Kidney Disease

Dr. Allan Lauer and Dr. Daniel Bohl specialize in kidney disease, renal failure, kidney failure, and treatments for these diseases.

They are the main physicians at Associates in Nephrology in Taunton, MA, and two dialysis centers in Brockton – Brockton Regional Kidney Center and The Brockton Dialysis Center and a third center in Taunton – Taunton Regional Dialysis Center.

According to the latest statistics provided by the Centers for Disease Control and Prevention (CDC), 31 million Americans have some type of kidney disease.

Both Dr. Allan Lauer and Dr. Daniel Bohl treat numerous types of kidney diseases and disorders. However, they both specialize in the treatment of the following:

  • Acute Glomerulonephritis (GN)
  • Chronic Renal Disease
  • Acute Renal Disease
  • Kidney Cancer
  • Nephrotic Syndrome

Acute Glomerulonephritis (GN)

As defined by Stedman’s medical dictionary “Acute glomerulonephritis is an inflammation of the glomeruli, bundles of tiny vessels inside the kidneys. The damaged glomeruli cannot effectively filter waste products and excess water from the bloodstream to make urine. The kidneys appear enlarged, fatty, and congested.”

Treatment options for acute glomerulonephritis – it is essential to treat the underlying infections. Other options include the following:

  • Corticosteroids – Are prescribed if the immune system is attacking the kidneys.
  • Plasmapheresis – The plasma part of the blood is removed and replaced with donated plasma (without antibodies) or intravenous fluids.
  • An advanced condition of acute glomerulonephritis may require dialysis if the patient goes into kidney failure.

Chronic Renal Disease

Chronic kidney disease, also known as chronic kidney failure, is the slow loss of kidney function. The kidneys filter excess fluids and wastes from the blood, which are then removed through the urine.

Treatment options for chronic kidney disease include the following:

  • If the chronic kidney disease has an underlying problem, that must be treated first. Many times, once the underlying problem is cured the kidney function will return to normal.
  • Numerous medications may be prescribed to control any underlying symptoms that are contributing to the kidney failure, such as high blood pressure, high cholesterol, anemia, diuretics to maintain balance of the fluid in the body.
  • Dialysis is one of the last resorts to treat chronic kidney disease. Dialysis removes the extra fluid and waste artificially from your blood when the kidneys fail.

Acute Renal Disease

Acute renal disease is more commonly known as acute kidney failure, which usually is caused by an injury to the kidneys, an illness that quickly causes the kidneys to stop functioning.

Treatment options for acute renal disease/acute kidney failure include the following:

  • Hospitalization
  • Intravenous fluids (if kidney failure is caused by lack of fluids)
  • Diuretic medications (if the body has too much fluid, diuretics are used)
  • Medications – often times, when the kidneys fail the potassium level in the body become extremely high and this can lead to dangerous irregular heart rhythms
  • Dialysis is used to remove extra fluid, excess potassium and toxins from the body until the kidneys heal and are able to function on their own again.

Kidney Cancer

Kidney cancer is cancerous cells that grow into tumors that originate in one or both of the kidneys. Unfortunately, sometimes, but not always, kidney cancer can be a result of long term dialysis.

Treatment options for kidney cancer include the following:

  • Cryotherapy – extreme cold is used to destroy the tumor
  • Radiofrequency ablation – high energy radio waves are used to eliminate the tumor
  • Surgery – to remove the tumor and some of the tissue surrounding it or removing the entire kidney.

Nephrotic Syndrome

Nephrotic syndrome is a disorder of the kidney that causes the body to expel too much protein in the urine.

Treatment options for nephritic syndrome include the following:

  • The underlying condition must be treated
  • Prescription medications may include blood pressure medication, diuretics, cholesterol medications,
  • Corticosteroids or any medication that reduces/resolves inflammation
  • Blood thinners to help prevent blood clots from forming

If you live in the greater Boston, MA area and are in need of the services of a Nephrologists please call Associates in Nephrology to schedule an appointment with either Dr. Allan Lauer or Dr. Daniel Bohl.