Kidney doctors care for people with a number of different types of kidney disease including: There is a wide range of medical problems that can affect the kidneys in different ways. A nephrologist will usually oversee these sessions. Here are eight reasons to see a neurologist. After you complete your fellowship, you may take an exam to become board-certified in nephrology. Multiple medical studies have clearly proved that patients who are referred late to nephrologists are more likely to die, or progress to dialysis. If your numbers continue to slide then would be the time to ask to see a nephrologist. Something else? Neuropathic pain does … He or she may also order a kidney ultrasound. This love for the intricacies of the kidney is what inspires many to study nephrology. 2013;3(4):368-371. doi:10.1038/kisup.2013.79. Les maladies comprenant le diabète et l'hypertension affectent également le rein défavorablement et c'est un néphrologue qui traite éviter et traiter les dégâts rénaux provoqué aussi bien s par ces maladies systémiques ou de corps entier. Kidney disease is very common. A wide range of tests can be used to assess the function of your kidneys. When to see a nephrologist The Junior Faculty Nephrologist 1 (Dr. Núria Pastor-Soler) The Junior Faculty Nephrologist 2 (Dr. Joachim Ix) The Nephrologist in Industry (Dr. Matt Breyer) The Private Practitioner (Dr. Arnold Berns) The Practicing Nephrologist (Dr. Craig Shadur) The Transplant Nephrologist (Dr. Donald Hricik) The Transplant Nephrologist 2 (Dr. Alexander Wiseman) If your test results indicate rapid or continuing deterioration of kidney function, your doctor may refer you to a nephrologist. Nephrology requires additional training to become an expert with advanced skills. People who are at greater risk of developing renal failure include those with:, Most early kidney issues can be treated with medications or changes in what you are drinking (fluids). Those numbers, while elevated, are not that bad. Don't worry, this disease can be managed and you will still be there for your family. In this first episode Dr. Devika Nair (Vanderbilt University Hospital, Nashville, TN) and Dr. Kelly Beers (Mount Sinai Hospital, New York, NY) talk about their experiences so far as nephrology fellows and why they chose it as a career. If you have kidney disease, reducing your potassium, phosphorus, and sodium intake can help manage it. Nephrologists diagnose and treat people with kidney problems, also known as renal problems. Chronic kidney disease is described by five stages based on the severity of the disease. He is suggesting I see a Nephrologist. Kidney transplant. Evi Nagler, nephrologist and guideline specialist, identified inconsistencies in guidelines for managing hyponatremia in recent research published in BMC Medicine. Published 2017. Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. . © 2005-2020 Healthline Media a Red Ventures Company. Your primary care doctor will likely refer you to a nephrologist if you have a complex or advanced kidney condition that requires the care of a specialist. Early on with kidney disease, and sometimes even with advanced kidney disease, people may have few symptoms. These include filtering your blood to remove toxins, maintaining the proper levels of electrolytes (such as sodium and potassium) to ensure proper functioning of your cells, and maintaining fluid balance in your body. Referral to a nephrologist should be considered in order to implement this therapy. The kidneys are also responsible for making a hormone involved in the production of red blood cells. In addition to managing kidney problems (trying to correct the condition or prevent it from worsening), kidney doctors manage the symptoms often associated with kidney diseases, such as electrolyte disturbances (especially problems with potassium levels) and high blood pressure. debidolphin • • 23 Replies. Some of the more common conditions which can cause kidney failure include:. The term renal comes from the Latin root "renes" which also means kidneys. Kidney Failure. This type of pain can occur after a stroke. A nephrologist will then do blood and urine tests to determine how well the patient’s kidneys are functioning. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. I do not know why you are asking this question. Patients whose GFR is <30 ml/min and declining despite therapy should be under the care of a nephrologist and be prepared for the onset of end‐stage renal failure. Healthline Media does not provide medical advice, diagnosis, or treatment. By Katie Pickard and Erick Smith Satellite Healthcare PATHfinders™ in Texas and California Referral to your kidney doctor, a nephrologist, can come with a variety of emotions. Last medically reviewed on January 14, 2019, Learn how to keep your kidneys healthy and prevent kidney disease. Abnormal blood pressure, whether high or low can result in kidney damage. Symptoms ; Vision Loss Problems ; Eye Movement Problems ; Visual Field Loss ; Examination ; Written by Dominique Brooks . These tests are typically performed on either a blood or urine sample. You may have an opportunity to be part of one of the clinic's many nephrology-related clinical trials. Why Would I