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38 - 136

Title: Nephrology Treatment



Nephrology concerns itself with the diagnosis and treatment of kidney diseases, including electrolyte disturbances and hypertension, and the care of those requiring renal replacement therapy, including dialysis and renal transplant patients.


Many diseases affecting the kidney are systemic disorders not limited to the organ itself, and may require special treatment. They are


  • Kidney - Renal Transplantation
  • Dialysis - Hemodialysis and Continuous Ambulatory Peritoneal Dialysis (CAPD)
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39 - 138

Title: Spinal Surgery Treatment


The goal of surgery is to relieve pressure on the spinal cord or nerves and to maintain the integrity and strength of your spine. This can be accomplished in several ways, depending on the cause of the problem.

The most common surgical procedures include:

  •     Spinal fusion
  •     Spinal stenosis
  •     Disc Replacement
  •     Disectomy
Cost Savings:
Spinal Surgery Approximate Cost Elsewhere - in USD Approximate Cost INDIA - IN USD
Complex Spine Surgery with Implants $ 13, 000 $ 4600
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39 - 139

Title: Spinal fusion


Spinal fusion is surgery to correct problems in the spine bones (vertebrae). The surgery stabilizes the back by permanently placing certain bones in the spine together.

Fusing means two bones are permanently placed together so that movement between them can no longer occur.

Spinal fusion is usually done along with other surgical procedures of the spine, such as a diskectomy.

Spinal fusion surgery uses bone grafts, with or without screws, plates, cages, or other devices. The bone grafts are placed around the problem area of the spine during surgery. As the body heals itself, the graft helps join the bones together.

The most common spinal area treated is the lower (lumbar) spine. However, it can also be done on the upper (cervical) spine.

The procedure is performed while you are under general anesthesia (unconscious and pain-free). The surgeon makes a cut over the area of the spine that will be treated.

If you are having a problem in the lower spine corrected, the repair is done through a surgical cut made directly over the spine. This is called the posterior lumbar approach.

If you are having a problem in the upper spine corrected, the repair is usually done through a surgical cut in the front or side of the neck (Anterior Cervical spine).

If you are having a problem in the middle spine corrected, the repair is sometimes done through a surgical cut in the chest and abdomen (anterior thoracic spine).

Depending on the reason for surgery, the procedure may involve a combination of surgical cuts.

Why this is done

  • Spinal fusion may be recommended for:
  • Abnormal curvatures, such as those seen with Scoliosis or kyphosis
  • Injury or fractures to the bones in the spine
  •  Herniated disk
  •  Spinal stenosis
  •  Weak or unstable spine caused by infections or tumors

If the pain is persistent and does not respond to other treatments, surgery is considered to relieve the pressure on the nerves.

Surgery is also performed for muscle weakness that does not improve or is getting worse, and for patients having bladder or bowel problems.

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39 - 140

Title: Spinal Stenosis




Spinal stenosis is a narrowing of the lumbar (back) or cervical (neck) spinal canal, which causes compression of the nerve roots.

Spinal stenosis mainly affects middle-aged or elderly people. It may be caused by osteoarthritis or Paget's disease or by an injury that causes pressure on the nerve roots or the spinal cord itself.


  • Back pain that spreads to the legs.
  • Difficulty or imbalance when walking.
  • Leg pain.
  • Neck pain.
  • Numbness in the buttocks, thighs or calves, that is worse with standing, walking, or exercise.
  • Pain in the buttocks, thighs, or calves that is worse with walking or exercise.
  • Weakness of the legs.



Generally, conservative management is encouraged. This involves the use of anti-inflammatory medications, other pain relievers, and possibly steroid injections. If the pain is persistent and does not respond to these measures, surgery is considered to relieve the pressure on the nerves.

Surgery is performed on the neck or lower back, depending on the site of the nerve compression.

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39 - 141

Title: Disc Replacement


A relatively new surgical procedure in which a damaged disc is replaced – similar to the replacement of a knee or hip.

What is an artificial disc?

The disc is the soft cushioning structure located between the individual bones of the spine, called “vertebra.” It is made of cartilage-like tissue and consists of an outer portion, called the annulus, and an inner portion, called the nucleus. In most cases, the disc is flexible enough to allow the spine to bend

An artificial disc (also called a disc replacement, disc prosthesis or spine arthroplasty device) is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion).

