Understanding Chronic Kidney Diseases (CKD)

Let me deal with the elephant in the room first. CKD does not mean dialysis is coming. The whole idea of talking about and fixing CKD is to avoid dialysis. Now let's talk CKD

Lets deal with CKD

Chronic kidney disease means the kidneys are damaged or not filtering blood as well as they should—and the problem is ongoing. Many people feel fine in the early stages, which is why lab tests matter.

What kidneys do
Healthy kidneys remove waste and extra fluid, help control blood pressure, support bone health, and help make red blood cells. When kidney function declines, these jobs get harder over time.

How do we evaluate

Your history, blood test (check for GFR and other functions of kidneys), urine test (specifically looking for blood or protein in urine) and imaging test (ultrasound or CT scan)

CKD is often staged by eGFR
Your care team may talk about stages based on estimated glomerular filtration rate (eGFR)—a number from blood work that reflects how well the kidneys are filtering.

• Stage 1–2: Mild decrease or early damage; focus on protecting remaining function
• Stage 3: Moderate decrease; closer monitoring and treatment of complications
• Stage 4: Severe decrease; planning for future options becomes important
• Stage 5: Kidney failure or very low function; dialysis or transplant may be discussed

Your stage is only one part of the picture. The cause of disease, urine findings, blood pressure, and overall health all guide the plan.

Common causes
• Diabetes
• High blood pressure
• Glomerular (filter) diseases
• Inherited conditions
• Long-term medication effects or repeated kidney injury

Symptoms (often late)
Early CKD may have no symptoms. Later, some people notice fatigue, swelling in legs or around the eyes, changes in urination, nausea, itching, or trouble concentrating. Don’t wait for symptoms if your labs are abnormal—early care can help.

What you can do
• Keep regular follow-up and lab checks
• Control blood pressure and blood sugar when those are issues
• Review all medications and supplements with your doctor
• Follow nutrition guidance tailored to your stage and labs
• Avoid smoking and manage weight when possible

When to see a nephrologist
Referral is often appropriate for reduced eGFR, protein in the urine, hard-to-control blood pressure, or rapid change in kidney function. A nephrologist helps confirm the cause, slow progression when possible, and plan ahead.

At DFW Kidney Care Clinic
The team provides evaluation and ongoing care for CKD across the DFW metroplex—clear explanations, practical plans, and coordination with your other doctors.

Next step
Call 817-912-5900 to schedule a consult, or ask your primary doctor for a referral.