Checking for worsening disease

Checking for worsening disease

Kidney disease can continue to get worse over time (usually over months or years). This is called progression or progressive kidney disease.

Your doctor should discuss and agree with you how often you should be checked for progressive disease (usually once or twice a year, but it may be more often for people with advanced kidney disease [category G4 or G5] or other related health problems).

Your healthcare professional should help and support you to understand how to stay as healthy as possible to slow down the progression of your kidney disease if you:

  • have a disease of the heart or blood vessels (cardiovascular disease)

  • have a moderate to severe amount of protein leaking into your urine (significant proteinuria)

  • have had acute kidney injury (a sudden loss of kidney function)

  • have high blood pressure

  • have diabetes

  • smoke

  • are of African, African‑Caribbean or Asian family origin

  • regularly use ibuprofen or a similar type of medication (these are called non-steroidal anti-inflammatory drugs or NSAIDs for short) for a long time (for example, to manage pain from a long-term condition such as arthritis)

  • have an untreated urinary blockage (called a urinary tract obstruction).

If your test results show that your kidney disease is getting worse, your doctor will be able to tell whether you have progressive kidney disease by taking further blood tests over the next few months to check for changes in how well your kidneys work (your kidney function) over this period.

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