Explore modern nephrology diagnosis and evaluation methods, including lab tests and imaging, performed by Liv Hospital experts.

Nephrology focuses on diagnosing and treating kidney diseases. The kidneys filter waste, balance fluids, regulate blood pressure, and manage acute and chronic conditions.

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How Renal Health is Evaluated

Understanding the health of your kidneys requires more than a single blood draw. Because the kidneys are complex filtration units, nephrologists at Liv Hospital use a multi-tiered diagnostic approach to “map” your renal performance. Whether you are seeking a second opinion for high creatinine or preparing for a transplant evaluation, a precise diagnosis is the foundation of every successful treatment plan. For our international patients, we offer a streamlined diagnostic journey that combines advanced laboratory science with state-of-the-art imaging.

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Why Are Kidney Function Tests Necessary?

Nephrology Referral Indications Reasons

The kidneys are remarkably efficient at hiding damage. By the time physical symptoms like swelling or fatigue appear, kidney function may have already decreased significantly. Kidney function tests allow doctors to:

  • Detect “silent” kidney damage in high-risk patients (those with diabetes or hypertension).
  • Stage Chronic Kidney Disease (CKD) from Stage 1 to Stage 5.
  • Monitor the effectiveness of current medications or dietary changes.
  • Assess if the kidneys are healthy enough for certain surgeries or contrast-based scans.

At Liv Hospital, we utilize the latest international guidelines to ensure that every patient receives a diagnosis that is recognized by healthcare providers globally.

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What Are the Essential Blood Tests for Kidneys?

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Blood tests provide a snapshot of how well your kidneys are clearing waste from your system. The two most critical markers we monitor are:

  1. Serum Creatinine: Creatinine is a waste product from muscle breakdown. Healthy kidneys filter almost all of it. If levels rise in the blood, it typically indicates a decrease in filtration capacity.
  2. Estimated GFR (eGFR): This is the “gold standard” of renal diagnostics. It is calculated using your creatinine levels, age, gender, and sometimes race. An eGFR above 60 is generally considered normal, while a score below 15 indicates kidney failure.
  3. BUN (Blood Urea Nitrogen): This measures the amount of nitrogen in your blood that comes from the waste product urea.

How Do Urine Tests Reveal Kidney Damage?

While blood tests measure waste clearance, urine tests detect the “leakage” of vital substances. In a healthy kidney, the filters are too small to let large molecules like protein pass through.

  • Urinalysis: A quick dipstick test to check for blood (hematuria), white blood cells (indicating infection), or glucose.
  • Albumin-to-Creatinine Ratio (uACR): This specific test measures the amount of a protein called albumin in your urine. Persistent “proteinuria” is often the first sign of diabetic kidney disease, appearing even before blood tests show an abnormality.
  • 24-Hour Urine Collection: In some cases, our specialists may ask you to collect your urine for a full day to measure exactly how much protein or creatinine is being excreted over time.
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What Imaging Technologies are Used in Nephrology?

To see the “structure” of the kidney—detecting stones, cysts, tumors, or blockages—imaging is essential. Liv Hospital utilizes advanced radiology suites to provide:

  • Renal Ultrasound: A non-invasive, radiation-free way to look at the size and shape of the kidneys and check for obstructions.
  • CT Scans and MRI: Used for more detailed views of the renal arteries or to evaluate complex cysts and tumors.

Voiding Cystourethrography (VCUG): Specifically used (often in pediatric nephrology) to see if urine flows backward from the bladder to the kidneys.

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When is a Renal Biopsy Required?

A renal biopsy is a procedure where a tiny sample of kidney tissue is removed for examination under a microscope. It is not a “routine” test but is vital when blood and urine tests don’t provide a clear answer.

At Liv Hospital, our biopsies are typically ultrasound-guided, ensuring maximum precision and safety. A biopsy can help identify:

  • The specific type of inflammation (Glomerulonephritis).
  • The cause of unexplained rapid kidney failure.
  • The presence of rare autoimmune conditions.
  • How a transplanted kidney is performing.

The Liv Hospital "Fast-Track" Diagnostic Experience

For international patients, time is of the essence. At Liv Hospital, we have designed a “Fast-Track” evaluation system. Within 24–48 hours of arrival, most patients complete their full panel of blood work, advanced imaging, and initial consultations with our Multidisciplinary Renal Board.

This board includes nephrologists, radiologists, and transplant surgeons who review your results together. This collaborative approach mirrors the standards of the Mayo and Cleveland Clinics, ensuring that you receive a comprehensive “360-degree” view of your health without the long waiting lists often found in the US or Europe.

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The Medical Center

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Choosing the right center for kidney care is crucial, as many conditions require long-term, specialized management. A successful nephrology department combines advanced diagnostic technology with a compassionate, multidisciplinary team. This integrated approach ensures that patients receive comprehensive care, from early detection and risk management to the most advanced treatments for kidney failure. Our focus is on providing a supportive environment led by expert physicians dedicated to preserving kidney function.

30
Years of
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With patients from across the globe, we bring over three decades of medical expertise and hospitality to every individual who walks through our doors.  

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FREQUENTLY ASKED QUESTIONS

What is a normal creatinine level?

Normal creatinine levels generally range from 0.6 to 1.2 mg/dL in men and 0.5 to 1.1 mg/dL in women, but this can vary depending on muscle mass and age.

The procedure is done with local anesthesia to numb the skin and muscle, so you should only feel pressure; there may be some soreness in the back for a few days afterward.

A 24-hour collection provides a much more accurate picture of your average kidney function and protein loss than a single-office urine test.

No, ultrasound is excellent for assessing kidney shape and size and detecting stones, but it cannot determine how well the kidney filters blood or detect microscopic inflammation.

GFR stands for Glomerular Filtration Rate; it is a calculation that estimates how much blood your kidneys pass through the glomeruli each minute, serving as the primary stage indicator for kidney disease.

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