it might come to you as a shock. But this is not the end. With proper care and will power, you can live a long healthy life. Read on to know how you can keep this disease under control and carry on with your life. Eat well Anyway you know what is good and bad for your health. It's time to just take it seriously. Watching what you eat and drink is one of the best ways to slow down the damage to your kidneys and feel your best. If you are not sure where to start, do not worry. Ask your doctor for help find a dietitian who can help you plan meals and snacks that you will want to eat. Stay active This is also something that you have known all along. You might have purchased a well researched gym membership too. If only memberships could work out! Get at least 30 minutes of exercise, five days a week. This can be walking with a friend, swimming, riding a bicycle or even dancing. If it is something you enjoy, you will be more likely to do it! As much as your health allows, keep your daily routine similar to before you found out you have CKD. If you have a job, try to continue working. Keep doing any hobbies or activities you enjoy, such as sports or attending clubs or groups you are in. If you smoke or use tobacco, stop now. It's your life at stake, no one else is going to fight for it. You have to. Follow the doctor's advice Follow your doctor's instructions. Your doctor may prescribe medicines, recommend changes to what you eat or tell you to make other changes to your lifestyle. You need to trust his knowledge and sincerely work out a plan to abide by his instructions. Ask questions If you do not understand your treatment plan, or not sure you can follow it, speak up! Ask your doctor to explain it in a different way, or talk to them about what might keep you from following their instructions. Ask questions about your tests and treatments, such as: What tests do I need and how often will I have them? What treatments will I need? Do they have any side effects? When to see the doctor? Apart from routine visits, it's very important to know the indications to visit a Nephrologist without any further delay. Ask your doctor about specific symptoms that you might develop. Look out for the good as well as the bad ones. Keep your doctor's number handy. Keep track of your medicines If you have already not done this, then make a list of all your medicines. Even the ones that are not related to your newly found condition. Buy a daily pill box so that you don't mix them up. Or just put them in different containers, say one for the morning and another for the night. Share the list with your partner. Make sure to let your doctor know about all the medicines that you take. There are some medicines that people with CKD should not take. Avoid taking drugs over the counter without a prescription. Changes You know your body best. Keep track of how you are feeling every day. Write down any symptoms you have or changes in how you feel–even if they do not seem like they are related to kidney disease. Bring these changes up with your doctor. Plan ahead The goal of CKD treatment is to slow the damage to your kidneys and keep them working as well as they can for as long as possible. In time, though, many people's kidney functions will deteriorate, leading to kidney failure. If this happens, you will need dialysis or a kidney transplant. Plan ahead. Keep your options ready. Short list the options that suits your needs as well as pocket. Home team Teach your family and friends what you have learned about CKD so they can better understand what you are going through. Do not be afraid to ask for help when you need it. You may need a ride to a doctor appointment or help with chores if you are feeling tired. Make a list of people who can help and their phone numbers and keep it handy. Support groups for people with kidney disease can be a welcoming place to talk about your experiences and feelings. Like our Facebook page to connect with people just like you–they can offer advice and support about everyday life with kidney disease. ​ You can also join our Protect Kidney Forum to share your experience. Help others and help yourself. Learn More

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Types of Kidney diseases Kidneys filter fluid and waste out of our blood. Bottom line, you cannot live without them. Diseases that lower the kidney's ability to clean blood can affect not only the kidneys, but also have the potential to harm other parts of our body too. These health conditions can cause temporary damage to kidney known as Acute Kidney Injury, and if damages are permanent then it is called as chronic kidney disease or kidney failure. Timely intervention can in most occasions slow the rate of degradation. But the most important issue is to be aware of them. Chronic Kidney Disease (CKD) When lasting damage to the kidneys causes them to lose their ability to filter waste and fluid out of the blood, it is called Chronic Kidney Disease (CKD). This waste can build up in the body and harm your health. This damage and the kidney function can get worse over time, and when the kidneys stop working completely, this is called kidney failure or end-stage renal disease. Approximately 1 in 7 people suffer from them. To know more about the disease, click the button below. Learn More Kidney Stones Kidney stones (nephrolithiasis) are