Everything You Should Ask Your Nephrologist

March 29, 2025
Everything You Should Ask Your Nephrologist

If you’re visiting a nephrologist for the first time or have already been diagnosed with chronic kidney disease, it’s crucial to ask the right questions to ensure you fully understand your condition and the available treatment options. To help you get the most out of your visit, we’ve compiled a list of essential questions that can guide your conversation with your kidney doctor, giving you the information you need to make informed healthcare decisions.

What to Ask Your Nephrologist During Your Kidney Care Visits

1. Why am I being referred to a nephrologist?

It’s important to understand why your primary care provider has referred you to a nephrologist. Whether it’s due to abnormal lab results or a family history of kidney disease, knowing the reason for your referral will help you better understand your condition and what to expect from the appointment.

2. What are the signs that my kidneys may be in trouble?

Kidney disease can progress without noticeable symptoms, which is why it’s important to ask about potential signs of kidney trouble. Understanding the symptoms to look for, such as swelling, fatigue, or changes in urination, can help you catch problems early and manage them effectively.

3. What is creatinine, and why is it important?

Creatinine is a waste product produced by your muscles, and its levels in the blood are often used as an indicator of kidney function. Ask your nephrologist to explain how your creatinine levels are relevant to your health and what they indicate about your kidney function. Typically, the normal range for creatinine in blood is:

  • Men: 0.6 to 1.2 milligrams per deciliter (mg/dL)
  • Women: 0.5 to 1.1 mg/dL

Higher-than-normal levels of creatinine can be a sign that your kidneys are not filtering waste effectively, indicating impaired kidney function.

4. Do I need a biopsy?

In some cases, a biopsy may be necessary to determine the cause of kidney disease and assess the level of damage. If your doctor recommends a biopsy, ask why it’s needed, what the procedure involves, and what risks are associated with it.

5. What is a biopsy, and what are the risks?

If a biopsy is recommended, it’s important to understand the procedure and its potential risks. A biopsy involves taking a small tissue sample from the kidney for analysis. While generally safe, there are risks such as bleeding or infection, and your nephrologist will be able to explain these in more detail.

6. What stage of kidney failure am I in?

Kidney disease is classified into stages based on kidney function, with stage 1 being the mildest and stage 5 indicating kidney failure. Understanding your stage will help you and your doctor determine the most appropriate treatment plan and provide a clearer picture of what to expect in the future.

7. How did I develop this disease? What causes kidney failure?

Kidney disease can result from various factors, including diabetes, hypertension, infections, or genetics. Ask your nephrologist to explain the specific cause of your condition and how it developed, as this can help you understand the disease and take steps to prevent further damage.

8. Can this condition be reversed?

While kidney disease can be managed, it is often not reversible, especially in advanced stages. However, early-stage kidney disease can sometimes be slowed or halted through lifestyle changes, medication, or other treatments. Ask your nephrologist if reversal is possible in your case and what options are available to help preserve your kidney function.

9. What are my treatment options?

There are several treatment options for kidney disease, including medication, dialysis, and kidney transplant. Ask your nephrologist about the different options available to you and how they can help manage your condition. Understanding your choices will empower you to make decisions that align with your health goals.

10. What is dialysis?

Dialysis is a treatment that mimics the functions of the kidneys when they can no longer perform their job effectively. It helps remove waste and excess fluids from the blood. Ask your nephrologist to explain how dialysis works, the different types available (such as hemodialysis and peritoneal dialysis), and what you can expect if it becomes necessary.

11. Is a kidney transplant an option for me?

If you’re in the later stages of kidney disease, a transplant may be a viable option. A kidney transplant can significantly improve the quality of life for patients with kidney failure. Ask your nephrologist if a transplant is suitable for you, how the process works, and what the chances are of receiving a transplant.

Doctor’s visits can be overwhelming, especially when discussing a complex condition like kidney disease. If possible, bring a loved one or caregiver with you to the appointment. They can take notes, help you remember important information, and ensure all your questions are answered. At Dallas Renal Group, our physicians are committed to spending time with each patient to listen to concerns, answer questions, and collaborate on the best course of action for your treatment plan.

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Consultation

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Our nephrology team meets with you to understand your medical history, current kidney condition, and health goals.

Customized Care Plan

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We prepare an individualized kidney care plan based on your specific diagnosis and treatment needs.

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We coordinate the necessary resources—medications, equipment, and support services to ensure effective renal care delivery.