There are many artificial disc designs classified into two general types: total disc replacement and disc nucleus replacement. As the names imply, with a total disc replacement, all or most of the disc tissue is removed and a replacement device is implanted into the space between the vertebra. With a disc nucleus replacement, only the center of the disc (the nucleus) is removed and replaced with an implant. The outer part of the disc (the annulus) is not removed.

Artificial discs are usually made of metal or plastic-like (biopolymer) materials, or a combination of the two. These materials have been used in the body for many years. Total disc replacements have been used in Europe since the late 1980s. The most commonly used total disc replacement designs have two plates. One attaches to the vertebrae above the disc being replaced and the other to the vertebrae below. Some devices have a soft, compressible plastic-like piece between these plates. The devices allow motion by smooth, usually curved, surfaces sliding across each other.

Most nucleus replacement devices are made of plastic-like (biopolymer) materials. One such material is called hydrogel. This material expands as it absorbs water. The device is placed into the nuclear cavity of the disc and hydrates to expand and fill the cavity. The device is compressible and by this means, allows motion, much like a normal disc nucleus. Another design consists of a piece of a plastic-like material that coils around to fill the nuclear cavity There are also disc replacements designed for use in the cervical spine (the neck). These devices have only been used a relatively short time,

Who needs an artificial disc?

The indications for disc replacement may vary for each type of implant. Some general indications are pain arising from the disc that has not been adequately reduced with non-operative care such as medication, injections, chiropractic care and/or physical therapy. Typically, you will have had an MRI that shows disc degeneration. Often discography is performed to verify which disc(s), if any, is related to your pain. (Discography is a procedure in which dye is injected into the disc and X-rays and a CT scan are taken. See the NASS Patient Education brochure on Discography for more information.) The surgeon will correlate the results of these tests with findings from your history and physical examination to help determine the source of your pain.

There are several conditions that may prevent you from receiving a disc replacement. These include spondylolisthesis (the slipping of one vertebral body across a lower one), osteoporosis, vertebral body fracture, allergy to the materials in the device, spinal tumor, spinal infection, morbid obesity, significant changes of the facet joints (joints in the back portion of the spine), pregnancy, chronic steroid use or autoimmune problems. Also, total disc replacements are designed to be implanted from an anterior approach (through the abdomen). You may be excluded from receiving and artificial disc if you previously had abdominal surgery or if the condition of the blood vessels in front of your spine increases the risk of significant injury during this type of spinal surgery.

Back pain is sometimes produced by an injured or degenerated disc. To treat this condition, alternatives to disc replacement include fusion, non operative care or no treatment. Typically, surgery is not considered for disc-related pain unless the pain has been severe for a prolonged period (typically over six months) and the patient has gone through nonoperative treatments (such as active physical therapy, medication, injections, activity modification and/or spinal manipulation).

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39 - 142

Title: Disectomy


Spinal microdiskectomy is surgery to remove disk fragments from a herniated disk, usually in the lower back (lumbar area).

Unlike lumbar spine surgery that requires a surgical cut about 2 to 5 inches long, microdiskectomy is less invasive, and done using a very small surgical cut about about 1 to 1 ½ inches long.

Microdiskectomy is done in a hospital or outpatient surgical center while you are under local anesthesia (awake but pain-free) or general anesthesia (asleep and pain-free).


A special high-powered microscope magnifies the affected disk(s) and nerves, and guides the doctor during surgery.

The surgeon makes a small cut on your back and moves the back muscles away from the spine. After identifying and moving the nerve root, the surgeon removes the injured disk tissue and fragments. The back muscles are placed back into the normal position, and the wound is closed with stitches or staples.

Why the Procedure is done
Spinal microdiskectomy is done to relieve nerve pain and pressure. It may be performed in patients with the following conditions:

  •     Cauda equina syndrome
  •     Herniated lumbar disk
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40 - 143

Title: Alternative Treatments



Alternative Treatment is a form of practice that is outside the realm of conventional modern medicine.

If alternative medicine or therapy is used alone or instead of conventional medicine, it is called "alternative" medicine. There are different types of alternative treatments used to relax body, mind and soul.

