Renal

The Centers for Disease Control and Prevention estimates 15% of US adults or 37 million people, have kidney or renal disease, with 9 in 10 adults having kidney disease but not knowing they have it. Kidney disease occurs when the functioning capabilities of the kidneys are compromised. Kidney issues can lead to symptoms such as blood in urine, painful urination, frequent urge to urinate, and problems initiating a void.

Renal testing provides information on how well the kidneys are performing, and determining potential for kidney-related illness conditions. The kidneys are important in filtering and eliminating waste materials, and critical in supporting blood pressure, in red blood cell production, and for bone health. Some chronic health conditions such as diabetes and hypertension can impact the effectiveness of kidney function, and renal tests can help monitor their progression.

What do renal tests measure?

Renal tests are performed to determine the status of the kidneys and their functioning capability for example by assessing blood for certain waste products like nitrogen and creatinine, or urine for blood and proteins. 

Here are some renal tests using blood and urine sample available on Rupa:

• Access Medical Labs' Creatinine: A blood sample is analyzed for creatinine and glomerular filtration rate to assess kidney function.
• Access medical Labs' Microalbumin, 24 Hour Urine: A urine sample is analyzed for microalbumin, which is useful for early screening of renal disease in high risk patients. 

Depending on the results from the renal tests, the physical examination, and the health and family history, some additional tests such as a metabolic panel or diabetic testing can be helpful. An ultrasound or biopsy may also be needed. 

Treatment Plans

Where possible, early diagnosis of a kidney issue is optimal so as to be able to promptly initiate treatment, and potentially prevent serious complications and harm to other organ systems. Some treatment plans can include:

• Diet changes to limit protein, sodium, phosphorus, and potassium 
• Increase intake of fruits and vegetables but limit those high in phosphorus and potassium such as bananas and oranges
• Monitor and limit fluid intake
• Avoid herbal supplements that can further impair kidney function and those that contain potassium and phosphorus
• Certain supplements can be beneficial such as omega-3 fatty acids, vitaminD and probiotics
• Regular exercise
• Stress reduction