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A Kidney Biopsy is an examination in which one or more samples of your kidney are taken and examined under specialised microscopes. In Kidney Biopsy in Bhubaneswar, microscopes allow you to see the samples in greater detail. Your doctor may propose an open (surgical) biopsy or minimally invasive techniques to obtain the samples.
Following a Biopsy, the area may be painful or sore for a few days. You may notice bright, crimson blood in your urine within the first 24 hours after the test. If the bleeding persists, notify your doctor. You should refrain from intense activities for roughly a week. You will experience discomfort at the biopsy site for 2 to 3 days.
Most kidney disorders can be detected using blood and urine (pee) tests, a sonogram (an ultrasound image), or other specific X-rays. However, in some individuals with kidney disorders, as well as those with a failing Kidney Transplant, a Kidney Biopsy is required to make a proper diagnosis.
Some conditions that warrant the need for a Kidney Biopsy are:
Urine contains either blood (hematuria) or protein (proteinuria).
Abnormal blood test results.
Acute or chronic kidney disease (CKD) without a known aetiology
Nephrotic syndrome and glomerular disease (which occur when the filtration units of the kidney are damaged).
Determine if the kidneys are responding adequately to treatment and whether they are permanently damaged.
Learn why a transplanted kidney isn't performing properly.
Determine if a kidney tumour is malignant.
Check if any drugs are harming your kidneys.
If your kidney slowly or suddenly stops functioning without a clear cause
Most Kidney Biopsies require patients to refrain from taking over-the-counter pain relievers such as aspirin, ibuprofen, naproxen, or other medications that may cause blood thinning for at least two weeks before the test. These medications can alter the way the blood clots, increasing the risk of bleeding. For the same reason, you will most likely be advised to discontinue taking some supplements, such as fish oil. Blood and urine samples are routinely taken before the Kidney Biopsy to rule out infection or other conditions. You may be told not to eat or drink for eight hours before the treatment.
A Kidney Biopsy is usually performed at a hospital.
For Percutaneous (needle) Biopsy, the kidney is located using ultrasound, X-ray, or both.
You will be given a local anaesthetic to numb the area where the biopsy needle is inserted.
You'll be asked to take a deep breath and hold it while the doctor inserts the needle.
When the needle is inserted through the skin into the kidney, you might experience a "pop" or pressure. It is critical to remain calm and hold your breath (for 45 seconds or fewer).
Sometimes two injections are required to collect enough kidney samples for diagnosis.
An Open kidney biopsy is recommended if individuals are advised against Percutaneous Biopsy because they have a history of bleeding difficulties.
An overnight stay may be required to monitor for any issues that arise after the surgery is completed.
After the procedure, you will go through the following steps:
The pulse and blood pressure are regularly tested to detect any signs of internal bleeding or other issues.
Blood tests are also completed.
You may eat and drink fluids following the Biopsy.
If your blood examinations, blood pressure, and pulse remain steady, you should be able to leave the hospital the next day.
Your doctor will discuss physical exercise and precautions to take after leaving the hospital.
Heavy lifting, intense exercise, including contact sports, and sexual activities should be avoided for two weeks following the Biopsy.
A Kidney Biopsy, like any other procedure, is not without risks. These complications include:
Bruising
Pain
Bleeding from the biopsy site or within your body
Damage to neighbouring organs.
Infection at the biopsy site.
These problems normally occur in one per cent or less of biopsies.
There may be additional concerns, depending on your general health. Before the procedure, make sure to ask your doctor about any concerns you have regarding the risks.
Following the Biopsy, the tissue from the kidney sample is sent to a pathologist, who is highly educated to examine samples and assist doctors in diagnosing medical concerns. They will examine your kidney tissue using a microscope to learn more about your kidney disease. It normally takes about a week to receive the complete results from your doctor.
A Kidney Biopsy is done to diagnose and monitor specific kidney disorders. For example, diagnosis of kidney inflammation caused by cancer or various other kidney diseases or monitoring of the kidney post-transplant is possible with a Kidney Biopsy.
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