hard deposits made of minerals and salts inside the kidneys. Kidney stones can run in family and in some cases diet, excess body weight, some medical conditions, and certain supplements and medications can causes of kidney stones. Kidney stones can affect any part from kidneys to bladder. Passing kidney stones can be quite painful, but the stones usually cause no permanent damage if they're recognized in a timely fashion. Depending on situation, you may need nothing more than to take pain medication and drink lots of water to pass a kidney stone. In other instances — for example, if stones become lodged in the urinary tract, are associated with a urinary infection or cause complications — surgery may be needed. Other Kidney Diseases POLYCYSTIC KIDNEY DISEASE (PKD) LUPUS NEPHRITIS GLOMERULONEPHRITIS FABRY DISEASE CYSTINOSIS IgA NEPHROPATHY aHUS OTHER RARE DISEASES PKD is a genetic disorder that causes cysts to form on the kidneys and other organs. These cysts can lower the kidney's proficiency to filter fluid and waste from your blood. Over time, PKD can cause kidney failure. There is no cure for PKD, but treatments can slow the growth of the cysts and prevent PKD symptoms from causing health problems. Lupus nephritis is an autoimmune disease (a disease that causes the body's immune system to attack its own tissues) that leads to pain, swelling and damage to the whole body, including the kidneys. This can lead to chronic kidney disease or kidney failure. The exact cause of lupus nephritis is unknown and it cannot be cured, but with treatment many people with lupus can lower their symptoms and prevent serious kidney damage. A condition where the tiny filters in the kidneys that clean the blood (glomeruli) are damaged and lose their ability to remove waste and fluid from the blood, is called Glomerulonephritis. Over time, this can cause kidney failure. Many health problems can cause glomerulonephritis and treatment depends on the cause. Fabry disease is a rare genetic disease. It affects organs all around the body, including the heart, brain and kidneys, and can cause them to get less blood than they need. Over time, this can cause chronic kidney disease or kidney failure. Kidney damage from cystinosis can cause kidney failure. It is a rare disorder that allows a natural chemical called cystine to build up in the body and cause health problems. People with cystinosis must take medicine to lower their cystine levels and may need a kidney transplant. Cystinosis is genetic (runs in families) and is most often diagnosed in young babies. IgA nephropathy is a disease that causes proteins made by the immune system to build up in kidneys and damage the tiny filters that clean your blood (glomeruli). This damage can take years to develop, and people with IgA nephropathy often do not know they have it. Over time, IgA nephropathy can lead to chronic kidney disease, kidney failure or death. There is no cure for IgA nephropathy, but medicines can slow the damage to the kidneys. Atypical Hemolytic Uremic Syndrome (aHUS) is a very rare genetic disease that causes tiny blood clots to form in the small blood vessels of the body. These clots can block the flow of blood to the kidneys and other organs and cause damage. Many people who have aHUS never have symptoms. For people who do have symptoms, they often start after a "triggering event", such as becoming pregnant or having cancer. There are many other rare diseases that can affect the Kidney functions. To keep your kidneys healthy, keep them under a check. To know more, you may consult your Nephrologist.

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Medical Management There is no specific medicine to treat Chronic Kidney Disease (CKD) but your doctor may prescribe medicines to help prevent and manage health problems related to CKD. Managing or preventing these health problems can stop kidney damage from getting worse. Supportive care and treatment to manage symptoms, without doing dialysis or having a kidney transplant, is called medical management. It is important to understand that these are not treatments for kidney failure and will not keep you alive. These treatments will help you live as comfortably as possible until your body can no longer function. Life expectancy Unfortunately no one will be able to give you a definitive answer. It depends on many factors as each individual is different from the other. However, your doctor will be able to help you stay healthy and maintain your quality of life as long as possible. How to be ready? Talk to your doctor before you decide on medical management. Your doctor can help you learn what to expect. There has to be a care plan that explains what treatments you do and do not want at the end of your life. Make sure this plan is in writing. Keep a copy of your plan at home, in an easy-to-find place, and discuss it with your family. The goal would be to keep you comfortable and improve your quality of life. I am not sure about Dialysis If you are not sure whether to start dialysis, ask your doctor about trying dialysis for a set amount of time. This is called a time-limited trial. You and your doctor will decide on a treatment plan and goals for the trial. At the end of the trial, decide with your doctor if dialysis helped you meet your goals and whether you want to continue. Learn More