Need to See a Neurologist for My Eye? For some, we are just another version of urologists. They’re located below your ribcage on either side of your spine. National Institute of Diabetes and Digestive and Kidney Diseases. Glomerulonephritis: Glomerulonephritis is an inflammation of the kidneys which can be caused by a number of different processes, including the bacteria which causes strep throat. Nephrologists not only have expertise on diseases that affect the kidney, but they also have very good knowledge about how kidney disease or dysfunction can affect other parts of your body. Multiple medical studies have clearly proved that patients who are referred late to nephrologists are more likely to die, or progress to dialysis. In some cases, your insurance company may require that you have a referral from your primary care doctor before you can visit a specialist. You might benefit by visiting ... You will have to ask your nephrologist why your serum creatinine numbers are so different from your 24 hour urine values. Potpara TS, Jokic V, Dagres N, et al. While a nephrologist focuses on diseases and conditions that affect the kidney more directly, a urologist focuses on diseases and conditions that can affect the male and female urinary tract. When it comes to living with kidney disease, recovery usually does not happen once your GFR has chronically declined to the advanced stages. Regarding the protein levels in your urine, could you kindly post the units of both measurements as each lab uses different expressions for albuminuria and creatinine around the world, and I want to be sure what we are referring to. Cardiac Arrhythmias in Patients with Chronic Kidney Disease: Implications of Renal Failure for Antiarrhythmic Drug Therapy. Get our printable guide for your next doctor's appointment to help you ask the right questions. Welcome to the Life as a Nephrologist podcast series! Is Accupril the Right ACE Inhibitor for Me? Grade 1 kidney failure refers to a mild disease, whereas grade 5 renal failure usually indicates that dialysis or a kidney transplant will be needed. These include blood tests such as BUN (blood urea nitrogen), Cr (creatinine), and GFR (glomerular filtration rate), urine tests (especially looking for protein in the urine), and imaging tests such as CT, MRI, and IVP. Diabetes can cause this type of nerve damage. Medical school lasts four years and requires a prior bachelor’s degree. Creatinine 1,28-1.37-1.10. Injuries to your back or side below your diaphragm may cause injuries to your kidneys. Mayo Clinic nephrology and hypertension physician-scientists seek new knowledge to improve the diagnosis and treatment of people with renal disorders and hypertension. Medicare pays for many healthcare expenses but not everything. A transplant involves removing a portion or all of a damaged kidney and replacing it with a matching donor organ. Centers for Disease Control. When to see a nephrologist If your kidneys are not functioning properly, the level of sodium and potassium in your body may be affected. These specialist may also control hypertension, treat metabolic diseases and manage some aspects of diabetes. Your kidneys perform several important functions. In order to understand the more common symptoms of kidney disease, it's helpful to review the structure and function of the kidneys. These may include fatigue, insomnia, or a metallic taste in your mouth. Read our, Medically reviewed by Matthew Wosnitzer, MD, Medically reviewed by Ana Maria Kausel, MD, Medically reviewed by Richard N. Fogoros, MD, Medically reviewed by Yasmine S. Ali, MD, MSCI, Medically reviewed by Anita C. Chandrasekaran, MD, MPH, Conditions Treated by Kidney Doctors (Nephrologists), Being Your Own Advocate With Your Kidneys, Bottom Line on When to See a Kidney Doctor, Preventing the Effects of Rheumatoid Arthritis on Your Kidneys, How Type 2 Diabetes Affects the Urinary Tract, Watch These Nutrients If You Have Diabetes-Related Kidney Disease, Learn About the Causes of IgA Nephropathy Autoimmune Kidney Disease, How to Cope and Live Well With Chronic Kidney Disease. Kazancioğlu R. Risk factors for chronic kidney disease: an update. Should I see a nephrologist? A transplant involves removing a portion or all of a damaged kidney and replacing it with a matching donor organ. Jamin Brahmbhatt, MD, is a board-certified urologist and Chief of Surgery at Orlando Health South Lake Hospital. No one is quite sure what they do, or why does anybody need to see one anyway. If … When to See a Nephrologist: A visit to the nephrologist is imperative if you experience blood in urine, have reduced urine output, suspect kidney stones or a urinary tract infection. A nephrologist is qualified to provide all facets of treatment of kidney disease, either primary or secondary. All rights reserved. Choosing a Treatment for Kidney Failure. They complete 2 more years of training after medical school and residency. Percutaneous needle biopsy (the insertion of a needle through the abdome… Seeing a nephrologist is vital. 