Premal P. Joshi, M.d., PA

Nephrology / Renal Medicine

Premal P. Joshi, M.d., PA is a Nephrology / Renal Medicine practice in Sugar Land, TX with healthcare providers who have special training and skill in diagnosing and treating diseases of the kidney. Nephrologist / Renal Doctors at Premal P. Joshi, M.d., PA perform kidney maintenance and treatment of kidney dysfunctions. Nephrology / Renal Medicine is a specialty of medicine and pediatrics that studies, diagnoses, and treats kidney dysfunction while preserving optimal kidney health. Significant diseases and conditions treated at Nephrology / Renal Medicine practices include acid-base disturbances, glomerular diseases (such as glomerulonephritis or the nephrotic syndrome), tubulointerstitial kidney diseases, tubular defects, vasculitis, autoimmune disease, and the effects of toxins on the kidney. Medical tests, procedures and therapies provided by Nephrology / Renal Medicine practices include managing hypertension, managing fluids, electrolyte therapy, renal replacement therapy, dialysis, kidney transplantation, plasma exchange, and immunosuppression. Commonly used agents are prednisone, mycophenolate, cyclophosphamide, ciclosporin, tacrolimus, everolimus, thymoglobulin and sirolimus. Newer, so-called biologic drugs or monoclonal antibodies.

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine

Premal P. Joshi, M.d., PA is an Internal Medicine practice in Sugar Land, TX with healthcare providers who have special training and skill in the diagnosis, treatment, and care of adults across the spectrum from health to complex illness. Internists specialize in puzzling medical problems and in the ongoing care of chronic illnesses. Internists also specialize in preventing disease by promoting health, and are trained to manage multisystem disease conditions that single-organ-disease specialists may not be trained to address. Internal Medicine Doctors at Premal P. Joshi, M.d., PA perform assessment, diagnosis, prevention, and treatment therapies for diseases and disorders in adult patients. Internal Medicine is a medical specialty focused on study, prevention, assessment, diagnosis, and treatment of short and long term multi-organ conditions. Significant diseases and conditions treated at Internal Medicine practices include cold and flu, heart disease, hypertension, diabetes, obesity, and chronic lung disease. Internists generally act as personal physicians and often develop long-term relationships with their patients. Medical tests, procedures and therapies provided by Internal Medicine practices include medical history reviews, physical exams, blood tests, scans, and other diagnostic tests, as well as specialist referrals. Internists may choose to practice only in the hospital, only in an outpatient clinic, or in both.

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.