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Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Chronic Kidney Disease (CKD) Service

Chronic kidney disease (CKD) is a condition characterized by a gradual decline in kidney function resulting in the buildup of waste products in the body. Over 25 million Americans have CKD. CKD leads to high blood pressure, low red blood cell count, acid buildup, weak bones, and poor nutritional status. Symptoms of CKD include tiredness, reduced appetite, difficulty sleeping, muscle cramps, trouble concentrating, frequent urination at night, as well as swollen ankles and feet. Major risk factors for CKD are diabetes, high blood pressure, a family history of kidney disease, and certain ethnicities such as African American and Hispanic. The specialists at Miami Renal Institute have in aggregate over 50 years of experience treating the causes and various manifestations of CKD.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Hypertension Program

Nearly one in three American adults have high blood pressure (hypertension). Hypertension may lead to stroke, heart attack, and chronic kidney disease. Hypertension contributes to over 360,000 deaths per year in the United States. Major risk factors for hypertension include high-sodium diet, sedentary lifestyle, obesity, positive family history, and African American ethnicity. The specialists at Miami Renal Institute use a multifaceted approach to blood pressure control. Treatment options are tailored to meet the specific needs of each patient. The specialists at Miami Renal Institute are often consulted on patients with hypertension that is difficult to control.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Glomerular Diseases Clinic

Each kidney contains approximately one million tiny balls of blood vessels (glomeruli) that filter the blood. Diseases affecting glomeruli impair the filtration process of the blood and usually lead to the leak of proteins, blood cells, or both into the urine. Glomerular diseases may cause fluid retention and swelling, high blood pressure, increased cholesterol level in the blood, bloody urine, and reduced kidney function. Glomerular disease can be part of a medical condition that also affects other organ systems. At times, glomerular diseases may be acute and life-threatening. A kidney biopsy is often needed to diagnose the specific type of glomerular disease. A kidney biopsy is a procedure used to obtain a tiny piece of kidney tissue for examination under a microscope. The specialists at Miami Renal Institute have vast experience in the diagnosis and treatment of glomerular diseases. They have published numerous scientific reports on glomerular diseases. The consultants at Miami Renal Institute also provide second opinion services for patients who are diagnosed with a glomerular disease.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Cystic Kidney Disease Program

Kidney cysts are thin-walled round sacs in the kidney continuing water-like fluid. Most cysts in the kidney are benign (non-cancerous) and do not impair kidney function. Kidney cysts are associated with advanced age and male gender. At times, several cysts can be present in one or both kidneys. Polycystic kidney disease is a familial condition characterized by numerous cysts in the kidneys replacing normal kidney tissue. Polycystic kidney disease can cause high blood pressure, back or flank pain, bloody urine, increased abdominal girth, kidney infections, and kidney stones. Polycystic kidney disease can impair kidney function and is the fourth leading cause of kidney failure in the United States. The specialists at Miami Renal Institute have considerable experience in the diagnosis and management of cystic kidney disease.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Nutrition Service

Nutrition plays a pivotal role in health and disease. A balanced diet plays an even more important role in maintaining health for individuals with kidney disease. Most patients with kidney disease need to follow a low-sodium diet. Research shows that a high-protein diet may accelerate the progression of chronic kidney disease. In addition, patients with advanced stages of kidney disease may also have to limit potassium and phosphorus intake. The nutrition service at Miami Renal Institute offers counseling and surveillance to optimize nutritional status, slow progression of kidney disease, and treat metabolic derangements associated with kidney disease.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Hemodialysis Service

Kidney failure leads to the buildup of waste products and water in the body. Dialysis is a procedure during which waste products and excess water are removed from the body. Hemodialysis uses an artificial kidney to remove waste products and excess water from the blood. Hemodialysis can be performed either at home or in an outpatient dialysis center. The specialists at Miami Renal Institute have considerable experience in providing dialysis treatment to patients with kidney failure. They have served as medical directors for major dialysis companies for over a decade.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Peritoneal Dialysis Program

