Online Nephrologist Consultation in India

Yes, you can consult Dr Rajesh Goel, a senior nephrologist with 18+ years of experience, entirely online through video consultation. This is ideal for follow-ups, second opinions, and initial consultations for patients who cannot visit in person. You can book an online appointment through our website or WhatsApp at +91 9818235613.

Yes, online kidney consultation is highly effective for most non-emergency situations. Dr Rajesh Goel can review your blood reports, urine tests, ultrasound reports, and medication history through video call. He provides the same quality diagnosis, treatment planning, and prescription as an in-person visit. For procedures like dialysis or physical examination, an in-clinic visit may be recommended.

Before your online consultation, please have these ready: Recent kidney function tests (creatinine, eGFR, BUN, electrolytes), complete blood count (CBC), urine routine and microscopy, ultrasound abdomen (if done), any previous biopsy reports, current medication list, and blood pressure records if available. Upload these through our booking portal or share via WhatsApp before your appointment.

Yes, for many kidney conditions, Dr Rajesh Goel can prescribe medications and treatment plans through online consultation. This includes management of CKD stages 1-4, blood pressure control, diabetes-related kidney issues, dietary guidance, and medication adjustments. For dialysis, transplant evaluation, or emergency situations, an in-person visit is necessary.

Absolutely. Dr Rajesh Goel regularly consults with international patients from the USA, UK, UAE, Singapore, and other countries. The consultation fee for international patients is $20 USD. We can coordinate across time zones and provide treatment plans that can be followed locally with your referring physician.

Yes, Dr Rajesh Goel frequently provides second opinions for kidney disease patients. If you have been diagnosed with CKD, kidney failure, or need a transplant evaluation, a second opinion from an experienced nephrologist can help you understand your options better. Simply book an online consultation and share your existing reports.

Yes, under Indian medical regulations, registered doctors can prescribe medicines through online consultation. Dr Rajesh Goel will provide a detailed prescription after your video consultation. You can purchase the prescribed medicines from any pharmacy. For certain controlled substances, an in-person consultation may be required.

A nephrologist treats all kidney-related conditions including Chronic Kidney Disease (CKD), Acute Kidney Injury (AKI), kidney stones, diabetic kidney disease, hypertensive kidney disease, nephrotic syndrome, glomerulonephritis, polycystic kidney disease, electrolyte disorders, kidney infections, proteinuria, hematuria, and prepares patients for dialysis or kidney transplant.

The consultation fee starts from ₹500 for in-clinic visits at KCC Faridabad, ₹1000 at PSRI Hospital, ₹1200 at KCC Saket, and ₹500 for online consultation within India. International patients can consult for $20 USD. This covers a comprehensive evaluation, review of all reports, personalized treatment plan, prescription, and follow-up guidance. There are no hidden charges.

Online consultations with Dr Rajesh Goel typically last 15-30 minutes, depending on the complexity of your case. This is sufficient time to review your reports, discuss symptoms, explain the diagnosis, and create a treatment plan. Follow-up consultations may be shorter.

Chronic Kidney Disease (CKD) is a condition where the kidneys gradually lose their ability to filter waste from the blood. It is classified into 5 stages based on eGFR (estimated Glomerular Filtration Rate). Early stages (1-2) may have no symptoms, while advanced stages (4-5) can cause fatigue, swelling, nausea, and eventually require dialysis or transplant. Common causes include diabetes, high blood pressure, and glomerulonephritis.

You should consult a nephrologist if your serum creatinine is consistently above 1.2 mg/dL (men) or 1.0 mg/dL (women), or if there is a sudden rise in creatinine levels. A rising creatinine indicates declining kidney function. Dr Rajesh Goel can evaluate the cause, stage the kidney disease, and start appropriate treatment to slow progression.

eGFR (estimated Glomerular Filtration Rate) measures how well your kidneys filter waste from blood. A normal eGFR is above 90 mL/min/1.73m². An eGFR below 60 for 3 or more months indicates CKD. Below 15 indicates kidney failure. eGFR is the most important number to track kidney health. You can calculate your eGFR using our online eGFR calculator.

High creatinine can be caused by Chronic Kidney Disease, dehydration, high protein diet, certain medications (NSAIDs, ACE inhibitors), kidney stones, urinary tract obstruction, muscle injury, or acute kidney injury. Dr Rajesh Goel will evaluate the underlying cause through blood tests, urine tests, and imaging to provide appropriate treatment.

Dialysis is typically needed when eGFR drops below 10-15 mL/min (Stage 5 CKD / kidney failure) or when symptoms of uremia become severe (nausea, vomiting, confusion, difficulty breathing, severe swelling). Dr Rajesh Goel will assess your overall condition, nutritional status, and symptoms to determine the right time to start dialysis. Early planning for dialysis access (fistula) is recommended when eGFR drops below 20.

