A 77-Year-Old Man from Nepal Travels to India for Management of Acute Kidney Disease

A 77-year-old man from Nepal, Damoder Tiwari, presented with dysfunctional kidneys that impacted his overall health. He had low renal function, weakness, and ketosis, hinting at the necessity for healthcare assessment and intervention. He sought help from medical professionals and chose to seek treatment in India.

Through the MediGence website, the patient initiated his healthcare journey and connected with the medical coordination team. The team reviewed his case and helped arrange his treatment in India.

Seeking Medical Care Beyond Borders

As individuals reach age 77, changes in kidney function require a thorough medical evaluation, especially when symptoms like fatigue and metabolic changes are present. Acute kidney disease can result from many causes, including dehydration, infections, medications, obstruction, decreased blood flow to the kidneys, or other medical problems. At this point, it is crucial to identify the cause and monitor kidney function.

The principal issue for the patient was impaired kidney function with elevation of creatinine levels. There was a requirement for medical therapy to improve kidney function as well as treat associated causes of the impairment. The patient sought a medical facility and found India to be the best option, as hospitals there are equipped with specialists who treat complex renal and metabolic issues.

Connecting with MediGence

The patient's journey began on the MediGence website, where he shared his medical requirements with the coordination team.

Dr. Vishwas, his case coordinator assigned to his case, helped facilitate communication and coordinate the patient's healthcare journey. The team worked around the patient's medical requirements and travel needs to help make his transition to India more organised.

For an elderly international patient, travelling to another country for medical treatment can involve challenges beyond the medical appointment itself. Coordinating hospital visits, transportation, accommodation, and other logistical requirements can be especially important. MediGence supported the patient by organising airport transportation and accommodation, enabling him to focus on receiving medical care.

Arriving in India for Expertise

The patient came to India from Nepal on December 11, 2025, to continue his medical assessment. After he arrived, the coordination team connected him with the treating medical group. His treatment plan was medical management to treat his impaired renal function and elevated creatinine levels.

Kidney function is commonly assessed through blood tests such as serum creatinine and estimated glomerular filtration rate, along with urine testing and other investigations depending on the suspected cause. In patients with acute kidney injury or acute deterioration in renal function, doctors may also assess fluid status, blood pressure, electrolytes, medications, infections, obstruction, and other systemic conditions.

For an older patient, the treatment plan must be tailored to the underlying cause, existing medical conditions, medications, nutritional status, and overall clinical condition.

A Focus on Kidney Function and Medical Management

Rather than focusing on a single laboratory value, appropriate kidney care involves understanding why renal function has decreased and addressing reversible factors wherever possible.

The patient's treatment in India centred on medical management and support for decreased kidney function and elevated creatinine. The treating team monitored his condition and worked toward managing the renal impairment according to his clinical requirements.

His reported slow disposition was another element of his clinical presentation. Decreased renal function is often linked to fatigue and weakness; however, these symptoms can result from various causes in elderly patients. The identification of ketogenesis indicates that a metabolic disorder is present that demands prompt clinical evaluation and treatment. The overall approach therefore involved medical supervision rather than relying solely on symptomatic treatment.

A Journey Built Around Patient Needs

At 77, travelling internationally for medical care can be a significant decision for Damoder Tiwari. For this patient from Nepal, the decision to seek care in India was driven by the need for medical management of reduced kidney function and elevated creatinine, along with associated symptoms including lethargy and ketogenesis.

His experience demonstrates how a coordinated medical-travel pathway can help bring together specialist medical care and practical travel support for an international patient. From the initial connection through the MediGence website to coordination with the treating team, airport transfer, and accommodation support, each part of the journey was organised around the patient's healthcare needs.

His story reflects the importance of timely medical evaluation when kidney function declines and the value of coordinated support for patients travelling across borders for healthcare.