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Kidney Diagnostic Tests: Essential Screenings

24 October, 2024

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Kidneys play a crucial role in maintaining overall health by filtering waste and excess fluids from the blood, regulating blood pressure, and balancing electrolytes. Given their vital functions, monitoring kidney health is essential. Kidney diagnostic tests are essential tools for detecting early signs of kidney issues, ensuring timely intervention, and preventing the progression of kidney disease.

 

The Importance of Kidney Diagnostic Tests

Kidney disease often progresses silently. Most individuals don't experience noticeable symptoms until the kidneys are significantly damaged. Regular tests are crucial for early detection, especially for those with risk factors like diabetes, hypertension, or a family history of kidney disease. Early diagnosis through these tests can prevent severe complications, including kidney failure, and improve overall health outcomes.

 

Incorporating kidney screenings into your medical or body health checkup routine can help ensure that any kidney issues are identified early and managed properly.

 

Common Kidney Diagnostic Tests

Several tests are designed to evaluate kidney function. These tests assess how well your kidneys work and detect structural abnormalities.

 

1. Blood Urea Nitrogen (BUN) Test

The BUN test measures the amount of urea nitrogen in your blood. Urea is a waste product created by the liver when proteins are broken down. The kidneys normally remove urea, so high levels of BUN may indicate that your kidneys are not functioning properly.

 

Elevated BUN levels can be a sign of:

  • Kidney disease or failure

  • Dehydration
  • Liver disease
  • Blockage of the urinary tract

 

A BUN test is typically included in comprehensive tests and medical health checkups.

 

2. Serum Creatinine Test

Creatinine is another waste product generated by muscle metabolism. The kidneys filter creatinine from the blood, so measuring the creatinine levels in your blood is a simple way to evaluate kidney function.

 

If the kidneys are damaged or not functioning efficiently, creatinine levels rise in the blood. The serum creatinine test is one of the most reliable indicators of kidney function. It is often combined with other tests to calculate the estimated glomerular filtration rate (eGFR), a more detailed measure of how well your kidneys are filtering waste.

 

3. Estimated Glomerular Filtration Rate (eGFR)

The eGFR is a calculated value based on serum creatinine levels, age, and gender. It gives a clear picture of how well the kidneys are filtering blood. A low eGFR indicates poor kidney function, and it is often used to classify the stages of chronic kidney disease (CKD).

  • An eGFR above 90 is considered normal.

  • An eGFR between 60 and 89 may indicate early-stage kidney damage.
  • An eGFR below 60 for over three months is a sign of CKD.

 

The eGFR is an essential part of regular tests and is crucial for identifying chronic kidney disease early.

 

4. Urine Albumin-to-Creatinine Ratio (UACR)

Protein in the urine can be an early sign of kidney damage. The urine albumin-to-creatinine ratio (UACR) measures the amount of albumin (a type of protein) compared to creatinine. Normally, the kidneys prevent albumin from entering the urine, but damaged kidneys may allow it to pass through.

 

A high UACR result indicates that your kidneys leak protein into the urine, which can be a sign of kidney disease. This test is particularly important for people with diabetes or high blood pressure.

 

5. Urine Analysis

A urine analysis is a simple, non-invasive test that examines the appearance, concentration, and content of urine. It can reveal a lot about kidney function and overall health. The test can detect:

 

  • Blood in the urine

  • Protein in the urine
  • Signs of infection
  • Abnormal pH levels

 

A urine analysis can analyse these factors and help detect early signs of kidney disease, urinary tract infections, and other kidney-related problems.

 

6. Imaging Tests (Ultrasound, CT Scan, MRI)

While blood and urine tests assess how well the kidneys function, imaging tests can provide detailed pictures of the kidney's structure. These imaging tests include:

 

  • Ultrasound: A kidney ultrasound uses sound waves to produce images of the kidneys and can help detect blockages, cysts, or tumours.

  • CT Scan: A more detailed imaging test showing structural abnormalities, kidney stones, and infections.
  • MRI: This test offers high-resolution images of the kidneys and surrounding structures, and it is often used to evaluate complex cases.

 

Imaging tests are often recommended if blood and urine tests suggest a problem or if a patient is experiencing symptoms like pain or abnormal swelling in the kidney area.

 

When Should You Consider Kidney Diagnostic Tests?

Regular kidney diagnostic tests are not just for people with existing conditions. Here are a few scenarios where kidney tests should be part of your body health checkup:

 

1. For Those with High Blood Pressure or Diabetes

Both diabetes and hypertension are leading causes of kidney disease. If you have either condition, regular kidney tests are critical to monitor your kidneys' functioning and catch any signs of damage early.

 

2. For People Over 60

As we age, kidney function naturally declines. People over 60 should include kidney diagnostic tests in their routine medical health checkups to ensure that any potential issues are addressed before they progress.

 

3. If You Have a Family History of Kidney Disease

Genetic factors can increase your risk of developing kidney disease. If kidney disease runs in your family, it's essential to have regular kidney screenings.

 

4. If You Have a History of Frequent Urinary Tract Infections (UTIs)

Frequent or untreated UTIs can lead to kidney infections and damage. Regular urine tests can help monitor your kidney health if you have a history of UTIs.

 

5. If You are Experiencing Symptoms of Kidney Disease

If you are experiencing symptoms such as swelling in the legs, feet, or face, fatigue, or changes in urination frequency or colour, consult a doctor and consider the tests as part of your assessment.

 

Conclusion

Kidney diagnostic tests are crucial to maintaining kidney health, especially in India, where conditions like diabetes and hypertension are prevalent. Regular medical or body health checkups that include kidney screenings can help detect kidney issues early and prevent severe complications like kidney failure.

 

By incorporating essential tests such as BUN, serum creatinine, eGFR, UACR, urine analysis, and imaging tests into your routine health checkups, you can take proactive steps to maintain your kidney health. Whether you have risk factors like high blood pressure, diabetes, or a family history of kidney disease, staying vigilant with regular tests is key to preserving your overall well-being.

 

If you haven't had your kidneys checked recently, it's time to schedule a medical health checkup that includes a comprehensive assessment of your kidney function without spending a penny with the help of an ideal medical insurance plan from the Best Health Insurance Company  Niva Bupa. Don’t have a medical insurance plans yet? Reach out to them today. 

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