When Should You See a Nephrologist
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- Опубликовано: 20 мар 2023
- Tune into this episode where Dallas Nephrologist Dr. Michael R. Wiederkehr explains when you might need to see a Nephrologist. Dr. Weiderkehr breaks down what a nephrologist does and which tests might indicate it’s time to see a kidney doctor.
What is a Nephrologist?
Nephrologists treat systemic conditions affecting kidneys, such as diabetes and autoimmune disease, as well as hypertension (high blood pressure) and electrolyte disturbances. They are experts in kidney care.
What is the difference between a Urologist and a Nephrologist?
Urologists and Nephrologists are sometimes confused with each other. Dr. Wiederkehr explains that this is because both doctors deal with the urogenital tract.
Nephrologists aren’t surgeons, but rather Internal Medicine sub specialists, Dr. Wiederkehr says. They are focused on kidney function.
Urologists see patients with kidney tumors, or kidney stones, as well as treat other male issues, such as prostate or erectile dysfunction. They may also help male or female patients who have bladder issues.
Why do I need to see a Nephrologist?
Primary care physicians run routine blood or urine tests. When these results return an abnormal number, it might mean that something is wrong with the kidneys. If this is the case, the primary care doctor refers the patient to a nephrologist.
Dr. Wiederkehr says sometimes there’s a reluctance by patients to see another doctor.
“But there's always a reason why the primary care physician feels that something needs to be seen by a specialist,” he says.
Do I have Kidney Disease if I’m referred to a Nephrologist?
A nephrologist referral does not always mean a kidney disease diagnosis is in your future, Dr. Wiederkehr says.
“Our main purpose is really to find out,” Dr. Wiederkehr says. “And if so, is it something that is more serious, or something that we can just manage periodically with some less close observation?”
Blood pressure, which is closely associated with the kidneys, may need to be regulated. You may also see a nephrologist if you have kidney stones. If this is the case, Dr. Wiederkehr says his goal is to prevent future kidney stone development.
“You may not have kidney disease, it may just be in relation to the kidneys,” Dr. Wiederkehr says. 
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My doctor of 44 years is a board certified Internal medicine doctor and gerontologist. It has been 1 year since he spotted an eGFR issue and he said that he could do most of the treatment and testing in house. (He is a resident at Presbyterian hospital Dallas/ Medical City). I am going for a blood draw and urinalysis next week. If I need to see a specialist I will certainly look you up!!! Brother James Kendall Moore OSB OFS OSC
Very good information. Thank you so much doctor.
Thank you, very nice thought through interview! You both are a team 👏👍😇🙏💕🙏🇺🇸❤️🙏🇺🇸🙏❤️
Very informative well done interview
I had a 7mm stone. my creatinine levels up to 1.9 and after removing the stone my creatinine is now 1.67 and my EGFR level is 49. My just had another blood test 2 weeks after surgery my creatinine and EGFR are still the same. My questions are, now the surgery is fine and my stent is now removed, can I expect my creatinine’s level to go back down and my EGFR to go back up 🔝 to normal? If so, how long will it take approximately?
Simple answer, never would be too soon.
I apologize but all lifetime politicians should take this up
App I have dangerous level of protein in my urine. I'm scared
Same here .did u consult nephrologist?
Creatnin level?
@@barssever53671.2
I have protein in the urine and egfr of 72. My GP just put me on ACE inhibitors assuming it was my BP causing the CKD2. BP was never higher than 140/80, typically 130’s. He won’t refer me to a nephrologist.
And my sugar levels are normal.
What's your age?
IF IT WAS ME, I WOULD MAKE AN APPOINTMENT WITH A NEPROHOLOGIST.
I have too much calcium in my kidney.
I am cash pay, however I have enough cash to pay each visit.