In peritoneal dialysis, the inside lining of the abdomen (peritoneum) is used as a natural filter. A cleansing solution is put into the abdomen through a soft plastic tube (catheter). During the dwell time, waste products and excess water are filtered from the blood into the solution. Then, the solution is drained from the abdomen and is discarded. Peritoneal dialysis offers several advantages over hemodialysis. It provides greater flexibility and independence in performing dialysis treatments. Furthermore, peritoneal dialysis patients can follow a diet that is not as strict as it is for hemodialysis patients. The specialists at Miami Renal Institute maintain an active peritoneal dialysis program that is especially well suited for individuals who seek to pursue an active and fulfilling life.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Vascular Access Program

A vascular access is a blood vessel or a soft plastic tube (catheter) used to access blood for cleansing during hemodialysis. The vascular access is considered a lifeline for hemodialysis patients. Because most blood vessels close to the skin are small, they do not provide blood flows required for the adequate cleansing of blood during hemodialysis. Therefore, a vascular surgeon connects an artery to a vein to create an arteriovenous fistula. A fistula provides blood flows needed for the adequate cleansing of blood during hemodialysis. The specialists at the Miami Renal institute work with Dr. Marwan Tabbara, a vascular surgeon specialized in dialysis vascular access. Associate professor of surgery at the University of Miami, Dr. Tabbara is the director of the Vascular Access Program and Non-Invasive Vascular Laboratory at the University of Miami Hospital. Dr. Tabbara has published extensively on dialysis vascular access and has given lectures at medical centers across the United States.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Kidney Transplantation Program

A kidney transplant is a surgical procedure to place a kidney from a donor into a patient with kidney failure. Compared with dialysis, kidney transplant improves the quality of life, increases survival, and reduces dietary restrictions. However, kidney transplantation is not suitable for everyone with kidney failure. The specialists at Miami Renal Institute have considerable experience in managing patients with kidney transplants. Dr. Nayer received research and clinical training in kidney transplantation at Brigham and Women's Hospital, which is affiliated with Harvard Medical School. The specialists at Miami Renal Institute are well connected with major transplant centers in South Florida such as the Miami Transplant Institute at the Jackson Memorial Hospital and the kidney transplant program at Cleveland Clinic Florida.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Kidney Stone Program

One in ten Americans will suffer from a kidney stone in their lifetime. Approximately two thirds of individuals who have passed a kidney stone will have another kidney stone at a later time. Kidney stones can cause severe flank pain that is usually accompanied by nausea, vomiting and blood in the urine. Kidney stones are associated with increased risk of kidney damage. Factors that increase the risk of kidney stones include a positive personal or family history, dehydration, salt/protein-rich diet, obesity, and certain gastrointestinal diseases. If surgery is required to remove a kidney stone, a urologist (a surgeon specialized in diseases of the urinary tract) is consulted. However, lifestyle changes and medications are usually necessary to prevent the formation of more kidney stones in the future. Kidney stone specialists at Miami Renal Institute have expertise to determine the metabolic abnormalities underlying kidney stone formation. Based on the results of clinical and metabolic investigations, Kidney stone specialists at Miami Renal Institute recommend an individualized treatment plan that will prevent recurrence of kidney stones in most patients.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Social Services

Psychosocial health is a state of mental, emotional, social, and spiritual well-being. Psychosocial issues are very common among patients with chronic kidney disease and kidney failure. Renal social workers are trained professionals specialized in addressing psychosocial issues that affect patients with kidney disease. Therefore, renal social workers are indispensable members of the interdisciplinary team that provides comprehensive medical care to patients with kidney disease. Experienced and compassionate social workers at Miami Renal Institute provide our patients with education, guidance and counseling that they need to overcome their psychosocial issues.
Did You Know, by Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
Clinical Nutritional Services

Nutrition plays a pivotal role in health and disease. A balanced diet plays an even more important role in maintaining health for individuals with kidney disease.

Most patients with kidney disease need to follow a low-sodium diet. Research shows that a high-protein diet may accelerate the progression of chronic kidney disease.

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Renal Institute, Kidney Clinic Dr Ali Nayer, Miami FL
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