WKD imagemap WKD
images/165_01.jpg

FAQ

What are the kidneys?

What do kidneys do?

Tell me about specific kidney diseases

What is Chronic Kidney Disease?

How common is CKD?

How can Chronic Kidney Disease be discovered in good time?

What are the tests for Kidney Disease?

What do the eGFR tests mean?

What causes Kidney Disease?

Am I at risk?

What can be done about Chronic Kidney Disease

What is Kidney Failure?

What is dialysis?

 
 

What are the kidneys?

The kidneys are a "matched" pair of bean-shaped organs located at the back of the abdomen (behind the liver and intestines) in the small of the back on either side of the spine. Each is 11-14 cms (5-6 inches) long.

Read more on EdREN, the website of the Renal Unit of the Royal Infirmary of Edinburgh.

 

What do kidneys do?

Healthy kidneys do a number of important things. They remove wastes and toxins from the body by filtering the blood, and by varying the amount of urine passed (depending on how much we drink) the kidneys make sure the body retains the right amount of water.

Read more on The National Institute of Diabetes and Digestive and Kidney Diseases website

 

Tell me about specific kidney diseases

Click here to find out about some more common kidney disease areas on Kidney Research UK website

 

What is Chronic Kidney Disease?

Chronic Kidney Disease (CKD) is a phrase that embraces the majority of renal conditions. It can be thought of as a thief that works quietly at night, without creating any disturbance. CKD is quite often found by accident when doctor carries out tests to investigate something else - say a routine employment medical screening and then discovers signs of kidney disease at early or moderate stage.

Read more on Kidney Research UK website

 

How common is CKD?

Recent research suggests that the lives of over 3 million people in the UK today are under threat from chronic kidney disease.

Read more

 

How can Chronic Kidney Disease be discovered in good time?

Because early CKD is usually silent, it has to be specifically looked for in patients at increased risk (see below). A small proportion of people may have symptoms such as recurrent urinary infections, marked ankle swelling or blood in the urine. These symptoms should be drawn to your GPs attention.

 

What are the tests for Kidney Disease?

Both blood and urine tests are used to diagnose kidney disease. A fresh sample of urine can be tested with a dipstick to show if it contains blood or protein, either of which might indicate kidney disease. Blood can be tested to measure how the kidneys are managing to filter out waste products. The result is expressed as eGFR (estimated glomerular filtration rate) which is an approximation of percentage of normal function.

 

What do the eGFR tests mean?

There are 5 categories of CKD, called stages.

Stage 1
Kidney damage with normal or high eGFR

This covers people with problems such as protein in the urine whose eGFR is normal (90%)
Action: see What can be done about CKD in these FAQ

Stage 2
Kidney damage and mild decrease in eGFR

This covers people with problems such as protein in the urine whose eGFR is 60-90%
Action: see What can be done about CKD in these FAQ

Stage 3
Moderate decrease in eGFR

eGFR 30-59% means the kidneys are not working so well
Action: see What can be done about CKD in these FAQ

Stage 4
Severe decrease in eGFR

eGFR 15-29% means more marked kidney changes
Action: More frequent checks needed. Explain dialysis and transplant options.

Stage 5
Established renal failure (ERF)

eGFR less than 15% means approaching need for dialysis
Action: More frequent checks needed. May need to start dialysis or have a transplant

 

What causes Kidney Disease?

The commonest causes are high blood pressure and diabetes. In both of these it usually takes many years before the kidneys become affected. It is more common if the blood pressure or the diabetes hasn’t been as well controlled as it should be. Other less common conditions are caused by inflammation (glomerulonephritis) or infection (pyelonephritis). Sometimes kidney disease is inherited (polycystic disease) or the result of longstanding blockage (such as enlarged prostate or kidney stones). Some drugs can cause kidney diseases, especially some pain-killing drugs (analgesics) if taken over a long time. Often it isn’t possible to say what has caused the problem.

Read more on The National Institute of Diabetes and Digestive and Kidney Diseases website

 

Am I at risk?

Although anyone can develop CKD, there are few things that can increase your risk:

  • Diabetes
  • High blood pressure
  • Vascular disease (e.g. previous heart attack, poor circulation in your legs, aortic aneurism or a history of stroke)
  • Family history of kidney disease
  • South Asian or African-Caribbean ethnic background

If you are concerned about your risk of CKD, talk to your doctor or health care professional. It could save your life

 

What can be done about Chronic Kidney Disease?

What can I do to help myself?

  • Look after your blood vessels: don’t smoke and avoid getting overweight. Ask your GP about the need for regular monitoring of blood pressure and cholesterol.
  • If you are diabetic ensure that your sugar control, cholesterol, blood pressure and urine are regularly checked. It’s down to you.
  • If you are on treatment for high blood pressure, ensure your kidneys are checked out with regular blood and urine testing at your GP surgery.

 

What is Kidney Failure?

Kidney failure is where the kidneys are less able to remove toxic wastes and remove excess water. Read more on National Kidney Federation website

 

What is dialysis?

Dialysis is the removal of body wastes and water from the blood. There are two types: haemodialysis (HD) and peritoneal dialysis (PD).

Read more on Kidney Patient Guide website.