Types of Alternative Treatments are…

  •     Ayurveda
  •     Yoga & Meditation
  •     Homeopathy
  •     Naturopathy
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40 - 144

Title: Ayurveda


Ayurveda - Concept and Principles
Ayurveda is a traditional holistic healing that is considered to be the most ancient medicinal form. This old Vedic traditional medicine has been originated 5000 years ago. Ayurveda means “the Science of Life”, life according to Ayurveda is a combination of senses, mind, body and soul.

Ayurveda depends on plant support for its major chunk of medicine. The ayurvedic treatment not only cures a particular disease but also goes deep into the root cause. The concept of ayurveda is to promote health rather than just treat disease. Ayurveda teaches the perfect way of leading a healthy life.

The Body Matrix
Panchakarma according to ayurveda, every living being in the universe is a combination of five basic elements called Panchamahabhootas. All objects in the universe including human body are composed of five basic elements (Panchamahabhutas) namely, earth, water, fire, air and vacuum (ether).

These panchamahabhootas combine into three more energy levels known as Tridoshas that determines our health and physical condition. These three doshas or humors are vatta, pitta and kapha.

Health and Sickness
According to Ayurveda a person is perfectly healthy if his body, mind, emotion, and soul are in perfect alignment with the universe; the Cosmic Intelligence. The three doshas in our body must be balanced and in their natural state for the person to be healthy.

In Ayuveda diagnosis is always done of the patient as a whole. The physician takes a careful note of the patient's internal physiological characteristics and mental disposition. He also studies such other factors as the affected bodily tissues, humours, the site at which the disease is located, patient's resistance and vitality, his daily routine, dietary habits, the gravity of clinical conditions, condition of digestion and details of personal, social, economic and environmental situation of the patient. The diagnosis also involves the following examinations.


  •     General physical examination
  •     Pulse examination
  •     Urine examination
  •     Examination of the faces
  •     Examination of tongue and eyes
  •   Examination of skin and ear including tactile and auditory    functions

Ayurvedic Therapies in India
Ayurveda, the ancient traditional method of treatment involving combinations of herbal medicines, physical massages and various other forms of therapy, offers excellent remedies for many illnesses. Ayurvedic Therapies can be used to treat ailments like Anxiety, Arthralgia, Asthma, Back pain, Diabetes, Disc Prolapse, Diseases of the eye, Dislocation, Dystonia, Hemiplegia, Hypertension, Impotence, Infertility, Miscarriage, Motor diseases, Multiple Sclerosis, Obesity, Peptic Ulcer, Peripheral Neuritis, Psoriasis and other skin diseases, Rheumatic Joint pains, Rheumatoid Arthritis etc.

Apart from treatment for these diseases it also offers therapy that rejuvenates the body and mind from the ills arising out of the frictions of everyday life.

General Ayurvedic Therapies offered in India


  •     Uzhichil
  •     Elakizhi
  •     Podikizhi
  •     Thalapothichil
  •     Dhanyamladhara
  •     Pizhichil
  •     Sirodhara
  •     Sirovasthy
  •     Snehapanam
  •     Kadeevasthy
  •     Thalam
  •     Lepanam
  •     Pichu
  •     Avagaham
  •     Upanaham
  •     Nethra Tharpanam
  •     Putapakam
  •     Nethradhara
  •     Aschyothanam
  •     Mukhalepam
  •     Ksheeradhoomam
  •     Panchakarma Treatments
  •     Vamanam
  •     Virechanam
  •     Nasyam
  •     Panchakarmas
  •     Sneha Vasthy
  •     Kashaya Vasthy
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40 - 145

Title: Yoga & Meditation


What is Yoga?
The word yoga means "union" and is derived from a Sanskrit word “Yuj” the language of ancient India where yoga originated. Yoga refers to a way of life, an art of righteous living an integrated system for the benefit of the body, mind and inner spirit. It is a posturing and breathing technique to induce relaxation. This implies joining or integrating all aspects of the individual, body with mind and mind with soul, in order to achieve a happy, balanced and useful life spiritually.

This art originated, was perfected and practiced in India thousands of years ago. The references to yoga are available in 'Upanishads' and 'Puranas' composed by Indian Aryans in the later Vedic and post- Vedic period.

