Know Your Kidney Tests

Functions of Kidney

The kidneys play a vital role in maintaining our health. One of the most important job, is filtering waste materials from the blood and expel them from the body as urine. They also help control the levels of water and various essential minerals in the body. In addition, they play an important role in the production of vitamin D, red blood cells and hormones that regulate blood pressure

Symptoms of kidney problems

If  one has, anyone of these symptoms it might indicate some problem with the kidneys :

  • high blood pressure
  • blood in the urine
  • frequent urges to urinate
  • difficulty beginning urination
  • painful urination
  • swelling of the hands and feet due to a buildup of fluids in the body

A single symptom may not mean something serious. However, when occurring simultaneously, these symptoms suggest that your kidneys aren’t working properly. Kidney function tests can help determine the reason.

Types Of Tests for Kidney Problems

Blood Tests

Serum Creatinine

Creatinine is a waste product that comes from the normal wear and tear on muscles of the body. Creatinine levels in the blood can vary depending on age, race and body size. A creatinine level of greater than 1.2 for women and greater than 1.4 for men may be an early sign that the kidneys are not working properly. As kidney disease progresses, the level of creatinine in the blood rises

Glomerular Filtration Rate(GFR)

This test is a measure of how well the kidneys are removing wastes and excess fluid from the blood. It is calculated from the serum creatinine level using age and gender. Normal GFR can vary according to age (as you get older it can decrease). The normal value for GFR is 90 or above. A GFR below 60 is a sign that the kidneys are not working properly. Once the GFR decreases below 15, one is at high risk for needing treatment for kidney failure, such as dialysis or a kidney transplant

Blood Urea Nitrogen (BUN)

Urea nitrogen comes from the breakdown of protein in the foods you eat. A normal BUN level is between 7 and 20. As kidney function decreases, the BUN level rises.

Imaging Tests

Ultra Sound

This test uses sound waves to get a picture of the kidney. It may be used to look for abnormalities in size or position of the kidneys or for obstructions such as stones or tumors.

CT Scan

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This imaging technique uses X-rays to picture the kidneys. It may also be used to look for structural abnormalities and the presence of obstructions.  This test may require the use of intravenous contrast dye which can be of concern for those with kidney disease.       .

Kidney Biopsy

A biopsy may be done occasionally for one of the following reasons:

  • to identify a specific disease process and determine whether it will respond to treatment
  • to evaluate the amount of damage that has occurred in the kidney
  • to find out why a kidney transplant may not be doing well

A kidney biopsy is performed by using a thin needle with a sharp cutting edge to slice small pieces of kidney tissue for examination under a microscope.

Urine Tests

Some urine tests require only a couple tablespoons of urine. Other tests require collection of all urine produced for a full 24 hours. A 24-hour urine test shows how much urine your kidneys produce, can give an more accurate measurement of how well your kidney are working and how much protein leaks from the kidney into the urine in one day.

Urinalysis

Includes microscopic examination of a urine sample as well as a dipstick test. The dipstick is a chemically treated strip, which is dipped into a urine sample. The strip changes color in the presence of abnormalities such as excess amounts of protein, blood, pus, bacteria and sugar. A urinalysis can help to detect a variety of kidney and urinary tract disorders, including chronic kidney disease, diabetes, bladder infections and kidney stones.

Urine Protein

This may be done as part of a urinalysis or by a separate dipstick test. An excess amount of protein in the urine is called proteinuria (pro-TEEN-yu-ree-uh). A positive dipstick test (1+ or greater) should be confirmed using a more specific dipstick test such as an albumin specific dipstick or a quantitative measurement such as an albumin-to-creatinine ratio

Microalbuminuria

This is a more sensitive dipstick test which can detect a tiny amount of protein called albumin in the urine. People who have an increased risk of developing kidney disease, such as those with diabetes or high blood pressure, should have this test or an albumin-to-creatinine ratio if their standard dipstick test for proteinuria is negative.

Creatinine Clearance

Creatinine is a waste product that comes from the normal wear and tear on muscles of the body.  Creatinine clearance test compares the creatinine in a 24-hour sample of urine to the creatinine level in your blood to show how much waste products the kidneys are filtering out each minute.

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All such tests are available with Mahi Diagnostic,Opp Picadily Hotel,Kanpur Road,Alambagh, Lucknow. For any query pl call on 0522 4074409

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