What tests are needed for kidney disease?

Patient's question:

My sister used to be very healthy and didn't have any major health issues. But ever since she had her child, she often felt like her eyes were blurry and her head was always uncomfortable. At first, she thought it was due to anemia, but after a while, she found out...

Doctor's answer:

Chronic glomerulonephritis can occur at any age, but is more common in young and middle-aged men. The onset pattern and clinical manifestations are diverse. Most cases have an insidious and slow onset, with hematuria, proteinuria, hypertension, and edema as their basic clinical manifestations. Generally speaking, if there is a history of abnormal urinalysis (hematuria, proteinuria, casturia), edema, and hypertension, and the course of the disease is prolonged, this condition should be considered regardless of whether renal function damage is present. Renal biopsy pathology examination can confirm the diagnosis and is beneficial for guiding treatment and assessing prognosis. In the early stages of chronic nephritis, treatment should be tailored to the pathological type, including inhibiting immune-mediated inflammation, suppressing cell proliferation, and reducing kidney fibrosis. Specific tests include renal function (mainly to check if creatinine is elevated) and routine urinalysis, among others.

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