Yoga in today’s world
The word 'Yoga' reminds many people of a person wearing saffron clothes and doing dhyana at some secluded place. But we claim that this belief is in actuality an erroneous one, and that Yoga has relevance even to a modern-day working man. Yoga is very important for each and every person, from a child to an aged one. Yoga not only keeps one fit but also cures many diseases.

Different types of yoga
There are different types of yoga leading to one common goal that is unification with the Divine.


  •     Raja Yoga
  •     Bhakti Yoga
  •     Karma Yoga
  •     Ashtanga yoga
  •     Dnyana yoga:
  •     Hatha Yoga
  •     Vini yoga
  •     Jnana Yoga
  •     Mantra Yoga

Benefits of Yoga

    Boosts physical strength, stamina and flexibility
    It brings down stress and enhances powers of relaxation
    Bestows greater powers of concentration and self control
    Helps in rehabilitation of old and new injuries
    Inculcates impulse Control
    Intensifies tolerance to pain and enhancing mental clarity
    Improves blood circulation
    Boosts functioning of the immune system
    Enhances posture and muscle tone
    Results in healthy, glowing skin
    Cleanses and improves overall organ functioning
    Bestows peace of mind and a more positive outlook to life
    Infuses a sense of balance and internal harmony


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40 - 146

Title: Homeopathy


Homeopathy is a gentle, holistic system of healing, suitable for everyone. The treatment involves giving extremely small doses of substances that produce characteristic symptoms of illness in healthy people when given in larger doses. This approach is called “Like cures like”.

Homeopathy focuses on you as an individual, concentrating on treating your specific physical and emotional symptoms, to give long lasting benefits. It is a form of health care that developed in Germany and has been practiced in the United States since the early 19th century. Homeopathic practitioners are commonly called homeopaths.

It is believed by practitioners of Homeopathy that the therapeutic ability of a remedy can be increased by continuous dilution of the drug combined with shaking and succussion. Opposed to the laws of Physics and Chemistry, Homeopathy believes that the potential of a medicine is enhanced by diluting it as it increases the spirit like medicinal properties.

Homeopathic medicines are prepared from herbs, non-biological substances like salts, animal matter like duck liver and substances of human origin called nosodes.

Like many alternative medical approaches, homeopathy is largely dismissed by the conventional medical community on account of the lack of scientific evidence supporting the benefits of this approach. This, however, does not deter large numbers of advocates of the philosophy from seeking relief from conditions such as depression and anxiety, irritable bowel syndrome, arthritis, migraine, eczema and common colds.

Typically, homeopathic medicines are administered in liquid form with the active ingredient having been diluted many times to remove its toxic property while still retaining its therapeutic property. The ingredient is diluted with alcohol, sugar solution or plain water. Remedies can be made up of substances derived from synthetic, plant, animal or mineral sources.

Homeopathy can be considered a holistic medical approach since practitioners take into account all aspects of the patient’s physical and mental state. Only when a homeopathist has considered all aspects of the patient, including the patient’s body type, personal likes and dislikes and innate predispositions, is a remedy be prescribed.

While the efficacy of homeopathic remedies has yet to be proven by modern scientific methods, it’s generally accepted that most homeopathic prescriptions are safe for human consumption. The levels of ingredients, that would otherwise in their purest forms be considered toxic, are so minute as to be undetectable and hence pose no danger to the patient.

Homeopathic remedies
Remedy is a technical term used in homeopathy to refer to a substance prepared with a particular procedure and intended for treating patients. Homeopathic practitioners rely on two types of reference when prescribing remedies. The Homeopathic Materia Medicae which is comprised of alphabetical indexes of "drug pictures" organized by remedy and describes the symptom patterns associated with individual remedies. They also rely on homeopathic repertories which consist of indexes of symptoms of diseases and listing remedies associated with specific symptoms.

Most homeopathic remedies are derived from natural substances that come from plants, minerals, or animals. A remedy is prepared by diluting the substance in a series of steps (as discussed in above). Homeopathy asserts that this process can maintain a substance's healing properties regardless of how many times it has been diluted. Many homeopathic remedies are so highly diluted that not one molecule of the original natural substance remains. Remedies are sold in liquid, pellet, and tablet forms.

