Specialized Nephrology Services

Comprehensive nephrology care from Chronic Kidney Disease (CKD), Acute Kidney Injury (AKI), Lupus Nephritis, Vasculitis, and Cystic Kidney Disease to dialysis supervision and renal transplantation by Dr. Tanurekha Hazarika (19+ years experience).

1. Chronic Kidney Disease (CKD) Stages 1–5 Management

Comprehensive diagnostic and therapeutic strategy aimed at stabilizing elevated serum creatinine, slowing the progression of renal failure, reducing proteinuria, and proactively delaying the need for maintenance dialysis.

Key Interventions: SGLT2 inhibitors & RAS blockers titration, renal dietary sodium & phosphorus planning, anemia of CKD (EPO & iron therapy), mineral bone disorder control.
Book Slot

2. Acute Kidney Injury (AKI) & Critical Care Nephrology

Urgent evaluation and reversal of sudden declines in kidney function triggered by severe infections (sepsis), dehydration, nephrotoxic medications (NSAID painkillers, contrast dyes), or urinary tract obstruction.

Key Interventions: Pre-renal, intrinsic & post-renal AKI differentiation, fluid & electrolyte resuscitation, SLED / CRRT / acute hemodialysis support, complete renal recovery monitoring.
Book Slot

3. Lupus Nephritis (SLE Kidney Disease)

Specialized biopsy-guided care for patients with Systemic Lupus Erythematosus (SLE) experiencing autoimmune inflammation of the kidneys, proteinuria, hematuria, or rising creatinine.

Key Interventions: ISN/RPS Class I–VI renal biopsy classification, induction & maintenance immunosuppression (Mycophenolate, Tacrolimus, Rituximab, multi-target regimens), flare prevention.
Book Slot

4. Vasculitis (Renal & ANCA-Associated Vasculitis)

Prompt diagnosis and targeted immunotherapy for autoimmune inflammation of small and medium renal blood vessels (Granulomatosis with Polyangiitis, Microscopic Polyangiitis, IgA Vasculitis) presenting as Rapidly Progressive Glomerulonephritis (RPGN).

Key Interventions: c-ANCA (PR3) & p-ANCA (MPO) serological profiling, anti-GBM screening, plasmapheresis (PLEX) coordination, targeted steroid-sparing remission therapy.
Book Slot

5. Cystic Kidney Disease (Polycystic Kidney Disease / ADPKD)

Long-term clinical management of hereditary and acquired cystic renal disorders, including Autosomal Dominant Polycystic Kidney Disease (ADPKD), medullary cystic disease, and complex Bosniak renal cysts.

Key Interventions: Total Kidney Volume (TKV) tracking, cyst growth deceleration (Tolvaptan evaluation & hydration therapy), cyst hemorrhage/infection treatment, family genetic screening.
Book Slot

6. Diabetic Kidney Disease (Diabetic Nephropathy)

Dedicated nephrology screening and intervention for patients with long-standing Type 1 and Type 2 diabetes. Detecting microalbuminuria (urine protein) before structural glomerulosclerosis causes irreversible damage.

Key Interventions: Urine Albumin-to-Creatinine Ratio (UACR) monitoring, non-steroidal MRA therapy, safe glycemic control without hypoglycemia risk in renal impairment.
Book Slot

7. Dialysis Supervision: Hemodialysis & Peritoneal (CAPD)

Expert clinical oversight of renal replacement therapy. Advising families on whether In-Center Hemodialysis or Continuous Ambulatory Peritoneal Dialysis (CAPD at home) is medically superior for their clinical profile.

Key Interventions: Arteriovenous (AV) Fistula mapping & surveillance, dry weight optimization, dialysis adequacy (Kt/V) tracking, catheter infection prevention.
Book Slot

8. Renal Transplantation & Post-Transplant Care

Complete pre-transplant donor and recipient clinical workup, immunological HLA antibody crossmatch evaluation, and lifelong vigilant post-transplant follow-up to prevent graft rejection and opportunistic infections.

Key Interventions: Tacrolimus / Cyclosporine therapeutic drug monitoring (TDM), CMV & BK virus surveillance, graft biopsy correlation, transplant wellness.
Book Slot

9. Recurrent Kidney Stones (Nephrolithiasis) Prevention

Beyond surgical stone removal, preventing stones from forming again requires specialized nephrological metabolic evaluation. Uncovering why your kidneys are precipitating calcium oxalate, uric acid, or struvite crystals.

Key Interventions: 24-hour urine metabolic chemistry (calcium, oxalate, citrate, uric acid), hyperparathyroidism screening, targeted dietary & hydration protocols.
Book Slot

10. Glomerulonephritis & Nephrotic Syndrome

Diagnosis and targeted immunosuppressive management of primary glomerular conditions causing severe body swelling (edema), massive proteinuria, or blood in urine (hematuria).

Key Interventions: Renal biopsy interpretation, Membranous Nephropathy (Anti-PLA2R), IgA Nephropathy, FSGS, Minimal Change Disease, C3 Glomerulopathy.
Book Slot

11. Resistant Hypertension & Renovascular Disorders

When blood pressure remains uncontrolled despite 3 or 4 different medications, the kidneys are often the root driver. Diagnosing renal artery stenosis, hyperaldosteronism, and nephrosclerosis.

Key Interventions: Renal Doppler ultrasonography evaluation, ambulatory blood pressure profiling, aldosterone-to-renin ratio (ARR) testing.
Book Slot

12. Second Opinions on Dialysis Necessity & Lab Review

Have you or a loved one been advised that dialysis is the only option, or are you alarmed by suddenly elevated blood urea and creatinine? Obtain an independent, expert nephrological appraisal from Dr. Tanurekha Hazarika.

Key Interventions: Differentiating Acute Kidney Injury (reversible) from End-Stage Renal Disease (ESRD), optimizing conservative medical therapy.
Book Slot

Early Kidney Screening Saves Lives

Kidney disease is notoriously silent until advanced stages. If you have diabetes, hypertension, foamy urine, or a family history of kidney disorders, schedule a comprehensive renal consultation today.

Schedule In-Chamber Visit
WhatsApp Clinic: 70991 42137