Nephrology in Tunis

Nephrology is a branch of medicine that deals with the kidneys, specifically normal kidney function, the preservation of kidney health, kidney disease, and the treatment of kidney disease. A physician who specializes in the care and treatment of kidney disease is called a nephrologist. 

Some of the most common conditions nephrologist treat are as follows:

• Advanced or chronic kidney disease
• Tubulointerstitial kidney diseases
• Tubular defects
• Glomerular conditions, such as nephrotic syndrome and glomerulonephritis
• Kidney infections
• Kidney vascular conditions
• Kidney neoplasms
• High blood pressure
• Structural or functional abnormalities of the kidney, urine collection system, or bladder
• Vasculitis
• Electrolyte, fluid, and acid-base imbalances or disturbances
• Autoimmune conditions that involve the kidneys

Nephrologists can perform a wide range of tests, procedures, and treatments. These include:

• Blood tests, including serum creatinine, glomerular filtration rate, and blood urea nitrogen.
• Urine tests, including urinalysis, 24-hour urine test, creatinine clearance, and microalbuminuria.
• Imaging tests of the kidneys, such as CT scans, ultrasounds, or X-rays.
• Dialysis, including placement of the dialysis catheter.
• Kidney biopsy.
• Kidney transplants.

How Long Should I Stay in Tunis?

After laboratory tests (blood and urine tests) and imaging tests, you should be able to leave the hospital right away, while with biopsy, you may need to stay overnight. However, you may need to stay in Tunis for a few more days to wait for the results. Once the results are ready, your nephrologist will explain them during a follow-up appointment. After kidney transplants, you usually need to stay in the hospital for 5 to 10 days and stay for 7 to 14 more days in Tunis. During your stay, ensure to attend all of the scheduled follow-up checkups with your nephrologist. 

What's the Expected Recovery Time?

Recovery time depends on the type of procedure you underwent. For laboratory and imaging tests, you should be able to resume your normal daily activities immediately, though your nephrologist may advise you to rest for the remainder of the day. After a biopsy, avoid strenuous activity for 2 to 3 days. Since a kidney transplant is a major surgery, the recovery time until you can return to work and other normal activities may take around 8 weeks.

What Aftercare is Required?

Your nephrologist will give you aftercare instructions that you will need to follow and you will also need to make healthy lifestyle changes to maintain the health of your kidney after treatment. You will need to attend regular checkups to check how well your new kidney is working and also will be taking medication for the rest of your life, including drugs called immunosuppressant’s to help keep your immune system from rejecting and attacking your new kidney.

What's the Success Rate?

As the field of nephrology continues to advance, the outcomes of tests and treatments are constantly improving. This means that patients now have more chances to be diagnosed early and receive successful treatments. The success rate for nephrology procedures is proven to be generally high. For example, 93% of kidney transplants are working at the end of the 1st year. However, every procedure always comes with risks, such as infection, excessive bleeding, and damage to other organs.  

Are there Alternatives?

There is no alternative to seeing a nephrologist if you have kidney problems. If your condition is found to be caused by problems in other organs, your nephrologist may work with or refer you to the relevant specialist.

Nephrology in and around Tunis

About Tunis

Tunis is the capital and the largest city of Tunisia and is the center of government and administration as well as the center of commercial and cultural activities. It is divided into two parts, the old city known as Medina and the new city or Ville nouvelle. Even though it is located on the southern shores of the Mediterranean Sea, the city does not have many beaches. Still, it has managed to attract millions of tourists in 2018 thanks to its rich history displayed in numerous ancient buildings. These buildings have an enchanting blend of North African and French Architecture that will leave anyone in awe. Many tourists come to see the Roman ruins of Carthage or to stroll around and shop in the Medina.

Tunis is known to have a high standard of healthcare, which attracts an increasing number of medical tourists each year. Many of the medical tourists come from other African countries that have an inferior healthcare system. However, the city’s excellent reputation in cosmetic surgery and dental treatment appeal to many patients from Europe, the Middle East, and Asia. The private medical centers are armed with the best equipment and English speaking staff. The Tunisian Ministry of Health regulates cosmetic and plastic surgeons to ensure that there is a high standard. In addition to exceptional healthcare, Tunis also offer attractive prices for medical treatment and the cost of living. 

