Kidney well being could be successfully assessed by way of easy blood and urine exams. Normally, that is the primary and most necessary step. So, are imaging like ultrasound or CT scans obligatory? That’s precisely what a Quora person wished to know: “Can kidney harm be detected by way of a blood take a look at or is imaging (ultrasound, CT scan) obligatory?” To grasp intimately, we reached out to consultants.ARTICLE CONTINUES BELOW VIDEO
“The serum creatinine take a look at and the estimated glomerular filtration charge (eGFR) are key indicators of how effectively your kidneys filter waste from the blood. Moreover, urine exams assist detect protein or blood, which are sometimes early indicators of kidney illness,” mentioned Dr Nikhil Bhasin, guide nephrologist and renal transplant doctor, Wockhardt Hospitals, Mumbai Central.
Dr Mahesh Prasad, senior guide nephrology, KIMS Hospitals, Thane, added that there are various different higher and earlier markers like KIM1, NGAL, B2 microglobulin, and many others, however not available as of now.
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However blood and urine exams alone don’t give the complete image, famous Dr Mahesh. “They point out that kidney perform is impaired, however not essentially why. That’s the place imaging methods like ultrasound or CT scans grow to be helpful. It helps determine structural causes corresponding to kidney stones, blockages, scarring, or congenital abnormalities,” mentioned Dr Mahesh.
In easy phrases, these exams sometimes study the construction of the kidneys, examine for obstructions like stones, cysts, or tumours, and assess kidney dimension or form.
Nonetheless, imaging, corresponding to ultrasound or CT scans, isn’t all the time step one in analysis, contended Dr Bhasin, including that it’s necessary to notice that imaging can “look regular even when kidney perform is decreased, as a result of these scans present the anatomy, not how the kidneys carry out”.
So, each exams have distinct roles. “Blood and urine exams assess how effectively the kidneys are working, whereas imaging helps uncover why they won’t be functioning correctly. For screening or early detection, all the time begin with blood and urine exams. If these present abnormalities, imaging can be utilized to analyze the structural trigger additional,” mentioned Dr Bhasin.Story continues beneath this advert
Right here’s what the person requested (Photograph: Quora)
Consider it this fashion. Blood exams reveal efficiency, whereas imaging reveals construction, defined Dr Mahesh. “For somebody in danger like diabetics, hypertensives, or these with a household historical past, common blood and urine monitoring is essential. Imaging is suggested solely when there’s an abnormality or particular symptom like flank ache, swelling, or blood in urine,” mentioned Dr Mahesh.
Early detection by way of these easy exams can go a good distance in stopping persistent kidney illness and the necessity for dialysis in a while.
DISCLAIMER: This text is predicated on info from the general public area and/or the consultants we spoke to. All the time seek the advice of your well being practitioner earlier than beginning any routine.