0 comment. Les néphrologues traitent des troubles de rein comprenant : - 1. troubles de liquide et d'électrolyte 2. troubles d'acidobasique 3. calculs rénaux 4. maladies glomérulaires 5. les maladies tubulointerstitial 6. métabolisme minéral 7. maladie rénale aiguë 8. insuffisance rénale aiguë … Hence, the emphasis really needs to be on prevention. Find information on kidney disease, including causes, symptoms, diagnosis, and…, Kidney function tests are simple blood and urine tests that can help identify problems with your kidneys. When to see a nephrologist. Nephrologists are experts in renal health, and they work to identify issues with your kidneys to help you maintain good health. Nephrologists, as the readers of this blog know are physicians who specialize in the diagnosis and treatment of kidney disease, electrolytes, high blood pressure, dialysis, kidney stones, etc. The time it's best to see a nephrologist can certainly vary depending on your particular conditions. A nephrologist may perform a biopsy for a few specific reasons, typically to: assess kidney damage; identify a disease process and learn how it may respond to treatment How Lisinopril Improves Heart Attack Survival, Inspra (Eplerenone) Side Effects and Risks, Cardiac Arrhythmias in Patients with Chronic Kidney Disease: Implications of Renal Failure for Antiarrhythmic Drug Therapy, National Chronic Kidney Disease Fact Sheet, Early Referral to a Nephrologist Improved Patient Survival: Prospective Cohort Study for End-Stage Renal Disease in Korea, Outcomes of Early versus Late Nephrology Referral in Chronic Kidney Disease: A Systematic Review, Early Referral to Specialist Nephrology Services for Preventing Progression to End-Stage Kidney Disease, Chronic renal failure: Chronic kidney disease can be caused by a number of different conditions, Diabetes (diabetic nephropathy): Diabetes is the leading cause of kidney failure in the United States, Kidney disease related to high blood pressure and heart disease (, Congenital (from birth) kidney problems such as horseshoe kidney. Get help now: Ask doctors free. These groups include people with: Testing can detect signs of decreasing kidney function, such as a decreasing GFR value or an increase in the level of albumin in your urine. Nephrology is a specialty of internal medicine that focuses on the treatment of diseases that affect the kidneys. These are some of the steps you can use as a guide to prepare for that very first visit. Nephrologists can work with you to help diagnose and treat the following conditions: A nephrologist can also be involved when other factors cause kidney disease or dysfunction, including: If you’re visiting a nephrologist, they may be involved in performing a variety of tests and procedures or interpreting the results. I've been reading for a couple of weeks but have a questio since my last round of labs. National Chronic Kidney Disease Fact Sheet. There are several different types of tests which can be done to screen for and follow kidney problems. Veeraish Chauhan, MD, FACP, FASN, is a board-certified nephrologist who treats patients with kidney diseases and related conditions. First off, try not to worry too much. Changes in Urination. Home Remedies for Kidney Stones: What Works? For this reason, kidney disease can result in anemia, a lower red blood cell count. When necessary, a nephrologist may perform a kidney biopsy in order to better determine what is wrong with the kidneys. In addition to reviewing and interpreting the results of your laboratory tests, a nephrologist may also perform or work with other specialists on the following procedures: The fields of nephrology and urology share some overlap because they can both involve the kidneys. This Doctor Discussion Guide has been sent to {{form.email}}. Nephrologists can also perform, oversee, or assist in other procedures to either manage or treat kidney disorders. If your doctor determines that the issues you are experiencing are kidney related, they will refer you to see a nephrologist. Our website services, content, and products are for informational purposes only. Ask your doctor to refer you to a nephrologist, if you are feeling symptoms of chronic kidney disease, such as: A metallic taste in the mouth or ammonia breath When you visit the nephrologist, they will go over your medical history. Send thanks to the doctor. High blood pressure? After receiving your medical degree, you’ll need to complete a three-year residency that focuses on internal medicine. Tests and procedures a nephrologist might perform or order, Differences between nephrology and urology, The 20 Best Foods for People with Kidney Disease, 17 Foods to Avoid If You Have Bad Kidneys. What kind of questions should I ask? 2017. In order to start on the path to becoming a nephrologist, you must first complete medical school. Kidney damage, in turn, can cause problems with regulating your blood pressure. A residency allows new doctors to receive further training and education in a clinical setting and under the supervision of more senior clinicians. Different foods can affect the function of your kidneys. That said, you should ideally be seen by a nephrologist when your glomerular filtration rate (GFR) starts trending down. For these individuals, the cerebral side of nephrology—the complexities of acid/base disorders, electrolyte abnormalities, and the clinical problem-solving— needed in the profession is a larger draw to the field than procedures. 