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Gerald C. Groggel, MD
I need to know what symptoms can occur with chronic kidney disease, or CKD, since it runs in my family. How can I be certain about whether I have CKD?
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Gerald C. Groggel, MD answered:
Chronic kidney disease is often a disease without symptoms until very late in the course of the illness. People with chronic kidney disease or CKD will not have any warning signs except possibly having elevated blood pressure or swelling of the legs and feet. The only way to identify chronic kidney disease is with a blood or urine test. The blood test is a measurement of serum creatinine that measures kidney function. As the kidneys start to fail, the serum creatinine increases. The urine test checks for the presence of protein or blood in the urine. Protein in the urine in particular is a marker of kidney disease. In fact, protein in the urine is more important as a marker for progressive kidney disease than is an elevated serum creatinine. To screen for chronic kidney disease, blood pressure should also be measured. A blood pressure reading of greater than 140/90 is elevated.

People at risk for chronic kidney disease include anyone with hypertension or diabetes mellitus. Anyone with these conditions should be screened annually for chronic kidney disease. Other persons at risk for chronic kidney disease include those with a family history of chronic kidney disease, a history of kidney stones or frequent urinary tract infections, and possibly persons with cardiovascular (heart) disease. Diabetes mellitus and high blood pressure account for about 75% of all chronic kidney disease. If you have any of these risk factors, you should ask your healthcare provider about screening for chronic kidney disease with blood and urine tests.
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Nephrology

TREATMENT FOR CHRONIC KIDNEY DISEASE

Care for chronic kidney disease patients and post-transplant patients is available at Bozeman Deaconess. Nephrologists Gerald Groggel, MD, and Cindy Sharp, MD, specializes in treating chronic kidney disease,...
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ASK, ANSWER, LEARN

I NEED TO KNOW WHAT SYMPTOMS CAN OCCUR WITH CHRONIC KIDNEY DISEASE, OR CKD, SINCE IT RUNS IN MY FAMILY. HOW CAN I BE CERTAIN ABOUT WHETHER I HAVE...
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Gerald C. Groggel, MD
GERALD C. GROGGEL, MD ANSWERED:
Chronic kidney disease is often a disease without symptoms until very late in the course of the illness. People with chronic kidney disease or CKD will not have any warning signs except possibly having elevated blood pressure or swelling of the legs and feet. The only way to identify chronic kidney disease is with a blood or urine test. The blood test is a measurement of serum creatinine that measures kidney function. As the kidneys start to fail, the serum creatinine increases. The urine test checks...
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WHAT IS NEPHROLOGY?
- Tony
Gerald C. Groggel, MD
GERALD C. GROGGEL, MD ANSWERED:
Nephrology is the subspecialty of internal medicine devoted to the study, diagnosis and treatment of kidney disease. Inside each kidney 1,000,000 tiny structures called nephrons filter blood. They remove waste products and extra water from the body, which become urine. Damage to the nephrons results in kidney disease. At Bozeman Deaconess Nephrology I treat acute kidney disease and chronic kidney disease, particularly diabetic nephropathy. I have a special interest in immunological injury in the kidney, difficult to control hypertension and various forms of autoimmune kidney diseases....
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