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Friday, Oct 18, 2019

World Kidney Day: Pune doctors cite a 15 per cent rise in end-stage kidney diseases in 25-40 age group

According to the Indian Society of Nephrology, at least 1.5 lakh new patients with kidney diseases have been detected in India in 2018, while five years ago hardly a lakh people were diagnosed with the chronic ailment

pune Updated: Mar 14, 2019 14:44 IST
Nozia Sayyed
Nozia Sayyed
Hindustan Times, Pune
Diabetes, hypertension, obesity, constant and recurrence urinary infections and other lifestyle disorders can lead to kidney related ailments.
Diabetes, hypertension, obesity, constant and recurrence urinary infections and other lifestyle disorders can lead to kidney related ailments.(HT/PHOTO)
         

With an increase in diabetes and other lifestyle disorders like hypertension and obesity, doctors have cited that cases of end-stage kidney diseases (patients needing a transplant or on dialysis) have gone up by 25 per cent, as compared to the last five years.

Doctors also point out that the cases of end-stage kidney diseases are on a rise among the young population between 25-40 years of age.

According to the Indian Society of Nephrology, at least 1.5 lakh new patients with kidney diseases have been detected in India in 2018, while five years ago hardly a lakh people were diagnosed with the chronic ailment.

Given the rise, doctors have also observed that dialysis units which were at least 100 in number in the city have tripled in the last five years, making it evident that patients with kidney diseases have increased.

Moreover, a point which the Indian society of nephrology stressed is that the aetiology of kidney diseases has undergone a major shift.

Explaining the same, Dr Avinash Ignatius, senior nephrologist, transplant physician, Noble hospital, said, “It has become evident that kidney diseases have risen majorly, but cases of end-stage kidney diseases are observed among the young population.”

“At least 15 per cent of the productive age group, that is between the ages of 25 and 40, are on dialysis right now and that too because of indiscriminate and prolonged use of pain killers and bad lifestyle habits,” Ignatius added.

Dr NC Ambekar, member of the Indian Society of Nephrology, Pune chapter, assistant professor of nephrology, BJ Medical College and Sassoon Hospital, said, “In 1990, hardly 12 per cent of the population was diabetic, whereas now, at least 50 per cent of the population in India is diabetic and have a risk of developing diabetic nephropathy. Many patients who are suffering from chronic kidney disease either have diabetes, hypertension, obesity, recurrent urinary infection and consume pain killers frequently. Most importantly, 80 per cent of the patients who suffer from kidney ailments are unaware due to lack of symptoms, unless they get their renal function test (RFT) done which is a major cause of concern. Hence, we need to stress on prevention of kidney diseases than the treatment.”

He further added, “Besides this, out patients who are on dialysis or need a transplant, only 2.5 per cent can afford a transplant, leaving many to wait or die. Hence besides treatment, prevention is the only solution. So one should one should adopt a healthy lifestyle.”

Prevention is the only cure

1.5 lakh patients diagnosed with end-stage kidney disease in 2018

20 per cent patients seek dialysis

2.5 per cent can afford a transplant

Main causes

Diabetes, hypertension, obesity, constant and recurrence urinary infections, other lifestyle disorders, indiscriminate use of pain killers, smoking, tobacco consumption can lead to kidney related ailments.

Prevention

Avoid stress, control blood sugar levels, drink enough fluids and get a renal function test done once a year

One in every eight of the adult population may have renal dysfunction

(Data according to Indian Society of Nephrology)

Unique initiative

Given the rise in the kidney-related ailments due to urinary infection which is mostly seen in women—Ambekar hospital has started a unique initiative. Any women can use the toilet facility at the hospital. Shedding more light on the same, Dr NC Ambekar said, “The idea was to prevent women from developing the disease as many tend to hold back urine more often and avoid using a public toilet. Also, many institutes, organisations or private hospitals avoid entertaining women who come from outside like constables, working women or labourers. Hence we have now allowed women to use our hospital toilets.

He said, “We appeal to other organisations to do the same, so that women do not have to face the danger of urinary infection which can further develop diseases related to the kidney.”

First Published: Mar 14, 2019 14:43 IST

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