Expert CKD care by a senior nephrologist
Chronic Kidney Disease (CKD) is a long-term condition in which the kidneys gradually lose their ability to filter waste and extra fluid. It may be detected through high creatinine, low eGFR, urine protein, swelling or anemia.
Care focuses on slowing progression, protecting remaining function, treating complications and planning dialysis or transplant only when clinically appropriate.
Last updated: September 7, 2026
16+ years of nephrology and renal transplant experience
Consultations in East Delhi and Indirapuram
Structured, report-based kidney care
Symptoms and common causes of CKD
Early CKD may cause no symptoms. Report changes and later symptoms can include:
- High creatinine or low eGFR
- Protein or foam in urine
- Swelling
- High blood pressure
- Anemia and fatigue
- Diabetes, stones or glomerular disease
These signs do not always mean a serious kidney condition, but they should not be ignored when they persist, worsen, or appear with diabetes, hypertension, infection, heart disease or a known kidney history. A nephrologist helps connect symptoms, reports and risk factors so patients can understand whether the issue is temporary, progressive, procedure-related or part of chronic kidney disease.
How evaluation and diagnosis work
CKD stage and progression risk are assessed using kidney function, urine protein, blood pressure, complications and imaging.
- Creatinine and eGFR trend
- Urine protein or albumin
- Blood pressure and diabetes review
- Electrolytes and hemoglobin
- Calcium, phosphorus, PTH and vitamin D
- Ultrasound KUB and medicine review
Patients with diabetes, uncontrolled blood pressure, recurrent urinary problems, swelling, high creatinine or proteinuria may need more structured follow-up because early correction can slow complications and reduce emergency admissions.
Useful report checklist
Recent creatinine, urea and eGFR reports
Urine routine and urine protein reports
Blood pressure and diabetes records
Ultrasound, CT or previous discharge summaries where available
Current medicine list and allergy history
Treatment approach
Treatment may include diabetes and blood pressure control, proteinuria reduction, diet and salt guidance, anemia and bone-mineral care, swelling management, avoidance of kidney-harming medicines, dialysis preparation and transplant counselling in advanced disease.
The care approach focuses on protecting remaining kidney function, controlling complications, improving symptoms and guiding patients through decisions in simple language. Whenever a procedure such as kidney biopsy, dialysis catheter placement, permacatheter placement, AV fistula planning, CAPD catheter placement, hemodialysis, peritoneal dialysis, hemodiafiltration or plasmapheresis is relevant, the decision should be made after clinical assessment and counselling.
Related kidney care services
Where to consult Dr. Anindya Biswas
Dr. Anindya Biswas consults at Shanti Mukand Hospital in East Delhi, Yashoda Hospital, Vasundhara in Ghaziabad, and Avantika Hospital, Indirapuram in Ghaziabad.
Find a nephrologist in Delhi, a kidney specialist in Ghaziabad, or a nephrologist in Indirapuram. Please call +91 8800224333 to confirm the current OPD schedule before visiting.
Before booking an appointment
Need expert help for chronic kidney disease? Book an appointment with Dr. Anindya Biswas for nephrology consultation in East Delhi, Karkardooma or Indirapuram.
Patients should bring recent blood reports, urine reports, ultrasound or CT scan reports, discharge summaries, dialysis records, transplant records and current medication lists. For long-term kidney conditions, a timeline of creatinine values, urine protein reports and blood pressure readings is especially helpful.
For urgent symptoms such as severe breathlessness, very low urine output, confusion, chest discomfort, severe weakness or sudden swelling, patients should seek emergency care through the nearest hospital facility rather than waiting for a routine appointment.