No urine output, breathlessness from fluid overload, chest pain, or confusion in a known kidney patient needs emergency dialysis assessment now — travel can wait until you are stable.
Chronic kidney disease staging, dialysis access surgery, glomerular disease work-up and transplant preparation, coordinated with the same teams who perform kidney transplants here.
The single most useful thing a kidney patient can send us is not one report but a series — creatinine over time, urine protein, and blood pressure readings. Kidney decisions are about trajectory, not a single value.
Free. No obligation. A written opinion within 48 hours.
Patients often arrive with one creatinine value and one ultrasound. What actually determines treatment is the trend over months, how much protein the kidneys leak, and blood pressure control across that same period.
Creatinine and urine protein trends over six to twelve months tell a nephrologist more than any single admission panel.
A fistula needs weeks to mature. Created early, it avoids emergency catheters and their infections entirely.
Donor and recipient testing can largely happen before you fly, which shortens your trip in India by weeks.
The conditions we are asked about most.
Staging, progression risk and planning well before dialysis is needed
The commonest cause worldwide, and the most preventable
Including IgA nephropathy and nephrotic syndrome, with biopsy-led treatment
Family screening, blood pressure control and transplant planning
Fistula and graft surgery, and peritoneal dialysis catheters
Recipient and donor assessment, immunology and paperwork
Detailed condition pages are being added continuously. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Nephrology is mostly physician-led medicine. The surgical parts — access creation and transplantation — are where timing and unit choice matter most.
A renal biopsy service with a reporting pathologist changes treatment in inflammatory disease.
Units that create fistulas early avoid emergency catheters and their infections.
The nephrologists assessing you should work with the transplant surgeons directly.
Kidney biopsy carries a small bleeding risk. Fistula surgery can fail to mature and may need revision. Dialysis while travelling requires pre-arranged sessions. Transplant carries the risks of major surgery plus lifelong immunosuppression — rejection, infection and medication side-effects — and needs honest lifelong follow-up planning after you return home.
Potassium and fluid emergencies kill before any flight helps.
Travel and surgery on top of severe hypertension is how strokes happen.
Peritonitis on peritoneal dialysis or an infected access must be treated first.
A patient with progressive CKD preparing for a living-donor transplant.
Yes, with pre-arranged sessions at a unit in India, or by timing your trip around transplant workup instead. We arrange dialysis schedules as part of the trip plan.
Months before dialysis is likely to start — a fistula needs weeks to mature, and emergency catheters carry far higher infection rates. If your kidney function is falling steadily, ask now.
Living donors are usually relatives, but unrelated and swap programmes exist under Indian law. The authorisation committee process is part of our transplant guidance.
Blood pressure control, diabetes control, the right BP tablets even at normal pressures, and avoiding painkillers like ibuprofen. These do more than any supplement sold online.
Send whatever you already have — reports, scans, photographs. You will get a written opinion with costs within 48 hours.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.