Dr. K Mahesh Prasad, M.B.B.S., M.D. (Gen. Medicine) has done his D.N.B. in Nephrology at the Apollo Hospital ( now-Apollo Health City) in Hyderabad. He further strengthened his reach by training in Interventional nephrology . He has also received training in CRRT, Intensive care Nephrology and CAPD. Apart from presenting a number of publications on different topics he has also brought out many original work in the field of nephrology.
He is awarded by the Indian Society Of Nephrology by Tanker award in 2007 for his work on GFR of Normal healthy indian population.
Contribution to Medical Science
Dr. K. Mahesh Prasad is an expert in various interventions. He is also an avid researcher. Various research papers of Dr. K. Mahesh Prasad has been published in journals with a high impact factor.
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A kidney transplant is the transfer of a healthy kidney from one person into the body of a person who has little or no kidney function. The main role of the kidneys is to filter waste products from the blood and convert them to pee.
A live related kidney transplant is a type of kidney transplant where a kidney is donated by a living donor who is related to the recipient. The most common living donors are immediate family members, such as parents, siblings, and children.
A cadaver kidney transplant is a type of kidney transplant in which a donated kidney from a deceased donor (also known as a cadaveric donor) is transplanted into a person with end-stage kidney disease. This is a life-saving procedure that can help people with kidney failure to live longer, healthier lives.
In kidney transplantation, blood group matching is an important consideration to prevent rejection and improve the chances of a successful transplant. A blood group mismatch occurs when the blood type of the donor does not match that of the recipient.
Clinical nephrology is a medical specialty that deals with the diagnosis and treatment of kidney diseases, including disorders that affect the structure and function of the kidneys, as well as diseases that result from abnormalities in the regulation of water, electrolyte, and acid-base balance in the body.
Clinical nephrologists work closely with other medical specialists, such as primary care physicians, endocrinologists, and cardiologists, to diagnose and manage kidney diseases, including chronic kidney disease, acute kidney injury, glomerulonephritis, nephrotic syndrome, diabetic nephropathy, and many others.
The clinical management of kidney diseases often involves a combination of pharmacological and non-pharmacological interventions, such as medications to control blood pressure and blood sugar, dietary modifications, and lifestyle changes. In some cases, patients may require renal replacement therapy, such as hemodialysis or peritoneal dialysis, or a kidney transplant.
Clinical nephrology also involves the management of complications associated with kidney diseases, such as anemia, bone disease, and cardiovascular disease. Additionally, clinical nephrologists are involved in the prevention and early detection of kidney disease, and often work with patients to help them manage risk factors that can lead to kidney damage, such as hypertension and diabetes.
Hemodialysis is a medical treatment used for patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD). It is a process of purifying the blood of waste products and excess fluids by passing it through a machine that acts as an artificial kidney.
Dialysis at home, also known as home hemodialysis, is a type of treatment for kidney failure that allows patients to perform hemodialysis in the comfort of their own home. Hemodialysis is a medical procedure that involves removing waste products and excess fluids from the blood, using a dialysis machine that filters the blood.
Peritoneal dialysis (PD) is a type of dialysis that uses the peritoneum, a membrane that lines the inside of the abdomen, as a filter to remove waste products and excess fluids from the blood. There are two types of peritoneal dialysis: Continuous Ambulatory Peritoneal Dialysis (CAPD) and Continuous Cycling Peritoneal Dialysis (CCPD).
Kidney sonography, also known as renal ultrasound, is a non-invasive imaging technique used to produce images of the kidneys using high-frequency sound waves. The images produced can help diagnose and monitor conditions affecting the kidneys, such as kidney stones, cysts, tumors, and other abnormalities.
During a kidney sonography, a transducer (a device that emits and receives sound waves) is placed on the skin over the kidney area. Sound waves are emitted from the transducer and pass through the body, reflecting off the structures within the kidneys. These reflected sound waves are detected by the transducer and converted into images that can be viewed on a screen.
Doppler ultrasound is a type of kidney sonography that uses sound waves to measure the speed and direction of blood flow in the renal blood vessels. This information can help diagnose conditions such as renal artery stenosis (narrowing of the renal artery) and renal vein thrombosis (a blood clot in the renal vein).
Sonography and Doppler are often used in the evaluation and management of fistulas, which are abnormal connections between blood vessels or other organs.
In the case of a fistula involving blood vessels, ultrasound with Doppler can be used to assess blood flow and detect the presence of a fistula. Doppler ultrasound uses sound waves to detect the movement of blood cells and can provide information on the direction and velocity of blood flow.
For example, in the case of an arteriovenous fistula (AVF), which is a connection between an artery and a vein, ultrasound with Doppler can be used to evaluate blood flow through the AVF and the veins downstream. This can help assess the functionality of the AVF, as well as detect potential complications such as stenosis (narrowing) or thrombosis (clot formation).
A kidney biopsy is a medical procedure that involves the removal of a small piece of kidney tissue for examination under a microscope. This test is usually performed to help diagnose kidney problems such as kidney disease, kidney infection, and kidney cancer.
