Nephrology

A nephrologist manages chronic kidney disease, acute kidney injury, kidney stones, glomerulonephritis, polycystic kidney disease, electrolyte disorders, renal hypertension, and complications arising from diabetes or lupus that affect the kidneys.

You should consult a nephrologist if blood or protein is detected in your urine, your kidney function tests show declining GFR, you have recurrent kidney stones, your blood pressure is difficult to control with standard medications, or you have been diagnosed with stage 3 or higher chronic kidney disease.

Hemodialysis filters blood through an external machine, typically performed at a dialysis center three times a week. Peritoneal dialysis uses the lining of the abdomen as a filter and can be done at home daily. The choice depends on lifestyle, medical condition, and kidney function.

Early-stage kidney disease can sometimes be slowed or stabilized with blood pressure control, blood sugar management, dietary changes, and medication adjustments. However, advanced kidney damage is generally irreversible, and treatment focuses on preventing further decline.

Have your recent blood test results including creatinine, BUN, and GFR values ready, along with urine test reports, a list of current medications, and details of any symptoms such as swelling, fatigue, or changes in urination frequency.