Hemodialysis uses a machine to filter blood outside the body, typically done 3 times a week at a dialysis center. Peritoneal dialysis uses the lining of your abdomen (peritoneum) to filter blood inside your body, which can be done at home. Dr Rajesh Goel will help you choose the best option based on your lifestyle, medical condition, and preferences.

Early-stage CKD (stages 1-2) can sometimes be reversed if the underlying cause is treated (e.g., controlling diabetes, treating infections). Later stages (3-5) are generally not reversible, but progression can be significantly slowed with proper treatment, diet, and lifestyle changes. The key is early detection and consistent management under a nephrologist.

Kidney disease patients should limit sodium (salt), potassium-rich foods (bananas, oranges, potatoes, tomatoes), phosphorus-rich foods (dairy, nuts, colas), and protein (in advanced CKD). They should also limit fluid intake in later stages. Each patient's dietary needs are different based on their stage, lab values, and dialysis status. Dr Rajesh Goel provides personalized diet guidance. Use our potassium calculator to check food potassium levels.

For eligible patients, kidney transplant generally offers better quality of life and long-term survival compared to dialysis. A successful transplant eliminates the need for dialysis, allows more dietary freedom, and provides better overall health. However, not everyone is a transplant candidate, and lifelong immunosuppressive medications are required. Dr Rajesh Goel can evaluate your transplant eligibility during consultation.

Proteinuria means excess protein in urine, which is an early sign of kidney damage. Normally, kidneys prevent protein from leaking into urine. When kidneys are damaged, protein leaks through. It is detected by urine test (uACR or urine dipstick). Persistent proteinuria requires evaluation by a nephrologist to determine the cause and start treatment. Check your uACR using our online calculator.

Blood in urine (hematuria) can be a sign of kidney stones, urinary tract infection, kidney disease, or in rare cases, kidney cancer. It may be visible (red/pink urine) or microscopic (detected only on lab test). Any persistent blood in urine should be evaluated by a nephrologist. Dr Rajesh Goel will order appropriate tests to identify the cause.

Diabetic kidney disease (diabetic nephropathy) is the leading cause of kidney failure worldwide. High blood sugar damages the small blood vessels in kidneys over time, reducing their filtering ability. About 40% of diabetic patients develop kidney disease. Early screening with urine albumin test and eGFR is crucial for diabetic patients. Dr Rajesh Goel specializes in managing diabetic kidney disease.

Yes, hypertension (high blood pressure) is the second leading cause of kidney disease after diabetes. Uncontrolled BP damages kidney blood vessels, reducing their ability to filter waste. Conversely, kidney disease also raises blood pressure, creating a dangerous cycle. Maintaining BP below 130/80 is crucial for kidney patients. Dr Rajesh Goel provides specialized hypertension management.

Kidney stones are hard deposits of minerals and salts that form inside kidneys. They cause severe pain when they move through the urinary tract. Treatment depends on stone size and location: small stones pass with hydration and pain management, while larger stones may need lithotripsy (shock wave), ureteroscopy, or surgery. Dr Rajesh Goel provides prevention strategies including diet and medication.

Symptoms of kidney failure include: severe fatigue, loss of appetite, nausea/vomiting, swelling in legs/ankles/face, shortness of breath, difficulty sleeping, muscle cramps, foamy or bloody urine, frequent urination (especially at night), and itching. In advanced stages, confusion and seizures may occur. These symptoms require urgent nephrology evaluation.

If you have diabetes, high blood pressure, or a family history of kidney disease, get screened annually with urine albumin test and eGFR. If you have existing kidney disease, frequency depends on your stage: Stage 1-2 (every 6-12 months), Stage 3 (every 3-6 months), Stage 4-5 (every 1-3 months). Regular monitoring is key to catching problems early.

Normal serum creatinine ranges are: Men: 0.7-1.3 mg/dL, Women: 0.6-1.1 mg/dL. However, "normal" varies by age, muscle mass, and body size. A creatinine of 1.5 may be normal for a muscular young man but abnormal for an elderly woman. What matters most is the trend — a rising creatinine over time indicates declining kidney function.

A kidney biopsy involves taking a small sample of kidney tissue with a needle for examination under a microscope. It is needed when: the cause of kidney disease is unclear, treatment is not working, kidney function is declining rapidly, or there is suspicion of glomerulonephritis or other specific conditions. Dr Rajesh Goel performs biopsies at PSRI Hospital, New Delhi.

Prevent kidney disease by: controlling blood sugar (if diabetic), maintaining healthy blood pressure below 130/80, staying hydrated, reducing salt intake, maintaining healthy weight, exercising regularly, avoiding smoking and excessive alcohol, avoiding overuse of painkillers (NSAIDs), and getting regular kidney function tests if you have risk factors.

A nephrologist is a kidney medicine specialist who manages medical kidney diseases (CKD, kidney failure, electrolyte disorders, glomerulonephritis, dialysis management). A urologist is a surgeon who treats structural problems of the urinary system (kidney stones, prostate issues, urinary tract infections, bladder problems). Some conditions like kidney stones may need both.