Nephrology is a science linked to medicine and is devoted to the understanding,
diagnosis, and treatment of kidney diseases. Kidneys are vital organs. They
safeguard the well-being and fitness of a human by evacuating wastes and
unnecessary fluids from the blood. It also regulates blood pressure and the balance
of electrolytes in the blood. As important as kidneys are in carrying out vital
functions, they should be in their best health; thus, a reason for nephrology.
Is a subspecialty of internal medicine; it has to do with all the care that is given to the
kidneys. Conditions managed include cases of acute kidney injury and those of
chronic kidney disease, end-stage renal disease, and kidney transplant. These are
the nephrologists, who are really educated in this area; such health care providers
are highly trained and acquire all the right skills in managing such conditions. As far
as that goes, patients get the best care possible.
A nephrologist provides professional care that deals with kidney health.
Nephrologists make detailed assessments. They find the causes of kidney problems
with advanced tools and techniques. They consider the broader picture of a patient's
health. They do this by working on related conditions. These include hypertension,
diabetes, and heart diseases. These conditions usually add to the development of
kidney problems.
⦁Personalized Patient Care
The outlook on this aspect of nephrology is that of individuality. The nephrologists
realize that each patient is different. They need much time to make a treatment that
fits each patient's needs. Personalized care means medical treatment. It also means
educating and supporting a patient to handle complaints and improve life.
⦁Early Detection and Prevention
Early detection and prevention of kidney disease are considered to be an effective
way of dealing with the problem promptly. A nephrologist understands many kinds of
stress. These help create awareness of why checkups and screening are important
more so for at-risk groups. It includes
⦁People with diabetes and hypertension, and
⦁Those whose families have had cases of kidney disease. Early detection will allow
for intervention measures. It will help slow the disease process, and as such, prevent
complications of the disease.
⦁ Swelling in the legs, ankles, or feet due to fluid retention.
⦁ Persistent high blood pressure that cannot be controlled.
⦁ Blood in the urine.
⦁ Persistent protein in the urine.
⦁ Frequently passing urine, mostly at night.
⦁ Blood16 in urine or passage of urine accompanied by pain; difficulty urinating or painful urination.
⦁ Decreased passage of urine.
⦁ Fatigue and weakness.
⦁ Nausea and vomiting.
⦁ Lost appetite and unintentional weight loss.
⦁ Persistent itching.
⦁ Shortness of breath.
⦁ Muscle cramps and twitches.
⦁ CKD: Fatigue, hypertension, edema, and alterations of output.
⦁ AKI: sudden decrease in urine output, fluid retention, and mental confusion.
⦁ Kidney Stones: colicky pain in the back or side, blood in urine, nausea.
⦁ Glomerulonephritis: blood in the urine, proteinuria, swelling, and high blood pressure.
⦁ PKD: hypertension, back or side pain, enlarged abdomen.
UTIs present with increased frequency of urination, burning while passing urine, and
cloudy urine. Nephrotic syndrome presents with severe proteinuria, swelling, and
very high cholesterol levels.
What Investigations / Diagnosis Does a Nephrologist Do/Suggest?
⦁Blood tests: The tests are conducted in order to monitor creatinine, urea,
electrolytes, and glomerular filtration rate.
⦁Urine tests: The tests reveal protein, blood, or any other abnormality in urine.
⦁Imaging studies: the imaging technique is done by ultrasound, CT scan, or MRI,
which visualizes the kidneys and the urinary tract.
⦁Kidney biopsy: A sample of kidney tissue is taken to diagnose certain kidney
diseases.
⦁Renal function tests: The efficiency at which the kidneys are working is measured.
⦁Blood pressure: Its regular monitoring in cases of hypertension on account of kidney
disorders.
⦁Urinalysis and culture: Identification of infections of the urinary tract.
⦁Electrolyte tests: The levels of sodium, potassium, and other electrolytes are
measured.
⦁Genetic testing: For hereditary kidney diseases like polycystic kidney disease.
⦁ presence of chronic kidney disease
⦁ long-standing uncontrollable high blood pressure
⦁ blood in urine or persistent protein in urine
⦁ sudden massive decrease in the quantity of urine
⦁ persistent legs, ankle swelling, bloat, or puffiness around the eyes
⦁ formation of recurring, severe kidney stones
⦁ When diagnosed with kidney-damaging autoimmune diseases:
⦁ family history of kidney disease, hereditarily acquired kidney disorders.
⦁ sharp, otherwise inexplicable fatigue, nausea, or muscle cramps.
⦁ Persistent urinary tract infections that do not respond to treatment.
Who is a Nephrologist?
A nephrologist is a medical doctor who diagnoses and treats kidney-related diseases
and conditions; this specialist manages chronic kidney disease, kidney infections,
and hypertension.
When To Consult a Nephrologist?
You should be referred to a nephrologist if you are experiencing persistent symptoms
such as high blood pressure, blood or protein in your urine, decreased urine output,
chronic swelling, or if you have been diagnosed with chronic kidney disease or
recurrent kidney stones.
Treatments by nephrologists for kidney diseases
The type of treatment deployed has already been determined during the diagnosis
process. Treatments for kidney diseases include medications to maintain blood
pressure but also alleviate its symptoms, dietary changes, lifestyle modifications, the
severe cases require dialysis, or even kidney transplantation if need be.
What are some of the lifestyle changes to manage kidney disease?
Underlying orderly habits include good diet with low levels of salt and protein,
control of blood pressure, blood sugar levels under control, if suffering from diabetes,
staying well-hydrated, refraining from smoking, and working out on a regular basis.
Can one prevent Kidney disease?
While not all diseases of the kidneys can be prevented, risk factors such as diabetes,
hypertension, and avoiding excessive use of medications that may be harmful to the
kidneys—like NSAIDs—can reduce the risk. Regular checkups with a healthcare
provider are also extremely important.