Nephrology is the medical branch of science that deals with the diseases of the kidneys, which utilize a complex network of blood vessels, tubes, and tubules that are responsible for filtering out the waste products in the body. Kidney issues may result from any damage or dysfunction to any of these components.
Who Should Undergo & Expected Results
Nephrology consultation is recommended for patients who have or are suspected of having the following conditions
- Fluid and electrolyte disorders
- Kidney stones
- Acid-base disorders
- Tubulointerstitial diseases
- Glomerular diseases
- Mineral metabolism disturbances
- Acute and chronic renal failure
- Acute and chronic kidney disease
- End-stage renal disease and dialysis
The nephrologist will conduct a thorough evaluation during the consultation to ascertain whether the patient is at risk of developing kidney diseases. If the patient has been previously diagnosed with a kidney problem, the consultation will focus on developing a treatment plan as well as preventing or reducing associated risks.
How Does the Procedure Work
Like any other doctor visit, a consultation in nephrology starts with a health assessment. Your medical history will be reviewed by the nephrologist, who may also clarify any points with additional questions before conducting a thorough physical examination. After obtaining specific information such as weight and blood pressure for reference, the doctor will order urine and blood tests to assess the health of your kidneys.
In preparation for the consultation, patients are advised to bring the following medical documents that will provide the doctor with a more profound history of the condition. This ensures that the diagnosis is made accurately. An updated list of medications
- Laboratory test results
- Radiology reports (CT scan, ultrasound, etc.)
- Any special nutrition programs or diet planning that you follow
- A list of questions that you want to ask your doctor
When discussing your health with your doctor be as open and honest as possible. Disclose other information that is normally not included in reports like if you have been smoking but have stopped, Your tendency. To miss or forget To take your medications on time or any alcoholic indulgences that you have succumbed to, as these will help in properly and accurately assessing your overall health.
Nephrologists measure the levels of creatinine and BUN to determine the presence of any kidney disease (blood urea nitrogen). They also rely on GFR or the Glomerular Filtration Rate to classify the extent of chronic kidney disease. A GFR of over 90mls/min/1.73m2 is indicative of normal kidney function. From this baseline number, and if there are additional mitigating factors, a nephrologist can begin to determine how the patient fares in relation to having chronic kidney disease.
Possible Complications and Risks
Nephrology consultation, in itself, is safe. In fact, it’s advantageous because the earlier a problem is identified, the more likely it is that kidney stone problems will be resolved and that the risks associated. With the disease will be reduced. The nephrologist will discuss any risks and potential complications with the patient before beginning certain tests and procedures that may be done during the consultation.