Nephrology (Renal medicine)

A long-term condition where the kidneys gradually lose function. We monitor disease progression and provide treatments to delay or prevent complications.

A progressive condition in which the kidneys gradually lose their ability to filter waste and excess fluids from the blood. Often caused by diabetes or high blood pressure, CKD can develop over many years. 

We offer routine monitoring of kidney function (eGFR), urine tests, and imaging, along with interventions such as medication, diet modification, and blood pressure control to slow disease progression and prevent complications like anaemia or cardiovascular disease.

A sudden decline in kidney function that can occur over hours or days, typically as a result of infection, dehydration, medications, or major surgery. AKI requires rapid diagnosis and treatment to restore function and prevent long-term kidney damage. We provide hospital-based and outpatient care using fluid management, medication review, and monitoring to stabilise kidney function.

Kidney function and blood pressure are closely linked. High blood pressure can damage kidney function, while kidney disease can make blood pressure harder to control. Our nephrology team specialises in diagnosing and managing complex or resistant hypertension, using home blood pressure monitoring, medication, and assessments for underlying renal causes.

These are conditions that affect your glomeruli - the tiny filters in your kidneys responsible for removing waste from your blood. They include:

• Glomerulonephritis - often caused by autoimmune or inflammatory processes.

• Nephrotic syndrome - marked by high levels of protein in your urine, swelling, and low blood protein.  

Our diagnostic tools include kidney biopsy, blood and urine analysis, and immunological testing. Treatments vary by cause and may involve immunosuppressants, corticosteroids, and supportive therapies.

An inherited disorder where clusters of fluid-filled cysts develop in your kidneys, sometimes leading to enlargement, pain, infection, or kidney failure. We offer genetic counselling, blood pressure control, pain management, and monitoring for related complications such as cyst bleeding or liver cysts.

Kidney stones are hard mineral deposits that form inside your kidneys when substances like calcium or uric acid become concentrated in the urine. They can vary in size and cause significant discomfort as they pass through your urinary tract. Symptoms may include severe flank pain, blood in the urine, and nausea.

Our nephrology service offers thorough investigation using imaging and blood and urine tests to determine the type and cause of stones. Treatment may involve pain management, medication to help pass or dissolve stones, or minimally invasive procedures such as shockwave lithotripsy. We also offer preventative guidance to reduce the risk of recurrence, tailored to individual metabolic profiles and dietary needs.

Pyelonephritis is a type of urinary tract infection (UTI) that affects the kidneys. It usually occurs when bacteria travel from your bladder to your kidneys, leading to inflammation and, in severe cases, potential damage to kidney tissue. Symptoms often include fever, chills, back or side pain, and frequent or painful urination.

Prompt diagnosis is essential, and we provide urine cultures, blood tests, and imaging to confirm the infection and rule out structural abnormalities. Most kidney infections can be treated with oral antibiotics, but more severe cases may require hospital care and intravenous antibiotics. Long-term management focuses on preventing recurrence, especially in individuals with underlying kidney or urological conditions.

Your kidneys regulate vital minerals like sodium, potassium, calcium, and bicarbonate. Disruption in these can affect your heart rhythm, muscle function, and pH balance. We diagnose and correct these imbalances using dietary guidance, supplements, or medication, often in patients with comorbidities or after acute illness.

This occurs when your kidney function is severely impaired and cannot be sustained without renal replacement therapy. Our teams provide pre-dialysis education, long-term dialysis (haemodialysis or peritoneal dialysis), and support through the transplant evaluation process. Our care is multidisciplinary, encompassing not only medical treatment but emotional and lifestyle support throughout your journey.