Dialysis at CritiCare Asia Hospitals, Kurla
Healthy kidneys clean waste and extra water out of the blood. When they stop doing this well enough, poisons build up in the body. CritiCare Asia Hospitals is a kidney hospital in Mumbai that supports patients with kidney failure at its Kurla centre. Dialysis is a treatment that does the kidneys' cleaning job from outside the body, either for a short time or for the long term. Dialysis in Kurla, Mumbai is mostly needed in advanced chronic kidney disease. It is also used in acute kidney injury, where the kidneys fail suddenly and may recover with time and support.
Symptoms That Show Dialysis May Be Needed
Not every stage of kidney disease needs dialysis. Kidney specialists usually consider it when kidney function falls to around 10 to 15 per cent of normal, or sooner if dangerous symptoms appear. These include:
- Constant nausea, vomiting or loss of appetite, caused by waste building up in the blood
- Swelling in the legs, ankles or around the eyes from trapped fluid
- Breathlessness, when fluid collects around the lungs
- Confusion or trouble concentrating, because waste (uraemia) is affecting the brain
- Very high potassium in the blood, which can disturb the heartbeat
The decision is made for each person. Blood test trends, how severe symptoms are and the cause of the kidney damage all decide when to start.
Before Dialysis
Preparation starts well before the first session. For haemodialysis, a vascular access is made by minor surgery, often weeks ahead so it has time to mature. This is usually an arteriovenous fistula, a joined artery and vein, or a graft. For peritoneal dialysis, a soft tube called a catheter is placed into the abdomen under local or general anaesthesia. Blood tests, a heart check and a review of current medicines are done first. Patients are also guided on diet, especially potassium, phosphorus, salt and fluids, because these affect how the body copes between sessions. Cost estimates and insurance or cashless options, where applicable, can be discussed with the hospital team before treatment begins.
During Dialysis
In a haemodialysis session, the patient is connected to the machine through the access, and vital signs are watched throughout. Most people read, rest, or watch something. Mild tiredness or a dip in blood pressure can happen, and the care team deals with it promptly. Peritoneal dialysis exchanges, once the patient is trained, can be done at home with much less disruption to the day.
After Dialysis
Tiredness after haemodialysis is common and usually eases within a few hours. Fluid and diet limits continue between sessions, and regular blood tests show how well waste and salts are controlled. The access site needs daily care to avoid infection or clotting. Patients on peritoneal dialysis are taught to look out for peritonitis, which is infection of the abdominal lining and shows as cloudy fluid or abdominal pain, and to keep strict hygiene during exchanges. Any discomfort or doubt should be reported to the dialysis team without waiting. Since treatment means regular visits, choosing a hospital closer to home is a practical help.
Dialysis Options
Two main kinds of dialysis exist. The choice depends on medical suitability, daily routine, and the patient's preference.
- Haemodialysis
blood is drawn through the access, passed through a filter called a dialyser that removes waste and extra fluid, and returned to the body. Sessions usually last several hours, several times a week, at a dialysis centre or, in some cases, at home after training - Peritoneal dialysis
the lining of the abdomen, the peritoneum, acts as a natural filter. A cleansing fluid is put in through the catheter, left to take up waste, then drained out. It can be done by hand during the day or by a machine overnight
Dialysis at CritiCare Asia Hospitals, Kurla
At CritiCare Asia Hospitals, dialysis is coordinated by nephrologists, dialysis technicians and nursing staff, who follow fluid balance, blood chemistry and access-site health over time, not session by session. For people new to dialysis, the first weeks can feel heavy, so each stage is explained in plain words. Patients take part in choosing between haemodialysis and peritoneal dialysis. Book a consultation with the nephrologists in Kurla at CritiCare Asia Hospitals to find out whether dialysis is the right next step.