Chronic Kidney Disease (CKD)
Staging, slowing disease progression, and proactively managing complications such as anemia, mineral bone disease, and fluid balance.
What It Is
Chronic Kidney Disease occurs when kidneys sustain gradual damage and cannot filter toxins and fluid from the blood as effectively as they should. Diagnosed when kidney function (measured by eGFR) remains below 60 or markers of kidney damage (such as albumin in the urine) persist for three months or more.
Why Your Doctor May Have Sent You
A routine blood test showing an elevated serum creatinine or an estimated glomerular filtration rate (eGFR) that has dropped, or routine urinalysis showing persistent protein.
How Our Specialists Help
We identify the underlying root cause, accurately establish your CKD stage (1 through 5), and initiate modern kidney-protective therapies — including modern SGLT2 inhibitors, nonsteroidal MRAs, tailored blood pressure targets, and customized dietary guidelines. We closely monitor and treat secondary complications like renal anemia, high potassium, and metabolic acidosis.
Diagnostic Workup & Testing
We avoid redundant testing by reviewing recent records first, ordering only targeted diagnostic studies:
- Comprehensive Metabolic Panel (serum creatinine, BUN, eGFR calculation)
- Urine Albumin-to-Creatinine Ratio (UACR)
- Renal Ultrasound to evaluate kidney size, cortical thickness, and rule out obstruction
- Complete Blood Count (screening for normocytic renal anemia)
- Serum intact PTH, phosphorus, calcium, and 25-OH Vitamin D
Evidence-Based Treatment Pathways
Modern renal medicine focuses on preserving existing nephrons and preventing complications:
- Renoprotective pharmacology (ACE inhibitors / ARBs, SGLT2 inhibitors, finerenone)
- Cardiovascular risk reduction and tight blood pressure titration
- Treatment of renal anemia with ESAs and intravenous or oral iron
- Management of mineral and bone disorder with phosphate binders and active vitamin D
- Renal dietary planning with restricted sodium and customized potassium/protein intake
Common Symptoms to Monitor
- Often silent in stages 1 to 3
- Fatigue or reduced stamina
- Swelling (edema) in ankles, feet, or eyelids
- Changes in urination frequency, particularly at night
- Metallic taste or decreased appetite in later stages
When to See a Kidney Specialist
- eGFR is below 60 mL/min/1.73m² or is progressively falling
- Urine albumin-to-creatinine ratio is persistently greater than 300 mg/g
- Kidney function dropped significantly following an illness or medication change
- Complications like anemia, high potassium, or bone pain develop alongside kidney decline