Chronic Kidney Disease

What is chronic kidney disease?

Chronic kidney disease (CKD) refers to the slow development of kidney damage, which worsens over time and is permanent. When this happens, the kidneys fail to filter your blood as needed. Chronic kidney disease might take months or even years to develop–and may go completely unnoticed. CKD is measured in stages with stage 1 being early and stage 5 also known as end stage renal disease (ESRD). At the Rogosin Institute, our physicians have long been recognized for our expertise in the diagnosis and management of chronic kidney disease.

What causes chronic kidney failure?

Many people with early stages of the disease may not have any indication that something is wrong. Some symptoms may be a sign that you either have chronic kidney disease or you are at risk for developing damage to your kidneys include:

  • Having poorly controlled high blood pressure or diabetes
  • Having a family history of kidney disease

The most common causes of chronic kidney disease include the following:

  • Diabetes
  • Hypertension/High blood pressure
  • Polycystic Kidney Disease
  • Glomerular diseases
  • Lupus
  • Complications due to certain medications such as NSAIDs (non-steroidal anti-inflammatory drugs like Aleve or Motrin)
  • Other rare diseases and birth defects

What are the symptoms of chronic kidney disease?

If you experience any of the following chronic kidney disease symptoms, visit your health care provider for care and discuss referral to a nephrologist at The Rogosin Institute:

  • Fatigue/Weakness
  • Difficulty sleeping/Insomnia
  • Loss of appetite
  • Changes in urination
  • Swelling of hands or feet
  • Muscle cramping
  • Constant itching
  • High blood pressure

How is chronic kidney disease diagnosed?

To accurately diagnose chronic kidney disease, your doctor or a nephrologist at Rogosin Kidney Center may perform laboratory or image testing. These may include one or more of the following, in addition to other kidney function testing options:

  • Blood testing
  • Urine testing
  • Ultrasound

Can chronic kidney disease lead to complications if left untreated?

Chronic kidney disease can lead to complications and progression to end stage renal disease (ESRD) when left untreated. These typically occur when the kidneys are functioning at or below 10% to 15% of their full capacity.

  • Kidney failure
  • ESRD

How is chronic kidney disease treated?

Early detection and treatment of the underlying causes of kidney disease may help prevent progression. When chronic kidney disease is diagnosed prior to developing into kidney failure or ESRD, some of the following modifications or treatments could help restore kidney function by addressing the underlying cause for kidney disease:

  • Dietary adjustments
  • Medication to treat anemia or high blood pressure
  • Modification of current medications, such as NSAIDs

How Is Chronic Kidney Disease Treated at Rogosin?

Rogosin has a unique program, PEAK (Program for Education of Patients with Advanced Kidney Disease) if you have advanced CKD patients (CKD 4 or CKD 5) to coordinate care and provide education about CKD, dialysis modalities and general kidney health. PEAK is an intensive, multidisciplinary education program designed to give you information about treatment options and help you manage your transition to ESRD and be a part of important decision-making. The program also gives you greater access to your care team while also developing close relationships and a more personalized approach.

When chronic kidney disease progresses to kidney failure or ESRD, medication and dietary adjustments are not enough. Instead, you may require one of the following more services or treatments offered at the Rogosin Institute:

If you have risk factors or are a high risk for kidney disease talk to your healthcare provider about an appointment with a Rogosin nephrologist. Rogosin is recognized as one of the country’s premier centers for the diagnosis and management of kidney disease. Our doctors lead the way in chronic kidney disease treatment for patients in the New York Metropolitan Area and beyond. Call our office at 212.746.1578 or fill out the form on this page to schedule an appointment with us any time.