The first step in the diagnosis of the chronic kidney disease that your doctor will start with will be about understanding your personal and family history. She may ask questions to identify if any of the major risk factors might have led to the kidney damage such as whether you had been diagnosed with high blood pressure in the past or if you had taken a medication that might affect kidney function or if you had noticed any changes in your urinary habits or whether you have any other member in the family with the disease.
Your doctor will then perform a physical exam and check for the signs of problems with your heart or blood vessels. She may conduct a neurological exam too.
In order to perform the diagnosis for kidney disease, you may also need certain tests and procedures as discussed herein.
Since numerous CKD patients additionally have high blood pressure/ hypertension, pulse estimation is a critical initial move towards an appropriate conclusion. Be that as it may, specialists utilize two fundamental tests to gauge kidney work and decide a patient's phase of kidney ailment.
Evaluated Glomerular Filtration Rate, or eGFR:The primary test is known as evaluated glomerular filtration rate, or eGFR. A specialist will initially do a blood test to decide how much creatinine — a chemical waste molecule generated by muscle metabolism — is present in the bloodstream. Creatinine levels, and also factors, for example, age, sex and body measure, are then used to appraise the rate of glomerular filtration (the rate at which the kidneys filter blood).
Urine Albumin to Creatinine Proportion Test (ACR), or the Microalbumin Test: Another basic test used to analyze kidney ailment is known as the urine albumin to creatinine proportion test (ACR), or the microalbumin test. The test measures the amount of albumin, a blood protein, in the urine. This test is commonly used to identify early indications of kidney harm in those at danger of creating kidney illness.
On the off chance that a specialist finds that you have had a GFR below 60 for three months or more, he or she may determine you to have chronic kidney disease. A GFR over 60 with indications of kidney harm — as showed by large amounts of albumin in the urine — may also result in a diagnosis of CKD.
Imaging Tests, such as Ultrasound or CT Scans: It assists specialists to know more about the size and state of kidneys, and in addition different conditions, for example, tumors or kidney stones, are available.
Kidney Biopsy: This test is done to control specific types of kidney problems or to see how much damage has occurred in order to plan for a further treatment. Your doctor may ask for a kidney biopsy in which a sample of the kidney tissue is removed. Kidney biopsy is generally done under local anesthesia using a long and thin needle. The needle is inserted into your kidney through the skin to take the sample. The biopsy sample is then tested in a lab for determining what is causing the underlying problem.
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