How is kidney disease diagnosed




















Creatinine levels in the blood can vary depending on age and body size. A creatinine level of greater than 1. As kidney disease progresses, the level of creatinine in the blood rises.

This test is a measure of how well the kidneys are removing wastes and excess fluid from the blood. It is calculated from the serum creatinine level using age and gender.

Normal GFR can vary according to age as you get older it can decrease. The normal value for GFR is 90 or above. A GFR below 60 is a sign that the kidneys are not working properly. Once the GFR decreases below 15, one is at high risk for needing treatment for kidney failure, such as dialysis or a kidney transplant.

Urea nitrogen comes from the breakdown of protein in the foods you eat. A normal BUN level is between 7 and As kidney function decreases, the BUN level rises. This test uses sound waves to get a picture of the kidney. It may be used to look for abnormalities in size or position of the kidneys or for obstructions such as stones or tumors.

This imaging technique uses X-rays to picture the kidneys. It may also be used to look for structural abnormalities and the presence of obstructions. This is a serious disease and may worsen other diabetic complications such as nerve and eye damage, as well as increasing the risk of cardiovascular heart disease.

Cardiovascular disease is the most common cause of death in people with chronic ongoing kidney disease. Compared to the general population, people with chronic kidney disease are two to three times more likely to have cardiovascular heart and blood vessel problems such as:. This increased risk is partly caused by factors common to both chronic kidney disease and cardiovascular disease, such as high blood pressure. However, researchers are discovering that chronic kidney disease is, in itself, an important risk factor for the development of cardiovascular disease, and a history of cardiovascular disease is a risk factor for the development of chronic kidney disease.

The kidneys regulate water and salts, remove certain wastes and make various hormones. Kidney disease increases the risk of cardiovascular disease in many ways, including:. Early diagnosis and optimal management can often prevent kidney damage from becoming worse and reduce the risk of kidney failure. Chronic kidney disease often has very few symptoms, or only general symptoms, such as tiredness, headaches and feeling sick. The doctor may begin by reviewing your medical history and performing a physical examination.

The diagnostic tests for kidney disease chosen by your doctor depend on factors including your symptoms, age, medical history, lifestyle and general health. Tests for kidney disease include:. The preferred test for detecting protein in the urine is a urine albumin-to-creatinine ratio urine ACR test, which shows the amount of albumin a type of protein in the urine. A urine ACR test should be done at least once a year if the person has diabetes or high blood pressure, and every two years if the person has any of the other identified risk factors for developing chronic kidney disease.

The best measure of kidney function is the glomerular filtration rate GFR , which can be estimated from a blood test that checks the blood for creatinine a waste product made by muscle tissue. A biopsy means that a small piece of tissue is taken for testing in a laboratory. Biopsies used in the investigation of kidney disease may include:. Medication and changes to lifestyle, along with an early referral to a kidney specialist nephrologist , can prevent or delay kidney failure.

A range of medication is available for high blood pressure. Different blood pressure medications work in different ways, so it is not unusual for more than one type to be prescribed. The dose may change according to your needs. This page has been produced in consultation with and approved by:. Bedwetting is a problem for many children and punishing them for it will only add to their distress.

Your bladder is a hollow organ that stores urine from the kidneys. Bladder cancer affects twice as many men as women. Bladder prolapse is when the bladder bulges into the vagina. Cystitis is the most common urinary tract infection in women. Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional.

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Diagnosis Kidney biopsy Open pop-up dialog box Close. Kidney biopsy During a kidney biopsy, your doctor uses a needle to remove a small sample of kidney tissue for lab testing.

Care at Mayo Clinic Our caring team of Mayo Clinic experts can help you with your chronic kidney disease-related health concerns Start Here. Kidney biopsy Ultrasound Urinalysis Show more related information. Kidney transplant Open pop-up dialog box Close. Kidney transplant During kidney transplant surgery, the donor kidney is placed in your lower abdomen.

More Information Chronic kidney disease care at Mayo Clinic Deceased-donor kidney transplant Hemodialysis Kidney transplant Living-donor kidney transplant Nondirected living donor Peritoneal dialysis Preemptive kidney transplant Show more related information.

Request an Appointment at Mayo Clinic. More Information Chronic kidney disease care at Mayo Clinic Renal diet for vegetarians Effectively managing chronic kidney disease. Share on: Facebook Twitter. Show references Goldman L, et al. Chronic kidney disease.

In: Goldman-Cecil Medicine. Elsevier; Accessed April 27, Chronic kidney disease CKD. Accessed April 26, Rosenberg M. Overview of the management of chronic kidney disease in adults. Chronic kidney disease CKD symptoms and causes.

National Kidney Foundation. Merck Manual Professional Version. Ammirati AL. Chronic kidney disease basics. Centers for Disease Control and Prevention. Warner KJ. Allscripts EPSi. Mayo Clinic; April 21, Office of Patient Education.



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