Cayuga Nephrology specializes in the diagnosis and treatment of kidney diseases, hypertension, acid-base and electrolytes disorders. Our experienced nephrologists are dedicated to providing patient-centered, evidence-based nephrology services in our community by teaming with patients, primary care physicians and other specialists.

Kidneys play an important role in your body because they:

  • Remove wastes and extra fluid, filtering about 200 quarts of blood each day.
  • Control blood pressure
  • Make red blood cells
  • Keep bones healthy by making an active form of vitamin D
  • Control pH levels as they maintain a healthy balance of chemicals that control acid levels

CKD describes the gradual loss of kidney function. It means that the kidney’s filtering function is diminished, as defined by an increased serum creatinine level from a blood test, and/or an abnormal presence of protein and blood in the urine via a urine test.

CKD has five defined stages, from mild damage in Stage 1 to significant loss of kidney function in Stage 5. Unfortunately, in its early stages, CKD is most frequently without symptoms, and those who are affected are unaware they have the disease. Early diagnosis and treatment can slow the progression of the disease.

Late stages of CKD can be associated with symptoms that are a result of the accumulation of waste products, because of the reduced filter and clearing function of the kidneys. Symptoms are non-specific and can be attributed to many things:

  • fatigue
  • sleep disturbances
  • loss of appetite
  • metallic taste
  • unintentional weight loss
  • nausea
  • vomiting
  • itching
  • swelling in hands and / or feet.

These symptoms can be controlled with therapies directed toward the replacement of kidney function, like dialysis and transplantation.

The most common causes of CKD are diabetes and hypertension. Other important causes can be:

  • Genetic disorders like autosomal polycystic kidney disease
  • Chronic, untreated urinary tract obstruction
  • Prolonged use (months and years) of medications like Aleve, Naproxen, Ibuprofen, Motrin and other related medications called non-steroidal anti-inflammatory drugs (NSAIDs)
  • Autoimmune diseases like systemic lupus erythematosus, as well as different form of vasculitis.

Acute Kidney Disease is a sudden decrease in kidney function and is most of the times reversible. It occurs mainly in hospitalized patients. We also provide consultative services for patients admitted at Cayuga Medical Center.

The kidneys jobs are not only to clear out waste products. They also help maintain acid – base and electrolytes balances. Abnormalities that can be identified, diagnosed and treated, that are found via blood tests, include:

  • low sodium concentration (hyponatremia)
  • low potassium concentration (hypokalemia)
  • high potassium concentration (hyperkalemia)
  • low magnesium concentration (hypomagnesemia)
  • increased acidity (academia)

Hypertension is the increase of blood pressure in blood vessels, and, left untreated, can lead to heart failure, heart attack, abnormal heart rate (atrial fibrillation), strokes and kidney failure. Much of the time, hypertension can be easily managed with medications. In rare occasions, hypertension is difficult to control. We can help identify the cause and a determine a successful treatment of uncontrolled hypertension.

At Cayuga Medical Center, in partnership with DaVita Inc., we offer:

  • home peritoneal dialysis
  • home – hemodialysis
  • in – center hemodialysis

We also help our patients prepare for kidney transplantation and provide post-transplant care. We can refer our patients for transplant surgeries when needed.

Cayuga Nephrology
201 Dates Drive, Suite 310
Ithaca, NY 14850
(607) 273-9111
Fax: (607) 273-9122

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Samih, Mohammad, MD
Nephrologist
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Negoi, Dana, MD
Nephrologist
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