 Namaskar, I am Dr. Jayanta Dutta, Consultant Neutrologist of Munipal Hospital Kolkata. On the eve of World Kidney Day, which is celebrated 2nd Thursday of March every year, I want to talk something about common kidney problems and how to diagnose them in early stage and how to prevent them. In this year, the slogan of our theme of World Kidney Day is Kidney Health for All and how to grease the gap between our present knowledge and awareness. We all know that chronic kidney disease is rising in an alarming proportion and also you all know that the early signs and symptoms of chronic kidney disease is very trivial or minimal. So, it is not detected in the early stage and it is detected in very late stage. That's why the CKD is called Silent Killer or it is designated as Silent Epidemic and it is estimated that 1 out of 10% worldwide is suffering from some sort of kidney disease. And also it is estimated that by the year 2040 out of 5 first cause of death kidney disease will be gone. That means one of the important cause of mortality and morbidity is chronic kidney disease in the years to come. Why it is so, why it is so prevalent or why it is so deadly? Because we all know the lifestyle diseases like diabetes, hypertension is rising and there is a lot of I say lot of things or the disease is not properly controlled that is diabetes hypertension is not properly controlled on the long run it leads to chronic kidney disease. And the chronic kidney disease has no symptoms or very minimal symptoms in early stage. So we cannot detect the disease in the early stage. So what to be done to prevent this Silent Epidemic? First of all, those patients who are at risk like those who are having family history of kidney disease, who are obese, who are diabetic or hypertensive, who are taking some painkillers for long they are very prone to develop chronic kidney disease. So it is advisable for these group of patients to undergo a annual kidney checkup to detect this kidney disease in early stage. And if this kidney disease is detected in early stage, it can be prevented to progress to the further stage. And also if we take care of these these factors like the adequate control of diabetes, hypertension, proper diet and avoidance of the kidney unfriendly medicine like over the counter drugs like painkillers like kidney toxic antibiotics, then these risk factors can be minimized somehow. And last of all I want to say that if the patient is already suffering from the kidney disease, it is not like that there is no treatment. Now the treatment of the chronic kidney disease is very much advanced be it dialysis, be it transplant. Now even if we cannot cure the disease, but it can be treated properly if the adequate care at that adequate time is given. Thank you. Namaskar. I am Dr. Jayanta Datta, Consultant Nephrologist of Monipal Hospital, Kolkata. This year the World Kidney Day is celebrated on 10th March. For the next few years, on the second Thursday of every March, the World Kidney Day is celebrated on 5th March. This is the main purpose of the Kidney disease related to the awareness and knowledge of ordinary people. This year the theme of the World kidney disease is kidney health for all, bridging the gap between awareness and the practice. So why did we fail in the kidney disease? It is shown that worldwide, in the whole world, one out of 10 people is suffering from a kidney disease. And as long as this kidney disease is going on, the risk of kidney disease is increasing. And one of the things we have seen is that in 2040, especially in the first 5 years, there should be one reason for kidney disease. So this kidney disease is caused by the presence of the human body and the serious condition of the human body. We all know that diabetes, pressure and disease are divided into a lifestyle disease. There is no reason for it. There is no need for exercise or exercise. These diseases are divided. And we all know that diabetes and hypertension are the most common cause of kidney disease. If these two diseases are not controlled properly, then after a few days in the future, they will be removed from the kidney disease. And another type of kidney disease is the first type of kidney disease. It does not have any symptoms or symptoms. The reason for this is that it is not possible to understand the first type of kidney disease that has already started with the problem. As long as it is going on, it will be a big problem. So any type of kidney disease patient is not affected by this type of kidney disease. So we call it high-risk patient. But the reason is that there are 4-5 types of patients. One type is diabetes and high-risk hypertension. The second type is diabetes. In the case of kidney disease, there is no use of kidney disease in the case of diabetes. The third type is over-the-counter medicines. Whether it is a medicine or antibiotics, it is not possible to understand the other type of medicines. And the obvious reason for this is that it is not possible to understand the other type of kidney disease. This group of patients is called a high-risk patient. If you want to detect the type of kidney disease, we advise you to do so. If you don't have any symptoms, then at least once a year, you should take a very simple test of the type of kidney disease. It is very difficult to understand. If you take a very simple test of the type of kidney disease, you can easily detect the type of kidney disease. So the type of kidney disease is very early stage. And we have to take a very big test of the type of kidney disease. The type of kidney disease is very common, so we have to do it slowly. It is very advanced stage but it is not possible to do it. For example, when the high-risk group of patients is above 40 years old, our advice is that if you do a heart check-up or check-up of the type of kidney disease, then you will be able to detect the type of kidney disease. It is not possible to do it. Another advice is that when there is a problem with the type of kidney disease, and it is not possible to detect the type of kidney disease at an advanced stage, then there is no reason to be disappointed. Because there is no modern medical science at all. We can give a prior normal life to the treatment of the type of kidney disease. The type of kidney disease is known as the dialysis. It can be transmitted to the person who is in the hospital for 3 days. It is not cured by the kidney disease. But you can lead a normal life to the treatment of the type of kidney disease. In addition, I will give this special kidney to the normal people. I will also give this special kidney to the people who have a proper exercise, a balanced diet, and a high risk group of patients, which I have already mentioned in the group. So, a regular kidney check-up, which is done annually, so that the kidney disease can be cured. Namaskar.