Premanand Ji Maharaj Kidney Failure Update: How Is Kidney Failure Treated and Things You Should Know

Over the past few weeks, millions of devotees have expressed concern over the health of Premanand Ji Maharaj. He is a beloved spiritual teacher from Vrindavan. While his regular sermons and spiritual walks have been paused due to his decline in health, his spirit and message remain strong.

Reports say he depends on dialysis and has lived for decades under this burden, yet continues to guide his ashram community and maintain spiritual engagements. His condition came to wider public view when the ashram confirmed that he had paused his regular padayatra because of a severe kidney ailment. The statement clarified that Maharaj is undergoing daily dialysis and is stable, though his routine physical activities are curtailed.

What Happened to Premanand Ji Maharaj?

 

 

 

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According to multiple reports, Premanand Ji’s kidneys have been nonfunctional for roughly 18–20 years. He is reported to be on dialysis almost daily to filter his blood, a treatment he has maintained for long durations. In a candid remark, a devotee quoted him saying, “Both kidneys have failed… what healing is left is uncertain.” 

Additionally, in spiritual circles, it is often mentioned that Maharaj had a genetic condition, polycystic kidney disease (PKD), which causes the formation of fluid-filled cysts in the kidneys over time and can lead to renal failure.

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How Is Kidney Failure Treated?

To understand how kidney failure like Maharaj Ji’s is managed, we spoke with Dr Bhanu Mishra, Consultant-Nephrologist, Fortis Hospital, Shalimar Bagh, New Delhi. "When the kidneys can no longer filter blood and remove waste, a person needs either regular dialysis or a kidney transplant to stay alive," explains Dr Mishra. 

According to the World Health Organization, kidney disease is a growing public health challenge worldwide. "Early diagnosis and proper management can slow the progression of chronic kidney disease and reduce the risk of complications such as heart problems," the WHO advises.

Main Treatments for Kidney Failure

Dr Mishra further listed the treatment options for such a condition. 

• Dialysis: Regular filtering of the blood by a machine, required several times per week or daily in severe cases
• Kidney Transplant: A surgical procedure to replace failed kidneys with a healthy donor kidney
• Medications and Supportive Care: Controlling blood pressure, treating anaemia, managing electrolyte levels, and following a renal diet

Things You Should Know: Living With Kidney Failure

• Polycystic Kidney Disease (PKD) is Genetic: Dr Mishra explains that PKD is caused by mutations in specific genes, often running in families. Cysts slowly grow over time, gradually lowering kidney function until end-stage failure occurs. PKD can also affect other organs, sometimes leading to high blood pressure and liver cysts.
• Symptoms To Watch For: Early symptoms may include pain or discomfort in the abdomen, blood in urine, high blood pressure, swollen abdomen, or frequent urinary infections. “As kidney function worsens, symptoms like fatigue, swelling in legs and ankles, nausea, and confusion can appear,” explained Dr Mishra. 
• When Dialysis Is Necessary: Regular dialysis is needed once the kidneys can no longer adequately filter waste. This step is often life-saving but can alter lifestyle and daily schedules.
• Transplant vs. Dialysis: While a kidney transplant can free a person from long-term dialysis, it's not always possible or preferred. Some, like Maharaj Ji, choose to remain on dialysis for personal or spiritual reasons, or due to lack of a suitable donor.
• Mental and Spiritual Strength Matters: Premanand Ji Maharaj’s resilience highlights that while chronic kidney failure is life-altering, mental and spiritual strength can help individuals navigate the journey with peace and acceptance. His faith, positive mindset, and the prayers of his followers have played a big role in his ongoing battle.

What This Means for Premanand Ji Maharaj

• He remains on long-term dialysis, as both kidneys have failed entirely. 
• Though his pilgrimage and walking routines are paused, his spiritual teachings continue. 
• He has declined kidney donation offers, prioritising donor safety.
• His case remains extraordinary not just for his spiritual stature, but for surviving so many years with total renal failure.
• His journey highlights the intersection of faith, resilience, and medical reality.

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Conclusion

Premanand Ji Maharaj’s battle with kidney failure offers a stark reminder of how fragile health can be, even for those in spiritual stature. While dialysis and transplant represent the pillars of renal care, each patient’s path is unique. His long survival underlines the impact of mental fortitude and disciplined care. For everyone else, the takeaways are clear: early detection, lifestyle vigilance, medical compliance, and periodic checks can make a profound difference in kidney health.