Nephrology

Early diagnosis and regular monitoring of CKD can help you keep your kidneys functioning for as long as possible – and allow you and your doctor to plan for end-stage renal disease (ESRD) treatment when necessary. You will receive treatment and dietary advice aimed at maintaining kidney function and slowing the progression to more advanced stages of CKD and ESRD. We will discuss in-center hemodialysis, at-home peritoneal dialysis, kidney transplants and supportive or palliative care.

When kidneys fail, your body may have problems filtering your blood and remaining chemically balanced. Dialysis cleans the body of unwanted toxins, waste products and excess fluids, and can take the place of some kidney function. Our modern dialysis unit with its state-of-the-art dialysis equipment provides treatment and support six days a week from 6 a.m. until 11 p.m.

Peritoneal dialysis (PD) is used to remove excess fluid, correct electrolyte problems, and remove toxins in people with kidney failure. PD has the benefits of greater flexibility and tolerance in those with significant heart disease. It introduces a solution through a permanent tube in the lower abdomen, either at regular intervals throughout the day, or at night with the assistance of a machine. As part of our home training program, you and members of your family will receive training on what peritoneal dialysis involves and how to use the equipment safely at home.

Kidney stones are hard deposits of minerals and salts that form inside your kidneys and affect your kidneys or bladder. Passing kidney stones can be painful, but the stones usually cause no permanent damage if they are recognized and treated quickly. Treatment may require taking pain medication and drinking plenty of water to pass a kidney stone. However, if stones are lodged in the urinary tract, or are causing a urinary infection or other complications, surgery may be needed.

While we do not perform kidney transplant surgery at JHAH, our nephrologists are experts in all aspects of kidney transplantation, from pre-transplantation preparation to post-transplantation follow-ups. If you need a kidney transplant, you will be referred to a transplant center within the Kingdom, before returning to JHAH for post-transplantation care.

Secondary hypertension is high blood pressure caused by hormonal abnormalities, kidney failure or narrowing of the kidney arteries. It can affect your kidneys, arteries, heart or brain. It can be caused by other medical conditions, including obesity and pregnancy. Proper treatment can control both the underlying condition and the high blood pressure, reducing the risk of serious complications such as heart disease, kidney failure and strokes.

Clinical dieticians are involved with outpatient nutrition counseling and care for the nutritional needs of people in our hospitals. If you are under the care of JHAH nephrologists, you can be referred to clinical dieticians for nutritional counseling.