1. A list of documents describing your symptoms in details (When, What, How Long).
2. Any recent (<1 year) medical investigations such as blood tests, CT scans etc.
3. If you have any existing medical conditions, carry along your prescription and list of current medications you are taking.
4. Your insurance details or company ID in case the hospital is on your health panel.
Different surgeries have different criteria for an ideal candidate.
For instance, in the case of end-stage kidney disease (ESKD), the right candidate must clear the following criteria:
Proper heart-lung functionality
No active infections in the recipient such as hepatitis, TB etc
Any life expectancy limiting medical condition
A full understanding and commitment to take medication regularly and following up with your nephrologist
No smoking, drinking or recreational drugs
The kidney is one of the essential organs of the body. It is linked to pathologies of other organs and can be damaged irreversibly, which may result in dialysis or transplant.
Thus, there are certain precautions one can take:
Quit smoking/recreational drugs
A balanced diet: Low salt, low carb, balanced protein, balanced acidity, calcium-rich.
Lose weight in a safe manner, avoid diet pills/crash diets
Drink copious amounts of water, especially in the summers.
Read food labels of all food to know the sodium content
ABO incompatible transplant is when the donor & recipients blood types don’t match. Earlier it was not undertaken as the rejection of the organ was extremely common.
However, with the help of a more aggressive regimen of immunosuppressives & a better understanding of immunology, ABO incompatible transplants are being done around the world. This has led to greater donor pool & a reduced number of deceased kidney transplants for patients with end-stage renal disease. In recent years, the outcome of ABO incompatible kidney transplant has been equivalent to ABO compatible kidney transplant.
Depending on the kind of incontinence and the underlying cause responsible, there may be a few things your doctor might recommend:
Drinking 6-8 glasses of water
High fiber diet to avoid constipation
Pelvic floor strengthening exercises
Learning how to properly use the toilet e.g. not to use too much pressure, posture while sitting etc.
Medications
Pads, catheters, sponges etc. to aid in managing incontinence.
Complete blood test
Urine routine/Microscopy and Culture Test
Kidney function tests that include potassium, calcium, creatinine, BUN (blood urea nitrogen)
Blood cholesterol, if you have high pressure
Ultrasound Imaging of Kidneys
Benign prostate enlargement is a naturally aging process that leads to hypertrophied prostate.
Depending on the health status of the patient and the discretion of the surgeon, there are a few surgical options:
- TURP
- Bipolar TURP
- Laser Prostatectomy (HOLEP)
While BPH is due to genetic and environmental factors, dietary changes may help reduce the risks of BPH:
A low fat, low salt, low carb diet with fiber.
5 or more servings vegetables/day
Foods that have significant amount of vitamin C & zinc
< or = 2 glasses of alcohol
Pre-Surgery:
• Ask your doctor all your doubts prior to the surgery
• If using insurance, confirm with your insurance provider and hospital the documents needed.
• Nil by mouth (NBM) 12 hours before the procedure
• Pre-anesthetic checkup (PAC) will be done
Post-Surgery
Depending on the type of surgery, the post-operative instructions differ
• No solid food for 24 hours. Slow introduction of semi-solid meals for the next 2-3 days
• You will have an IV in your hand and will be given antibiotics, analgesics to ease the pain