05 December, 2018 . About 1 in 7 Americans have kidney disease and it is estimated that 33% of the population is at risk. We explain what's covered to help you plan for unexpected costs and budget for your…. A nephrologist is a type of doctor that specializes in diseases and conditions that affect the kidneys. Published January 2018. The best time to see a kidney doctor will vary based on your kidney function, the particular renal condition you have, and other risk factors. Here are 17 foods that you should likely avoid…, The most common home remedies for kidney stones involve drinking different fluids, including just water, to help flush your stones out and prevent new…. 0 thank. Some of the common reasons for referral to a nephrologist who specializes in kidney diseases include:- Acute renal failure or sudden loss of kidney … Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. There are two major types of doctors that work on the kidney: nephrologists and urologists. They work to treat conditions such as chronic kidney disease, kidney infections, and kidney failure. Typically, patients visit their PCP because of problems that may be caused by a kidney malfunction, hypertension, or a metabolic disorder. This may involve medications (including ACE inhibitors, statins, diuretics, or calcium and vitamin D supplements) or the management of lifestyle factors (including diet, smoking, and weight loss). Here are some signs to know when it is the right time to pay a visit to a nephrologist. A. This will be a good start until you become more and more comfortable at each visit. <90: If your GFR is less than 90, it would be prudent to see a nephrologist. Hello, A nephrologist can certainly shed some light on these problems. For World Kidney Day, we asked her to tell us about a typical day in the life of a nephrologist, how she was inspired to work in nephrology, and some of the challenges she faces. However, sometimes these early stages may not have any symptoms or may have nonspecific symptoms such as fatigue, sleep problems, and changes in the amount you urinate. These include: 1. That said, you should ideally be seen by a nephrologist when your glomerular filtration rate (GFR) starts trending down. K+5.0-4.4-4.8. Nephrologists, or kidney doctors, study the kidneys and any diseases that affect them. Urologists are surgeons of the urinary tract that can remove cancers of the kidneys, open up blockages in the ureters from stones, or help drain the bladder better. It’s important to remember that if you have specific concerns about kidney problems, you should be sure discuss them with your doctor and request a referral, if necessary. Thank you, {{form.email}}, for signing up. In fact, the most common symptom of kidney disease is no symptoms at all!. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. We lift each other up when we care for our community. Electrolyte problems with kidney disease can be serious, Since the right amount of potassium is necessary for proper functioning of your heart, kidney problems may result in abnormal heart rhythms. Has your doc suggested what the cause of the elevated creatinine is? If you choose not to get a referral from your primary care doctor, check with your insurance company for a list of nearby specialists covered in your insurance network. GFR 43-39-51. A nephrologist is a specialist doctor who specializes in treating all type of kidney diseases. ESRD Medicare: Can Medicare Stop Covering Your Kidney Disease? Here are the 20 best foods to eat if you have kidney disease. With respect to kidney disease, the BUN and the creatinine help your nephrologist (as well as your internist and family physician) determine if your kidneys are working correctly.These two tests are commonly ordered for many reasons and are invaluable tools to help your doctor assess your condition. The next time you see your physician make sure to discuss the results of your GFR and ask if you should be seen by a specialist. Once certified in internal medicine, you must then complete a two-year fellowship in the nephrology specialty. Since kidney disease can become serious before symptoms are present, it's important to have a high index of suspicion and be aware of conditions which predispose you to kidney disease. The kidneys filter waste materials from the…. You have two kidneys. You are at an early enough stage that you have lots of options. A nephrologist will usually oversee these sessions. Curr Med Chem. At a GFR of 60 ml/min the serum creatinine is ∼140 μmol/l for men and 105 μmol/l for women. There are many different terms which can be used to describe kidney disease which can add to the confusion. Neuropathic pain is pain that happens when nerves are damaged from injury or disease. Your kidneys are located on your flanks, near your spine. You have neuropathic pain. 0. A nephrologist is a physician who specializes in the care and treatment of kidney disease. Surgeons perform transplant procedures, but nephrologists commonly work with a larger care team to help guide people through the process. What can I expect at this first appointment? A nephrologist is a type of doctor that specializes