If you would like to discuss your kidney diagnosis with our trained members of staff, ring our free-to-call number. The NKF Helpline is available Monday to Thursday 08:30 am - 5:00 pm Friday 8.30 am – 12.30 pm on 0800 169 09 36 or email [email protected]

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Reasons for Referral to a Nephrologist

You may be referred to a nephrologist - a specialist consultant who diagnoses and manages conditions that affect the function of the kidneys for several reasons. Pre-existing conditions such as diabetes or obesity can increase your risk of kidney disease, prompting early referral. Uncontrolled high blood pressure is another significant reason, as it can damage the kidneys over time. If you experience abnormal blood tests, particularly elevated creatinine levels, this indicates impaired kidney function and necessitates specialist evaluation. A hospital stay related to kidney issues often leads to a referral for ongoing care. 

Preparing for Your First Visit to a Nephrologist

During your first visit to a nephrologist, it’s essential to be well-prepared. The most useful things for patients to bring with them is their medication list and a urine sample (in a clean specimen container from the hospital/chemist/GP surgery).

What to Expect

Expect a thorough physical examination, which may include checking your blood pressure and assessing for signs of fluid retention. The nephrologist may order diagnostic tests such as blood work and urine tests to evaluate kidney function.

Discussion of Treatment Options

After reviewing test results, the nephrologist will discuss potential treatment options tailored to your needs. This appointment is also an opportunity for you to ask questions about kidney health and receive guidance on lifestyle changes that can support kidney function.

The following issues may be discussed in your consultation:….. Do feel free to ask your nephrologist if you have any questions on any of these topics.

1 ) Why have I been referred to see a nephrologist?

2) What is the reason (s) for my kidneys not functioning properly?

3) What stage Chronic Kidney Disease am I at, what does it mean?

4) How will the disease affect me physically? How will it affect my ability?

5) How quickly is my kidney function decreasing?

6) Is there anything I can do to slow, delay or even improve my kidney function?

7) What treatment options are there and who will tell me of these options?

8) Are there any side effects with any treatment I undergo?

9) Are there any symptoms I should watch out for?

10) What should I do in an emergency if I become very unwell? Who should I contact if I get further symptoms or problems?

11) Is there any special diet I should follow; will I get help from a renal dietitian?

12) Do I need to make any other lifestyle changes?

13) Will I be suitable for a transplant if I need one?

14) Can I contact my renal consultant or a specialist nurse if I have more questions after this appointment?

15) Can I have copies of any correspondence relating to my care?

Reviewed by Dr Jacqueline Nevols Consultant Nephrologist and Clinical Lead for Renal Supportive Care, Wessex Kidney Centre October 2024
Next review October 2027

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