Q&A with a Nephrologist: How will CKD impact my life?

Divya Tripathi

, Health A2Z



A nephrologist is a specialist doctor who specializes in treating all type of kidney diseases. 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. Although your physician will work to help prevent and treat early stages of kidney problem, a nephrologist may be called to diagnose and treat more severe or complex kidney conditions. So, let’s continue to explore some Q&A with a Nephrologist to discuss your kidney disease.


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Q&A with a Nephrologist:



Here we have some Q&A with a Nephrologist to understand the complexity of your kidney disease:



Q: What are the warning signs of chronic kidney disease?


A: Most people have no symptoms until the chronic kidney disease is advanced. If you wait until you have symptoms to be tested, you’ve waited too long. Signs of advancing chronic kidney disease include swollen ankles, fatigue, difficulty concentrating, decreased appetite, blood in the urine and foamy urine.




Q: I am newly diagnosed with kidney disease and am quite fearful. What are the most important things I can do to stop the progression of the disease?



A: The two most common causes of kidney disease are diabetes and high blood pressure. If you have either of those conditions, it is important to keep them under control to stop or slow the progression of kidney disease. Taking prescribed medicines, exercising regularly and eating healthy are great ways to manage diabetes and high blood pressure. Adding mindful and stress-reducing activities, such as meditation or yoga, to your daily routine could also help lower your blood pressure.



It is important to talk to all your doctors about your kidney disease, not just your nephrologist. This will help make sure any medicines or tests your other doctors are prescribing will not further damage your kidneys.



Q: Will CKD prevent me from being active?



A: Many people with the early stages of kidney disease feel no symptoms, which means it should not affect your lifestyle or impact the activities you do. Your doctor will likely recommend that you stay active, or take up new activities if you are more sedentary. You can start off with small steps to become more active if you are not already, including:


  • Park farther away in parking lots to get in a few extra steps.


  • Take your dog out for longer or more frequent walks.


  • Play with your children or grandchildren.


  • Take the stairs instead of the elevator. Even walking up one or two flights of steps and taking the elevator the rest of the way can be helpful.


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Q: What questions should I be asking a nephrologist during my visit?



Asking questions about your kidney health can empower you to be more engaged in your care. Bringing a checklist of questions to your next appointment can help you remember what to ask. Some suggested questions include:


  1. What caused my kidney disease and how can I prevent that underlying cause from getting worse?
  2. What is my eGFR and how much protein is in my urine? What do these results mean?
  3. What can I do to improve my kidney function?
  4. Can any of the over-the-counter medicines I am taking harm my kidneys?
  5. How can I make my treatments better fit my lifestyle?



Q: If I do not stick to my recommended dialysis schedule and kidney-friendly foods, will that impact my health?


A: Not following your dialysis treatment schedule means your blood is not getting cleaned of toxins as it should be. This could be harmful to your heart, brain, and overall lifespan. You can work with your care team to figure out ways to get the treatment you need.


Eating kidney-friendly foods can be challenging for many people, but not sticking to your doctor’s and dietitian’s recommendations can cause buildups of nutrients in your blood. Too much potassium could cause heart attacks, while too much phosphorus could cause heart and bone disease. You can try keeping a food diary to document what you are eating and highlight your favorite foods. You can also check out the recipes, tips, and tricks in the American Kidney Fund’s new Kidney Kitchen, a one-stop-shop for people who want to take charge of eating healthy with kidney disease.






A nephrologist is a doctor who treats your kidney diseases or dysfunction. Here, we discussed some Q&A with a Nephrologist, which can help you to manage the health of your kidneys.


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