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40 - 147

Title: Naturopathy


Naturopathic medicine (Also known as naturopathy or natural medicine) is a complementary and alternative medicine which emphasizes the body's intrinsic ability to heal and maintain itself. Naturopaths prefer to use natural remedies such as herbs and foods rather than surgery or synthetic drugs. Naturopathic practice includes many different modalities. Practitioners emphasize a holistic approach to patient care, and may recommend patients use conventional medicine alongside their treatments.

Naturopathy is a multi disciplinary approach that uses the healing power of natural resources like food, herbs, earth, water and air to help the body heal itself...

The Naturopathy Treatments include
DIET THERAPY - Hippocrates preached "Thy food thy medicine and thy medicine thy food”. Diet is an integral part of Naturopathic Medicine which plays a major role in restoring the health by supplying the required nutrients and recuperating the organs. Diet plays its role in preventive, curative and promotive aspects of health.

HIP-SITZ-SPINAL SPRAY COMBO BATH - Hip-Sitz-Spinal Spray bath which is designed uniquely for our center is given as cold, neutral, hot and alternative temperatures. Useful for almost all abdominal diseases. Relieves Constipation, Indigestion, Obesity, reduces inflammation of uterus, pelvic organs, piles, hepatic and splenic cougestion, urinary incontinence etc…

COLD CIRCULAR JET- This is a generally a rejuvenating treatment but also given as therapy. Water is sprayed through the smaller channels giving a reflexology massage to various reflex areas present all over the body. Good treatment for stress relief and relaxation.

MUD THERAPY - Mud is one of the five elements of nature having immense impact on the body in health as well as in sickness. It is used as the best therapeutic agent in Naturopathy treatment. Mud retains moisture for a long time. When applied over the body part it causes cooling by absorbing the heat of the body. It reduces the inflammation of the area and improves the circulation, absorption and elimination. When it is applied on the affected part it soothens the inflammation and painful part. It is supposed to be a great purifier as it tries to draw away the toxins from the system by increasing circulation in the affected part where it is applied.

MASSAGE THERAPY - Massage provides relief to people of all ages-from infants to seniors and addresses a variety of health conditions, the most prevalent being stress-related tension, which, experts believe, accounts for 80%-90% of disease. Massage has been proven beneficial in treating cancer-related fatigue, sleep disorders, high blood pressure, diabetes, low back pain, immunity suppression, spinal cord injury, autism, post-operative surgery, age-related disorders, infertility, eating disorders, smoking cessation, and depression, to name just a few. Massage Therapy offers a drug-free, non-invasive and humanistic approach based on the body's natural ability to heal itself.

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41 - 148

Title: Transplants Surgery Treatment


Moving of the organ form one body to another or from a donor to a patient’s own body replacing the recipient's damaged or failing organ with a working one from the donor site is called Organ transplant.
Organs that can be transplanted are the heart, kidneys, liver, lungs, pancreas, penis, eyes and intestine. Some of the most common organ transplant surgeries are …

  •     Bone Marrow Transplant
  •     Heart Transplant
  •     Kidney Transplant
  •     Liver Transplant
Cost Savings:
Dentistry Approximate Cost Elsewhere - in USD Approximate Cost INDIA - IN USD
Bone Marrow Transplant 250000 - 270000 27000 - 36000
Liver Transplant 300000 - 320000 60000 - 70000
Kidney Transplant 30000 - 40000 5500 - 6500
Wellness Package 350 - 800 50 - 80
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41 - 149

Title: Bone Marrow Transplant


A bone marrow transplant is a procedure that transplants healthy bone marrow into a patient whose bone marrow is not working properly.

Bone marrow is a soft, fatty tissue inside the bones. This is where blood cells (red blood cells, platelets, and white blood cells) are produced, and develop.

In some diseases of the blood cells -- especially cancers such as leukemia high doses of chemotherapy may be needed to destroy the cancer. However, this also destroys normal bone marrow and prevents it from making enough blood cells.

In other cases in which hereditary or acquired disorders cause abnormal blood cell production, a transplant of healthy bone marrow may correct these problems. Transplanted bone marrow will restore production of white blood cells, red blood cells, and platelets.

Bone marrow transplant patients are usually treated in specialized centers. The patient stays in a bone marrow transplant unit, or BMT, to limit exposure to infections.

