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Reasons to get
kidney function checked.
The kidneys filter about 180 litres of blood every day, control blood pressure, regulate electrolytes, produce hormones for red blood cell production, and activate vitamin D. When kidney function declines, many of these processes go silently wrong before symptoms appear.
You should see a nephrologist if you have:
- Elevated creatinine on routine blood tests
- Reduced eGFR (estimated Glomerular Filtration Rate) below 60
- Protein in urine (proteinuria) — visible as foamy urine
- Blood in urine that is not from a stone or UTI
- Long-standing diabetes (more than 5 years)
- Hypertension that is difficult to control
- Swelling in legs, face, or around eyes
- Persistent fatigue with no obvious cause
- Family history of kidney disease
- Recurrent UTI affecting kidney function
From early detection
to advanced care.
Chronic Kidney Disease (CKD)
Stage 1–5 CKD management. Slow progression through blood pressure control, glucose control, dietary advice, and medication where indicated.
Diabetic Nephropathy
Diabetes-related kidney damage. Early detection via microalbuminuria testing. Targeted treatment can dramatically slow progression.
Hypertensive Nephrosclerosis
High blood pressure damages kidney filters over years. Strict BP control is the single best treatment.
Acute Kidney Injury (AKI)
Sudden drop in kidney function — from dehydration, drugs, infection, or obstruction. Often reversible if caught quickly.
Glomerulonephritis
Inflammation of kidney filters. Causes protein and blood in urine. May need biopsy and immunosuppressive treatment.
Dialysis & Transplant Planning
When kidney function approaches end-stage, we coordinate dialysis initiation or transplant evaluation.
Standard nephrology
evaluation.
At your first nephrology visit, the standard workup includes:
- Blood: Creatinine, urea, eGFR, electrolytes, complete blood count, calcium, phosphate, albumin, vitamin D, parathyroid hormone
- Urine: Routine microscopy, dipstick, 24-hour urine protein, urine albumin-creatinine ratio (ACR)
- Imaging: Ultrasound KUB to assess kidney size, structure, obstruction
- Diabetes & BP review: HbA1c, ambulatory BP if needed
- Specific tests: Autoimmune screen, hepatitis serology, in selected patients
- Biopsy: Considered in unexplained CKD or rapidly progressive disease
Preserve function.
Delay progression.
Plan ahead.
Slow progression
For early CKD, the right BP target, glucose control, and ACE inhibitors / ARBs can dramatically slow progression over years.
Manage complications
As CKD advances — anaemia, bone disease, acidosis, electrolyte issues — each is treated specifically.
Avoid kidney-harmful drugs
Education about NSAIDs, contrast agents, herbal medications, and over-the-counter supplements that worsen kidney function.
Plan transitions early
Discussion about dialysis modalities and transplant — well before they are urgently needed.
Nephrology consultation pricing.
| Procedure | Starting from |
|---|---|
| Initial nephrology consultation | ₹ [____] |
| Follow-up consultation | ₹ [____] |
| Full CKD workup (blood + urine + imaging) | from ₹ [____] |
| Kidney biopsy (selected cases) | from ₹ [____] |
Cashless treatment with all major insurers.
Most CGHS / ECHS / PSU panels supported. We handle pre-authorisation. Call +91 9509370455.
Nephrology —
your questions.
It depends on the trend, the eGFR, and the context. A single mildly elevated value can be from dehydration. A persistent pattern, especially with eGFR below 60, warrants nephrology evaluation.
Established CKD is generally not fully reversible, but progression can be dramatically slowed — and in early stages, function can sometimes be partially recovered with aggressive treatment of underlying causes.
Most people with mild to moderate CKD never need dialysis. Dialysis becomes necessary when eGFR drops below approximately 15 with symptoms. Slowing progression is the goal.
Avoid NSAIDs (ibuprofen, diclofenac, naproxen, mefenamic acid). Paracetamol is generally safe. Always check before starting any new medication if you have CKD.
Diabetic nephropathy follows a specific pattern — microalbuminuria, proteinuria, falling eGFR. Aggressive glucose and BP control + ACE inhibitor/ARB can preserve function for many years.
Different roles. Urology handles surgical kidney conditions — stones, obstruction, cancer. Nephrology handles medical kidney conditions — CKD, hypertension, diabetic kidney disease. We can refer when needed.
