Famed spiritual leader Premanand Maharaj has paused his travels since October 2 due to a decline in health. The 66-year-old, revered across India, has been on dialysis for nearly 19 years, requiring the life-saving procedure almost every day in recent weeks.
Diagnosed with polycystic kidney disease (PKD) in 2006, Maharaj has remained a vocal advocate of modern treatment and holistic care. With slight recovery, his dialysis frequency has now returned to five times a week. But what exactly is dialysis — and what does it mean to live with it for nearly two decades?
What Is Polycystic Kidney Disease (PKD)?
PKD is a genetic disorder where fluid-filled cysts develop in the kidneys, causing them to enlarge and eventually lose function. Over time, this puts pressure on surrounding tissues, leading to chronic kidney failure.
People with PKD often face complications such as:
- High blood pressure
- Kidney infections
- Blood in urine
- Progressive kidney failure
Dialysis: When the Kidneys Can No Longer Cope
Our kidneys filter waste, toxins (like urea and creatinine), and excess fluids from the blood. When they stop functioning properly, dialysis steps in to perform this vital task.
Dialysis is not a cure. It is a form of renal replacement therapy—keeping the body stable while a patient awaits a transplant or manages chronic failure.
Who Needs Dialysis?
Dialysis becomes essential when kidneys reach end-stage renal disease (ESRD) or lose 85–90% of their function. It is often the result of:
- Diabetes
- High blood pressure
- Genetic disorders like PKD
- Autoimmune diseases
There are two types of kidney failure:
- Acute (sudden, often temporary)
- Chronic (gradual, usually irreversible)
Types of Dialysis
Hemodialysis (Most Common)
Blood is pumped out of the body into a machine called a dialyzer, where it’s filtered and returned. This is usually done:
- 3 times a week at a center
- Daily or multiple times at home (as in Maharaj’s case)
- Peritoneal Dialysis
Involves inserting a special fluid into the abdomen to absorb waste, which is later drained. This method is less common in India.
Is Dialysis Painful?
Dialysis itself isn’t painful. Patients may feel a mild prick when the needle is inserted, but most experience no discomfort during the procedure.
Is Dialysis Dangerous?
While generally safe, hemodialysis can sometimes cause:
- Drop in blood pressure
- Access site infections
- Clogged veins or weak blood flow
Dialysis centers are equipped with fail-safe systems, and staff are always present to monitor.
Can the Kidneys Heal After Dialysis Starts?
In chronic kidney disease (CKD), dialysis is usually lifelong unless a transplant becomes possible. In rare acute cases, kidney function may recover enough to stop dialysis.
How Long Can One Live on Dialysis?
Life expectancy on dialysis depends on:
- Age
- Overall health
- Cause of kidney failure
On average, patients live:
- 5 to 10 years
But many, like Premanand Maharaj, live: - 20+ years with proper care and lifestyle management
Can People Live a Normal Life on Dialysis?
Yes — with discipline and support, dialysis patients can:
- Continue working
- Travel
- Spend time with family
- Contribute actively to society
Dialysis in Numbers
🌍 2 million+ people globally are currently on dialysis or have received a kidney transplant.
How to Keep Your Kidneys Healthy
Limit salt and sugar
Stay hydrated — drink plenty of water
Eat fresh fruits and green vegetables
Balance protein intake Avoid smoking and excessive painkillers
Monitor blood pressure and sugar regularly
If you’re at risk, consult a nephrologist early. Prevention and early intervention are key.
In Maharaj’s Words
Though unable to travel, Premanand Maharaj continues to inspire followers with his unshakeable faith and commitment to wellness — both spiritual and physical.
His journey is a testament to medical science, discipline, and the power of hope.