THANIN SIRIMONGKOLRAT, M.D.
Nephrologist

The kidneys do more than just filter waste; they also balance minerals and control hormones. When the kidneys malfunction, it affects almost every system in the body. Caring for kidney health is essential. You can easily start by learning about the disease and adjusting your lifestyle to maintain healthy kidneys and extend their function for years to come.
Normally, the kidneys eliminate waste and toxins, regulate hormone secretion, and balance water and minerals. When kidney function is impaired or damaged, waste products accumulate in the body, leading to kidney disease, chronic kidney disease (CKD), and potentially kidney failure if not treated properly. Kidney disease is mainly divided into two types:
Acute Kidney Injury is a sudden loss of kidney function. Symptoms occur over a short period—days or weeks—and are often more severe than chronic conditions. Initial signs include swelling (edema), high blood pressure, and dark or tea-colored urine. Urinalysis often reveals red blood cells or protein.
AKI can be caused by various factors such as toxins, drug side effects, medication overdose, or complications from underlying diseases.
However, with timely treatment, there is a chance for the kidneys to recover and return to normal function.
Chronic Kidney Disease is a gradual and progressive loss of kidney function over several years. It is mostly caused by chronic conditions such as diabetes, hypertension, obesity, nephritis, or polycystic kidney disease.
Most CKD patients show no symptoms in the early stages. Abnormality is usually detected through urinalysis. Later symptoms include weight loss, swelling, anemia, and neurological issues.
These symptoms become more severe and obvious when kidney function drops to only 25%.

Kidney disease doesn't just happen to those who love salty, sweet, or spicy foods; it also affects the following risk groups:
Especially elderly patients with diabetes, hypertension, obesity, cardiovascular disease, SLE, or kidney stones.
Those with a family history of kidney disease, polycystic kidney disease, or hereditary stones.
Smokers are 4 times more likely to develop kidney disease and have a 60% higher risk of kidney failure.
Regular consumption of substandard supplements, herbs, or certain drugs can trigger kidney dysfunction.
Those who drink too little or too much water. Dehydration directly impacts waste filtration and the urinary system.
Our nephrologists are ready to provide diagnosis, consultation, and treatment for all kidney conditions. We focus on prevention and delaying kidney deterioration to enhance the quality of life for our patients.