The healthy bone marrow may be taken from the patient before chemotherapy or radiation treatment (autograft). Or, it may be taken from a donor (allograft). The donor can be a relative (usually a brother or a sister), or an unrelated person (found through the national marrow donor program).


Donated bone marrow must match the patient's tissue type. Donors are matched through special blood tests called HLA tissue typing (see HLA antigens).

Bone marrow is taken from the donor in the operating room while the donor is unconscious and pain-free (under general anesthesia). Some of the donor's bone marrow is removed from the top of the hip bone. The bone marrow is filtered and treated. It can be transplanted immediately or frozen and stored for later use.

Transplant marrow is given to the patient through a vein (IV). It is naturally carried into the bone cavities, where it grows to replace the old bone marrow.

The patient is prepared for transplant by getting high doses of chemotherapy or radiation (conditioning). This serves two purposes:

     It destroys the patient's abnormal blood cells or cancer.
    It slows the patient's immune response against the donor bone marrow (graft rejection).

Following conditioning, the patient is ready for bone marrow infusion. After infusion, it takes 10 - 20 days for the bone marrow to establish itself. During this time, the patient will need support with blood cell transfusions.


Why the Procedure is done

  •  Bone marrow transplant may be recommended for:
  •  Bone marrow deficiency disease caused by:
  •  Abnormal red blood cell production, such as thalassemia or sickle cell disease
  •  Aggressive cancer treatments (chemotherapy, radiation therapy), especially for leukemia or lymphoma
  •  Lack of normal blood cell production (aplastic anemia) 

Immune system disorders (immunodeficiencies) such as:

  •        Congenital neutropenia
  •         Severe combined immunodeficiency syndrome

Specific forms of cancer:

  •       Leukemias
  •       Lymphomas
  •       Myeloma
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41 - 150

Title: Heart Transplant


Heart transplantation is a surgical procedure to remove a damaged or diseased heart and replace it with a healthy donor heart.

Heart transplant is one of the most common transplant operations performed nowadays. A healthy heart is obtained from a donor who is brain dead but on life support. The healthy heart is put into a special solution that preserves the organ.

The patient is put into a deep sleep with general anesthesia, and a cut is made through the breast bone. The patient's blood is circulated through a heart-lung bypass machine to keep the blood oxygen-rich. The patient's diseased heart is removed and the donor heart is stitched in place. The heart-lung machine is disconnected. Blood flows through the transplanted heart.

Why the Procedure is done
A heart transplant may be recommended for heart failure caused by:

  •     Coronary artery disease
  •     Cardio myopathy (disease of the heart muscle)
  •     Heart valve disease with congestive heart failure
  •     Severe heart disease present at birth
  •     Life-threatening abnormal heart beats that do not respond to other therapy.
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41 - 151

Title: Kidney Transplant


A kidney transplant is surgery to place a healthy kidney into a person with kidney failure.

Kidney transplants are one of the most common transplant operations Nowadays. A donated kidney is needed to perform a kidney transplant.

The donated kidney may be from:

  • Living related donor -- related to the recipient, such as a parent, sibling, or child
  • Living unrelated donor -- such as a friend or spouse
  • Deceased donor -- a person who has recently died and who has no known chronic kidney disease

People with chronic kidney disease can receive lifesaving dialysis until a donated kidney becomes available. The healthy kidney is transported in cool salt water (saline) that preserves the organ for up to 48 hours. This gives the health care providers time to perform tests that match the donor's and recipient's blood and tissue before the operation

If you are donating a kidney, you will be placed under general anesthesia before surgery. This means you will be asleep and pain-free. The surgeon makes a cut in the side of your abdomen, removes the proper kidney, and then closes the wound. The procedure used to require a long surgical cut. However, today surgeons can use a short surgical cut (mini-nephrectomy) or laparoscopic techniques.

People receiving a kidney transplant are given general anesthesia before surgery. The surgeon makes a cut in the lower belly area and stitches the new kidney into place. The wound is then closed.

Why this is Done:
A kidney transplant may be recommended if you have kidney failure caused by:

  •     Diabetes
  •     Glomerulonephritis
  •     Severe, uncontrollable high blood pressure
  •     Certain infections
  •     Other Kidney Related disorders
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