Dialysis catheter insertion is a medical procedure in which a catheter is placed in a patient's vein to allow for the exchange of blood during dialysis treatment. Dialysis is a process used to remove waste products and excess fluid from the blood in patients with kidney failure. The catheter is a flexible tube that is inserted into a large vein in the neck, chest, or groin area. The catheter has two lumens or openings, one for withdrawing blood from the patient and the other for returning the blood after the dialysis process is complete.
Dialysis fistula formation is a surgical procedure in which an arteriovenous fistula (AVF) is created to provide access for hemodialysis treatment in patients with end-stage renal disease (ESRD).
Fistula angiography is a diagnostic imaging test that uses X-rays and a special dye to examine the fistula, which is an abnormal connection between two body structures, typically between an artery and a vein. Fistulas can occur in various parts of the body, but are most commonly found in the arms or legs of patients who have undergone hemodialysis for kidney failure.
Fistula thrombectomy is a procedure that is performed to remove a blood clot that has formed within an arteriovenous fistula (AVF) or arteriovenous graft (AVG) that is created for hemodialysis. Hemodialysis is a medical treatment used to remove waste products and excess fluid from the blood when the kidneys are not functioning properly.
Peritoneal dialysis (PD) is a type of renal replacement therapy that involves using the peritoneum, a membrane lining the abdominal cavity, as a filter to remove waste products and excess fluid from the blood. A peritoneal dialysis catheter is a flexible tube that is inserted through the abdominal wall and into the peritoneal cavity to allow for the infusion and drainage of dialysis fluid.
There are several investigations that can be done to evaluate the function and health of the kidneys. Here are some of the commonly used ones:
Blood tests: These include tests for creatinine, blood urea nitrogen (BUN), and electrolytes. Elevated creatinine and BUN levels indicate impaired kidney function.
Urine tests: These include tests for protein, glucose, blood cells, and other substances in the urine. Abnormal levels of these can indicate kidney damage or disease.
Imaging tests: These include ultrasound, CT scan, or MRI, which can help visualize the kidneys and detect any abnormalities.
Biopsy: A kidney biopsy involves removing a small sample of kidney tissue for examination under a microscope. This test can help diagnose certain kidney diseases.
Intensive care nephrology is a subspecialty of nephrology that focuses on the diagnosis, treatment, and management of acute kidney injury (AKI) and other kidney-related issues in critically ill patients. This field is highly specialized and requires a multidisciplinary approach that involves nephrologists, critical care specialists, and other healthcare professionals.
Patients in the intensive care unit (ICU) often develop AKI due to various causes, including sepsis, hypovolemia, medication toxicity, and kidney damage caused by surgery or trauma. Intensive care nephrologists are experts in managing AKI and other kidney-related complications that can arise in the ICU setting. They work closely with other healthcare professionals to provide the best possible care for critically ill patients.
Kidney stones are hard mineral deposits that form in the kidneys and can cause severe pain, discomfort, and other complications. There are several ways to manage kidney stones, including:
There are a variety of urinary problems that people can experience. Some of the most common ones include:
Urinary tract infections (UTIs): These occur when bacteria enter the urinary tract and cause an infection. Symptoms may include a frequent need to urinate, pain or burning during urination, cloudy or strong-smelling urine, and pain in the lower abdomen or back.
Incontinence: This refers to the inability to control urine flow. It can be caused by a number of factors, such as weakened pelvic floor muscles, nerve damage, or certain medical conditions.
Kidney stones: These are hard deposits that form in the kidneys and can cause pain and discomfort as they pass through the urinary tract.
Pediatric nephrology is a medical specialty that focuses on the diagnosis, treatment, and management of kidney and urinary tract disorders in children. These conditions can affect the kidneys, ureters, bladder, and urethra, and can range from minor issues to life-threatening diseases.
Pediatric nephrologists are trained to manage a wide range of kidney problems in children, including:
Palliative care is a type of specialized medical care focused on improving the quality of life for people with serious illnesses, such as cancer, heart failure, and chronic obstructive pulmonary disease (COPD). The goal of palliative care is to relieve pain and other symptoms, as well as provide emotional, social, and spiritual support for patients and their families.
Palliative care can be provided at any stage of a serious illness and can be provided alongside curative treatments. It is typically provided by a team of healthcare professionals, including doctors, nurses, social workers, and chaplains, who work together to address the physical, emotional, and spiritual needs of the patient.
Kidney-related bone diseases are a group of disorders that affect the bones and result from chronic kidney disease (CKD) or end-stage renal disease (ESRD). These conditions can lead to a variety of bone-related problems such as bone pain, fractures, and weakness. Here are some management strategies that can help individuals with kidney-related bone diseases:
Contrary to some reviews I have found Dr Mahesh to be very approachable. My father who is 70 years old has been consulting with him for few years now and he has always shown empathy, along with providing a lot of time and support during the consultations. My father was undergoing home dialysis for few months and Dr. Mahesh has never shown reluctance to share feedback on any queries or updates high lighted to him from time to time on phone , for which he never asked for any fees. My father had COVID and then Black fungus and Doctor was instrumental in his recovery from such fatal sickness. He is known to symphatize with the financial situation of his patients and he did his best to accommodate during couple of minor surgeries done at his hospital. Have called him numerous times and at odd hours and Dr Mahesh has always been there to help. I do thank him for all the good work he does and would definitely recommend him.
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