Paediatric Nephrology Specialist

Chronic Kidney Disease (CKD) Pediatric Management

Multidisciplinary management to slow disease progression and safeguard linear growth.

Chronic Kidney Disease in children requires careful, long-term medical surveillance. Our priority is slowing functional decline, maintaining appropriate height velocity, optimizing cognitive development, and preventing cardiovascular complications.

Common Symptoms & When to Consult

Signs and clinical presentations evaluated by our pediatric team

Stunted linear growth (growth failure) and poor weight gain despite adequate food intake
Chronic fatigue, pale skin, and anemia that does not respond to standard oral iron
Excessive urination (polyuria) and insatiable thirst, especially during night hours
Bone deformities, rickets, or leg bowing due to mineral bone disorder
Loss of appetite, metallic taste in mouth, and chronic nausea

Diagnostic Workup & Clinical Evaluation

Precision testing protocols avoiding unnecessary invasive tests

1

Pediatric-specific GFR staging using Schwartz creatinine-cystatin C bedside equations

2

Screening for CKD-Mineral and Bone Disorder (Serum Calcium, Phosphate, Alkaline Phosphatase, intact PTH)

3

Anemia workup (Hemoglobin, Iron indices, Reticulocyte count, Peripheral blood smear)

4

Venous blood gas (VBG) for systemic metabolic acidosis evaluation

5

Echocardiogram for left ventricular mass index and vascular stiffness

Treatment & Therapeutic Protocols

Evidence-based, child-safe management strategies

Renal-protective ACE inhibitor / ARB therapy to reduce proteinuria and slow CKD progression

Correction of renal anemia with recombinant human Erythropoietin (EPO) and IV/oral iron

Treatment of CKD-MBD using calcium/non-calcium phosphate binders and active Vitamin D analogs

Systemic acidosis neutralization with oral sodium bicarbonate to stimulate linear growth

Specialized pediatric renal dietary planning balancing high calories with controlled minerals

The Pravas Care Guarantee

Integrated growth hormone therapy evaluation for children with severe growth stunting
Patient and family psychological counseling supporting school and social life
Early planning for preemptive living-donor pediatric kidney transplantation
Prevention of adult-onset cardiovascular calcification and vascular disease
Physician's Clinical Perspective
“Preserving residual kidney function and linear height velocity requires an active partnership between the family and the paediatric nephrologist.”
Dr. Pratima VermaMBBS, MD Pediatrics • MRCPCH (UK)

Frequently Asked Questions

Can a child with CKD continue attending regular school?

Yes. Our goal is to keep children actively engaged in normal schooling and peer social activities through planned outpatient medical regimens and supportive school health letters.

How do we help a child with kidney disease grow in height?

By rigorously treating metabolic acidosis, normalizing phosphate and parathyroid hormone levels, optimizing nutrition, and, when indicated, using recombinant pediatric growth hormone therapy.

Consultation Desk

Kondapur, Hyderabad

ConsultantDr. Pratima Verma
QualificationsMRCPCH (UK)
Wait TimesSame-Day Priority
Book Appointment OnlineCall 077023 45996

Clinic Location

Shop no 1, above Karachi Bakery, Narsingi, Hyderabad, Telangana 500089.

Hours (Mon - Sat):9:00 AM – 8:00 PM