Learn about Paroxysmal Nocturnal Hemoglobinuria Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Paroxysmal Nocturnal Hemoglobinuria and request assistance for cost estimates or appointments.

About Paroxysmal Nocturnal Hemoglobinuria

Paroxysmal Nocturnal Hemoglobinuria (PNH) is not a procedure, but a rare, acquired, life-threatening blood disorder characterized by the destruction of red blood cells (hemolysis), blood clots (thrombosis), and impaired bone marrow function. A hematologist, a specialist in blood disorders, manages PNH through a comprehensive diagnostic and treatment plan. This involves confirming the diagnosis via specialized flow cytometry tests to detect the absence of specific proteins (CD55 and CD59) on blood cells. Treatment focuses on managing symptoms, preventing complications like thrombosis, and using targeted therapies such as complement inhibitors (e.g., eculizumab, ravulizumab) to block the abnormal immune system attack on blood cells, significantly improving survival and quality of life.

Key Highlights

    Accurate diagnosis through highly sensitive flow cytometry testing.Life-changing treatment with targeted complement inhibitor therapies that dramatically reduce hemolysis and thrombosis risk.Comprehensive, lifelong management plan tailored by a hematology specialist.Significant improvement in quality of life, fatigue levels, and long-term survival.Reduces or eliminates the need for frequent blood transfusions in many patients.

Who is this surgery for?

  • Unexplained episodes of dark or red urine, especially in the morning (nocturnal hemoglobinuria).
  • Persistent, severe fatigue and shortness of breath due to anemia from hemolysis.
  • Recurring or unexplained blood clots (thrombosis) in unusual locations.
  • Evidence of hemolytic anemia with low red blood cell counts on lab tests.
  • Abnormalities in other blood cell lines (low platelets or white cells) suggesting bone marrow involvement.
  • As a follow-up to a positive screening test (e.g., Ham test or sucrose hemolysis test).

How to prepare

  • Detailed consultation with a hematologist to review medical history and symptoms.
  • Completion of initial blood tests, including a complete blood count (CBC), LDH, and haptoglobin.
  • Specific preparation for the diagnostic flow cytometry test: no special fasting usually required.
  • Discussion of all current medications and supplements with the doctor.
  • For starting complement inhibitor therapy, pre-treatment vaccinations against meningococcal bacteria are mandatory due to increased infection risk.
  • Psychological preparation for a chronic condition requiring long-term monitoring and treatment.

Risks & possible complications

  • Life-threatening blood clots (thrombosis) in veins or arteries.
  • Severe anemia requiring frequent blood transfusions.
  • Chronic kidney disease or acute kidney injury due to hemolysis.
  • Increased risk of infections, particularly a serious meningococcal infection with complement inhibitor therapy.
  • Bone marrow failure or progression to other disorders like aplastic anemia or myelodysplastic syndrome.
  • Pulmonary hypertension and abdominal pain crises.
  • Potential side effects from medications, including headaches, nausea, or infusion reactions.

Recovery & hospital stay

  • Recovery is a long-term process focused on disease management, not a single procedure.
  • Regular follow-up visits with the hematologist (every 3-6 months) for blood monitoring.
  • Lifelong adherence to prescribed complement inhibitor infusions (every 2-8 weeks).
  • Carrying a patient safety card and remaining vigilant for signs of infection, especially meningitis.
  • Managing fatigue through paced activity, a balanced diet, and staying hydrated.
  • Immediate reporting of new symptoms like severe headache, fever, or pain/swelling in limbs (possible clot).
  • Psychological support or counseling to cope with a chronic illness.
  • checked Typical hospital stay: 0-2 days
  • checked Expected recovery time: Ongoing management

Frequently Asked Questions

If you are considering paroxysmal nocturnal hemoglobinuria in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for paroxysmal nocturnal hemoglobinuria compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 50 Thousand – 300 Thousand 0-2 days ~ Ongoing management Know More
Turkey TRY 175 Thousand – 1.05 Million 0-2 days ~ Ongoing management Know More

Top hospitals for Paroxysmal Nocturnal Hemoglobinuria in India

These partner hospitals in India have dedicated hematology teams and experience managing patients undergoing paroxysmal nocturnal hemoglobinuria.

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Manipal Hospital Ranchi

  • IconRanchi, India
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PATIENT REVIEW

Rohan Bhatia, a 28-year-old software engineer...

Rohan Bhatia, a 28-year-old software engineer from Bangalore, had always been active but started experiencing crushing fatigue. Over six months, he noticed dark, cola-colored urine most mornings, severe abdominal pain, and frequent headaches. Blood tests revealed severe anemia and low platelets. His local doctor, suspecting something serious, referred him to a hematologist. The hematologist, Dr. Kapoor, explained that Rohan's symptoms pointed to Paroxysmal Nocturnal Hemoglobinuria (PNH), a rare blood disorder where the immune system attacks red blood cells. She recommended starting treatment with a targeted therapy called a C5 inhibitor (eculizumab) to control the destruction. The treatment began with weekly infusions, which were time-consuming and made Rohan anxious about missing work. However, within two months, his morning hemoglobinuria vanished, his energy returned, and his abdominal pain subsided. Post-treatment, his blood counts stabilized, and he only requires bi-weekly maintenance infusions. Emotionally, Rohan went from terrified and confused by the strange symptoms to feeling empowered and hopeful. He now manages his condition well and has returned to his career and passion for hiking, with regular monitoring giving him peace of mind.

Hematologists for Paroxysmal Nocturnal Hemoglobinuria

Explore experienced hematologists who regularly perform paroxysmal nocturnal hemoglobinuria and provide pre- and post-operative care in India.

Dr. Joseph Rajendran
  • 11 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 750
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Mallikarjun Kalashetty
  • 14 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Giripunja M
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Abhijit Baheti
  • 10 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 550
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

OPD-desk synced • Updated
Dr. Satish Kumar A Kumar
  • 18 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Rajendra Pol
  • 21 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner, Pune

OPD-desk synced • Updated
Dr. Nakul Dilip Tikare
  • 14 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa , Panaji

OPD-desk synced • Updated
Dr. Satish Kumar A
  • 27 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Millers Road, Bangalore

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Dr. Prashanth B
  • 16 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus KMC Hospital Mangalore, Mangalore

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Dr. Maitreyee Bhattacharyya
  • 24 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated
Dr. Maitrayee Bhattacharya
  • 10 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

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Dr. Jasashwi Chakraborty
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

OPD-desk synced • Updated
Dr. J Jhansi
  • 8 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Varthur Road, Bangalore

OPD-desk synced • Updated
Dr. Sumit Mitra
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway, Kolkata

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