Popular Areas in Tunis

Although it is the largest city in Tunisia, Tunis can feel like a compact city and can be explored on foot. The city has a number of famous attractions that are always packed with tourists.

• Carthage was founded in the 9th century BC and was once a powerful empire of the Mediterranean as well as home to a wonderful civilization before being destroyed by the Romans in the Third Punic War. It was then to become an important Christian center until the Islamic invaders destroyed it. Today, the ruins have become a UNESCO World Heritage Site that tourists can visit.   
• The Medina in Tunis is one of the most remarkable medieval medinas in North Africa. There are over 700 monuments within the area, from mosques to madrassas to historical places. It is easy to get lost in the impressive maze-like alleyways, but tourists are encouraged to admire the Islamic architecture and art or learn more about the city’s history. Tourists can also shop in one of the souqs selling everything from shisha pipes to shoes or enjoy one of the cafes.
• Sidi Bou Saïd is a picturesque cliff-top village with cobbled streets, blue-and-white walls, and glimpses of pristine blue waters. It is probably one of the most beautiful places in Tunisia. The beautiful architecture is a blend of the Ottoman and the Andalusian. It is now a sleepy fishing village perfect for anyone who wants to get away from busy city life. The village has been a gateway for artists, bohemians, and pilgrimage for centuries.
• Bardo Museum is the second-largest museum in Africa and the main attraction of this museum is the ancient Roman mosaics recovered from Carthage. The museum also exhibits Greek statues, artifacts of the region’s Berber, and the accomplishments of the Islamic culture in the country. Other than the exhibitions, the building itself is decorated in impressive historic Islamic decorative arts.

Weather and Climate in Tunis

Tunis has a hot-summer Mediterranean climate meaning the city enjoys warm and sunny weather all year round. The summer can be hot and dry because rain is very rare and the summer usually lasts from June to August and the average temperature is around 25 °C but can get as high as 40 °C. July and August are the high tourist season, especially at the beach resorts. The city begins to get rain in autumn, often accompanied by a short thunderstorm. The winter is the wettest season of the year because it can rain every two or three days and the temperature can drop to 7 °C in the morning and 16 °C in the afternoon. The rainfall decreases in spring, and in March, the temperature ranges between 8 °C to 24 °C and the sunshine usually becomes dominant in May.

Getting Around in Tunis

Tunis-Carthage International Airport is the main airport in Tunisia and the airport connects Tunis with other cities in the country as well as the rest of the world as it serves flights to and from the Middle East, Africa, and major Europeans countries. It is the hub for Tunisair, Tunisair Express, and Nouvelair, but there are not many budget airlines operating flights from the airport. To get to the city center from the airport, tourists can opt for a taxi or bus. The bus is operated by the SNT bus line and departs every 30 minutes. It is very affordable with a single ticket costing less than 1 TND. There is also a more luxurious and expensive bus line known as the TUT bus and the bus departs every 15 minutes. If you want a more private mode of transportation use an airport taxis and they are usually metered.

Tourists have plenty of options to get around Tunis. There is a tram system in the city with inexpensive tickets, usually around .48 TND. However, be aware that it can be packed during the rush hours. Taxis are a good option to get around, the taxis are metered, and the base fare is around .4 TND but can be much more expensive if you hail one off the street. 

Tourist Visas in Tunis

Nationals of 97 countries including Australia, China, Singapore, the United States, and Russia can enter and stay in Tunis for up to 90 days without a visa. Other nationalities not listed in the visa exemption agreement are advised to check at their nearest Tunisia embassy or consulate. The country provides an online visa application to simplify the process of obtaining a visa to enter the country.

Additional Information

1. Local Currency: Tunisian dinar (TND) is the official currency of Tunisia. 1 USD will get you 2.61 TND. 
2. Money & Payments: ATMs are widespread in Tunis. Credit Cards, particularly MasterCard and Visa, are accepted in most top-end restaurants, hotels, and shops. Tipping is by no means mandatory but will be greatly appreciated.
3. Local Language: Arabic is the official language and French is very common. English is not widely spoken except in tourist areas and hospitals.
4. Local Culture and Religion: Most of the population follows Islam, but there are small groups of Christian and Jews.
5. Public Holidays: The city celebrates major nationals and Islamic holidays such as Independence Day, Eid Al-Fitr, and Prophet Mohammed’s Birthday.