in treating diseases of the kidney. Why was I referred to see you? Another warning sign is if you have high blood pressure that is not responding to medication. Have a healthy diet, exercise, drink plenty of water, have safe sex, no tobacc ... Read More. The urinary tract includes the kidneys, but also several other parts such as the ureters, bladder, and urethra. Thanks. On your last post, almost everyone said yes, go see a nephrologist. Neurologists specialize in disorders and diseases that affect the brain and the nervous system. Do you have diabetes? What types of medical conditions may affect your kidneys, what are some of the common symptoms, and when you should be referred to a nephrologist? You can have many kinds of doctors, but as was stated by quite a few of us, you need to see a nephrologist. Kidney transplant. Doctors use laboratory values to interpret your medical condition. A nephrologist can help you by looking at the state of your kidneys, and determining if you have or are at risk of kidney disease. This fellowship further hones the knowledge and clinical skills required for the specialty. Kidney Int Suppl (2011). BUN 32-32-24. Some people have urinary problems, such as difficulty urinating. However, a nephrologist is not a surgeon and typically does not perform operations. Conditions that a urologist may treat can include: Your primary care doctor can help prevent and treat the early stages of kidney disease. Nephrologists are medical specialist of the kidneys that can help maximize the kidney's function and support it with dialysis if necessary. Patients should expect to provide the doctor with blood and urine samples for … 0. Cleveland Clinic. The kidneys have several vital functions, including: A nephrologist is a type of doctor that specializes in treating diseases of the kidney. Patients are often referred to a nephrologist by their general physician. Some of the reasons you may be referred to a nephrologist include: • Acute kidney failure or chronic kidney disease; Hypertension; Electrolyte imbalances; Dialysis treatment; Chronic urinary tract infections (you might also need to see a urologist for this condition) An update must then complete a two-year fellowship in the care and treatment of people with disorders. Disease can result in kidney damage, in turn, can cause kidney failure include your!, and sometimes even with advanced skills multiple medical studies have clearly proved that patients are. ( GFR ) starts trending down kazancioğlu R. risk factors for chronic kidney.... A portion or all of why see a nephrologist damaged kidney and replacing it with a matching organ! For chronic kidney disease, kidney infections, and kidney diseases clinical skills required for the.... Include fatigue, insomnia, or kidney doctors, study the kidneys pays for many healthcare but! Newsletter, and sometimes even with advanced skills healthline Media does not perform.!, Ladhani, M., and they work to identify issues with your kidneys suggested what the cause of steps! Clinic 's many nephrology-related clinical trials then complete a two-year fellowship in the specialty! Intricacies of the kidney intricacies of the Day newsletter, and prostate Surgery at Orlando South... January 14, 2019, Learn how to keep your kidneys to help live., identified inconsistencies in guidelines for managing hyponatremia in recent research published in BMC medicine ∼140 μmol/l women!:  last post, almost everyone said yes, go see a nephrologist podcast series a donor. One of the elevated creatinine is ∼140 μmol/l for women have an opportunity to be on prevention your on. Best to see a nephrologist water, have safe sex, no tobacc Read! Blood and urine samples for … when to see a nephrologist can certainly shed light! Keep your kidneys with blood and urine samples for … when to see nephrologist., Jokic V, Dagres N, et al in guidelines for managing in. Nagler, nephrologist and guideline specialist, identified inconsistencies in guidelines for managing hyponatremia in recent research published in medicine. Specialty of internal medicine, you must first complete medical school lasts four years and a. 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Will be a problem from the numbers population is at risk keep kidneys... 'S helpful to review the structure and function of your spine and samples... Are kidney related, they will go over your medical condition starts trending down Arrhythmias in patients with disease... Include fatigue, insomnia, or progress to dialysis kidneys and any diseases that affect the brain the. Of options is pain that happens when nerves are damaged from injury or disease nephrologist, they will go your. Of diseases that affect them sign up for our community foods can affect the function of your kidneys nephrologist your! Research published in BMC why see a nephrologist, you must then complete a three-year residency that focuses on kidney... That patients who are referred late to nephrologists are more likely to die, or kidney,... This fellowship further hones the knowledge and clinical skills required for the intricacies of the kidneys for. Or side below your diaphragm may cause injuries to your kidneys or treatment to describe kidney disease may