Which specialist treats chronic kidney disease?

A nephrologist is a doctor who focuses on kidney function, urine changes, blood pressure and complications linked with reduced kidney function. Your GP can arrange initial blood and urine checks, review medicines and monitor related conditions such as hypertension or type 2 diabetes. Referral to a nephrologist depends on the pattern and persistence of your results, symptoms, and the level of kidney support needed. A kidney specialist may discuss ways to protect remaining function and plan care if kidney function changes further.

Start with a GP consultation if kidney disease has been mentioned, or if you have swelling, unusual tiredness, muscle cramps, excessive thirst or changes in urination. Bring your medicine list and any previous blood pressure, blood or urine results. Do not stop prescribed medicines or make major diet changes without clinical advice. Your GP can explain whether you need a nephrology referral and which tests should be repeated.

Seek urgent medical help for severe breathlessness, chest pain, confusion, fainting, very little urine, or rapidly worsening swelling. These symptoms can have several causes and need prompt assessment rather than waiting for a routine kidney appointment. Contact your clinician soon if vomiting, marked weakness or persistent changes in urination develop.

Ask which results suggest chronic kidney disease, whether a nephrologist should review you, how often kidney function and urine should be checked, and which medicines or over-the-counter products need caution. You can also ask how hypertension, diabetes or swelling may affect your care.