Kidney disease can progress for years without symptoms, which is why people with diabetes or high blood pressure are checked regularly. Later signs include swelling of the feet or face, reduced urine, foamy urine, tiredness and loss of appetite. Urine tests, blood creatinine and an ultrasound show how well the kidneys are working. Protecting the kidneys depends on controlling blood pressure and blood sugar and on avoiding painkillers taken without medical advice. Apex has a dedicated nephrology department for patients who need specialist kidney care.
Kidney function can decline despite good care, and advanced disease may need dialysis. The nephrology team discusses these options carefully.
Care in this subspecialty includes:
