Referral to a specialist

Referral to a specialist

Many people with chronic kidney disease can be treated by their GP. When considering whether to refer you to a specialist, your GP should take into account whether you want to be referred and also any other illnesses you might have. They may sometimes discuss your case with a specialist by phone, letter or email and you may not need to see a specialist.

However, you may need to see a kidney specialist in some situations. Your GP should refer you to a specialist if you have any of the following:

  • advanced chronic kidney disease (category G4 or G5)

  • a large amount of protein in your urine (unless you have diabetes and are already being treated for this)

  • both protein and blood in your urine

  • kidney function that is rapidly getting worse

  • high blood pressure that remains high even though you are taking 4¬†or more different types of medicines to control it

  • a suspected or known rare or genetic cause of chronic kidney disease

  • suspected narrowing of the arteries to your kidneys (called renal artery stenosis)

  • a urinary blockage (called urinary tract obstruction).

After you have seen a specialist and you have agreed on a plan to manage your kidney disease, your GP may be able to do your regular check-ups, and you may not need to continue seeing the specialist.

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