ESRD Management

Holistic Diagnosis and Monitoring
End-Stage Renal Disease (ESRD) marks the final stage of chronic kidney disease, where kidney function drops below 10–15%, necessitating renal replacement therapy to sustain life. At this stage, patients often experience severe symptoms such as fluid overload, fatigue, electrolyte imbalances, bone mineral disorders, and uremic complications. Accurate diagnosis, frequent monitoring of kidney function (eGFR), blood pressure, hemoglobin levels, and electrolyte balance are crucial for managing the complex clinical picture. Dr. Tanurekha Hazarika adopts a patient-centered approach, performing a detailed evaluation to understand the individual’s medical history, lifestyle, and readiness for dialysis or transplantation.

Initiation of Renal Replacement Therapy
For ESRD patients, timely initiation of dialysis (hemodialysis or peritoneal dialysis) is vital. Dr. Hazarika ensures a seamless transition to dialysis through proper access creation—like AV fistulas for hemodialysis or CAPD catheter insertion for peritoneal dialysis—along with thorough patient and family counseling. She also helps patients evaluate and prepare for kidney transplantation, offering pre-transplant assessments and referral to transplant centers when appropriate. Nutritional counseling, anemia management, phosphate control, and bone health are closely integrated into her ESRD care plans, improving patients’ treatment tolerance and overall quality of life.

Emotional and Lifestyle Support
Living with ESRD is physically and emotionally challenging. Dr. Hazarika emphasizes psychosocial support, providing counseling and helping patients adapt to new routines while maintaining dignity and independence. Education on dietary restrictions, fluid management, and medication adherence is given high importance. Dr. Hazarika works collaboratively with dietitians, social workers, and dialysis staff to deliver holistic, multidisciplinary support. Her goal is to empower patients with knowledge and confidence to manage their condition effectively.

With Dr. Tanurekha Hazarika’s comprehensive ESRD management, patients receive not just medical treatment but compassionate, long-term care designed to enhance longevity and improve daily living.