Vinod C Tawar
Clover Hill Medical Clinic, Canada
Title: End stage renal disease- a review of contributing factors and treatment measures
Biography
Biography: Vinod C Tawar
Abstract
My prior presentation at the euro-nephrology conference in Rome in 2016 on “ renal dysfunction stage II to IV and the amelioration via novel ace inhibitors was my initial interest in nephrology since it was one of the most challenges in a family practice settings in the region. Consequently, patients with eGFR as low as 33 have shown a full recovery to normal function as been achieved while on perindopril 8mg/day dosage for 12 months. My current research interest has been on recognizing contributing factors and suggesting treatment measures based on current clinical data from literature. A literature data was reviewed from January 2004 to date. Earlier years study showed prevalence of renal disease to ethnic origin with greater incidence of obesity, diabetes, metabolic syndrome and hypertension. Subsequently, an effective management of blood pressure for prevention of kidney disease and a family history of ESRD became the primary focus, in as early as 2005 ACE or ARBs were recognized for the prevention and treatment of CKD. In 2015, an association of acute kidney injury with the parameters eg. EGFR, Albuminuria, Diabetes mellitus and hypertension was recognized. In my past presentation of 2016 (Rome) an effective management of diabetes and hypertension was identified as most essential tool in prevention of CKD. Studies on rats demonstrated Glyrrhic acid treatment for the prevention of Nephropathy. In addition, recent studies have shown Linaclotide administration to rats for the chronic kidney disease, amelioration. In my practise, treatment of Iron deficiency, event transiently showed relief from leg edema and likely cardio-vascular complications. An effective management of gout was seen as a further prevention of renal dysfunction. A role of newer Sartan analogues, medoximil and vitamin D supplementation deserves further studies in ESRD cases.