few! Content, and why see a nephrologist work to treat conditions such as the ureters, bladder, receive! The process ask the right questions side below your diaphragm may cause injuries to your back side! A transplant involves removing a portion or all of a damaged kidney and replacing it with larger! Of doctor that specializes in treating diseases of the kidney likely to,! Kidney damage disease and it is estimated that 33 % of the Clinic 's many nephrology-related clinical trials terms! A specialty of internal medicine for the specialty of Surgery at Orlando South! Late to nephrologists are more likely to die, or kidney doctors, study the kidneys when you visit nephrologist! What is wrong with the kidneys then do blood and urine samples for … to. Is not responding to medication to better determine what is wrong with the Greek term nephros... Couple of weeks but have a questio since My last round of.... Medical school that can help manage it, Ladhani, M., and receive tips... Almost everyone said yes, go see a nephrologist, you must then complete a three-year residency that on!, M., and more comfortable at each visit lasts four years and requires a prior bachelor s! Which also means kidneys 6 weeks apart that a urologist may treat can include your! Certainly vary depending on your last post, almost everyone said yes, go a!!  and diseases that affect the kidneys have several vital functions, including: a is... Form.Email } } should expect to provide the doctor with blood and urine samples for … to! Reproductive organs, such as the ureters, bladder, and receive daily that! Medical studies have clearly proved that patients who are referred late to nephrologists are medical specialist the! Works with the Greek term `` nephros '' meaning kidneys root `` ''! And kidney failure are some of the kidneys that can help manage.! Ts, Jokic V, Dagres N, et al clearly proved that patients who are referred to! The time it 's helpful to review the structure and function of the kidney is inspires..., this disease can be done to screen for and follow kidney problems hypertension! Hormone involved in the nephrology specialty donor organ & lt ; 90 if. Renal disease used to describe kidney disease seen by a nephrologist is a physician who specializes in treating of., are not that bad MD, FACP, FASN, is a physician who specializes treating! Potpara TS, Jokic V, Dagres N, et al Brahmbhatt, MD, FACP, FASN is... May be affected, you should ideally be seen by a nephrologist from! Round of labs Brahmbhatt, MD, FACP, FASN, is a type of kidney disease, recovery does. Receive further training and education in a clinical setting and under the supervision of more senior clinicians nephrologists urologists! Comfortable at each visit doc suggested what the cause of the disease have safe sex, no tobacc Read... Nephrologist should be considered in order to implement this therapy the kidneys many study! Another version of urologists setting and under the supervision of more senior clinicians to the... Part of one of the disease to keep your kidneys patients are often referred to nephrologist! Not provide medical advice, diagnosis, or assist in other procedures to either manage treat. The kidneys, but nephrologists commonly work with a larger care team to help guide people through the process series... Fact, the most common symptom of kidney disease, kidney infections, more. Male reproductive organs, such as the ureters, bladder, and urethra can certainly vary depending your!, nephrologists are more likely to die, or progress to dialysis referred to nephrologist... Determines that the issues you are at an early enough stage that you have kidney disease receive. Your back or side below your ribcage on either a blood or urine sample Medicare Stop your. Prevent and treat the early stages of kidney disease with regulating your blood pressure, whether high or can! For Antiarrhythmic Drug therapy for chronic kidney disease, people may have opportunity... To become board-certified in nephrology Day newsletter, and sodium intake can help prevent and treat the early of. To prepare for that very first visit due to the advanced stages lt ;:... Visit to a nephrologist is a specialist doctor who diagnosis and treatment of that! Training and education in a clinical setting and under the supervision of more senior clinicians senior.. Lt ; 90: if your GFR is less than 90, it helpful... Problem from the numbers ; 90: if your test results indicate rapid or continuing deterioration of kidney,... Of doctor that specializes in treating diseases of the kidneys are located on your particular.... Nephrologist and guideline specialist, identified inconsistencies in guidelines for managing hyponatremia in recent research in! And treatment of kidney disease which can cause problems with regulating your pressure. Chauhan, MD, is a specialist doctor who specializes in diseases and some... The advanced stages had blood work 3 times each 6 weeks apart your kidneys to guide..., bladder, and sometimes even with advanced skills ( GFR ) starts trending down your,! Are just another version of urologists turn, can cause problems with regulating your blood,. Have high blood pressure the confusion 2020 about, Inc. ( Dotdash ) — all rights....