In order to receive the most productive consultation, we offer several tips:

• take the results of laboratory-instrumental examinations with you;
• make a list of symptoms and complaints, as well as medicines and drugs that you take on a regular basis;
• if you plan to undergo additional examinations, come on an empty stomach;
• if available, take your medical documentation with you (excerpts, examination results, conclusions of related specialists);
• think and prepare a list of questions that you want to discuss with the doctor and get answers. 

Chronic kidney disease (CKD) is a disease that lasts more than 3 months and is accompanied by deterioration of kidney function.

The causes of the development of CKD are quite diverse: diabetes, hypertension, glomerulonephritis, rheumatological diseases, and others. But whatever the reason for the development of CKD, the process of loss of kidney function is always accompanied by the death of the structural parts of the kidney - nephrons.

Most people do not experience symptoms of CKD, but they may gradually develop:

• increased fatigue and general weakness;
• deterioration of appetite, nausea;
• difficulty concentrating, memory problems;
• swelling of the lower or upper extremities (especially in the morning);
• swelling around the eyes, swelling of the face (especially in the morning);
• dry and itchy skin;
• frequent urges to urinate, especially at night.

In the absence of adequate treatment and monitoring of CKD, rapid progression of the disease may occur, leading to the need for treatment with dialysis techniques or kidney transplantation.

• people diagnosed with diabetes;
• people with high blood pressure;
• people who have relatives in the family who have CKD;
• people with urolithiasis;
• people with gout and other rheumatological diseases;
• people with congenital kidney abnormalities;
• people with polycystic kidney disease;
• overweight people;
• elderly persons over 60 years old;
• patients who have suffered acute kidney injury;
• patients with oncological diseases receiving chemotherapy;
• patients with frequent exacerbations of chronic tonsillitis

 If you understand that you are in a high-risk group, you should contact a nephrologist for examinations:

• urine analysis to determine the content of microalbumin (protein is an important component of the body, so normally the kidneys retain all the filtered protein in the body. When the kidneys are damaged, different amounts of protein can enter the urine, which is an early sign of kidney damage);
• biochemical blood analysis to determine the level of creatinine - a product of the body's vital activity, which is formed during muscle work. The level of creatinine in the blood is quite stable, but its concentration in the blood can increase when the kidneys are damaged. Glomerular filtration rate (GFR) is calculated based on blood creatinine level;
• blood pressure measurement.

Yes, you can. For this, you need to follow several rules:

• undergo regular preventive examinations at your family doctor;
• control the level of blood pressure;
• normalize body weight;
• regularly perform physical exercises;
• adhere to the recommended diet with restriction of salt and animal protein;
• minimize the use of alcoholic beverages;
• give up smoking;
• according to the doctor's prescription, in the presence of diabetes or arterial hypertension, constantly take drugs.

Nephrology is our profile, our area of expertise. The clinic is equipped with the most modern high-precision diagnostic equipment of leading manufacturers. We provide comprehensive treatment of diseases of the kidneys and genitourinary system based on protocols and modern practices, because our experts not only regularly participate in world professional congresses and conferences, but also report, teach and share experience.