Abi Scan

What Is The Most Accurate Test For Kidney Function

What can be detected in a urine test

Introduction

Understanding kidney function is crucial for overall health. Kidney function tests provide essential insights into the kidneys’ ability to filter waste from the blood and maintain bodily functions. This comprehensive evaluation involves various blood and urine tests to assess kidney health accurately. By interpreting test results alongside normal values, healthcare professionals can diagnose kidney diseases early and implement appropriate management strategies.

What Is A Kidney Function Test?

The kidney function test consists of a collection of complete analysis of blood tests and urine tests to measure how effectively the kidney is functioning. This test helps in assessing how well the kidney is clearing waste from your system. From the test results, if any of the values are not normal, diagnosis for the person who had the kidney function test is recommended by the health care professional. 

Why Do You Need A Kidney Function Test?

Whenever there is a potential issue with the function of the kidney, it is a must to take a kidney function test. Some of the symptoms that lead to a kidney function test are as follows,

  • Changes in urine frequency
  • Colour, or foamy appearance of urine
  • Blood in the urine
  • Dry and itchy skin
  • Swelling in the ankles and feet
  • Upset stomach and poor appetite
  • Fatigue and trouble sleeping
  • Persistent puffiness around the eyes
  • Muscle cramps
  • Feeling more tired or having less energy.

If you are a person with these symptoms then it is recommended that you see a doctor immediately and follow his instructions for kidney function tests and get cured. Full body health checkups also include kidney function tests which you can take at regular intervals to assess the health of the kidney.

What Are The Types Of Kidney Function Tests?

The kidney functions test is not just a single test, it is a collection of tests that helps in assessing the health of the kidney. However, it consists only of blood tests and urine tests that are used to measure certain values, which are then compared with normal ranges to determine kidney health.

Blood Tests For Kidney Function

  • Blood Urea Nitrogen (BUN): This is an important test for kidney function as it can measure the amount of urea nitrogen present in blood. A healthy kidney filters out urea nitrogen effectively, but if it does not do it properly, the amount of BUN increases. It is indicating dysfunction or other kidney-related health issues.
  • Estimated GFT (eGFR): Glomerular filtration rate helps in calculating how much blood can kidneys filter in a minute. A low eGFR number indicates reduced kidney function, putting individuals at a higher risk of chronic kidney disease (CKD) progressing to kidney failure.
  • Serum Creatinine: It is a measure of the level of creatinine in the blood, which serves as an indicator of how well the kidneys are filtering waste from the body. Creatinine is a byproduct of muscle metabolism, and healthy kidneys efficiently filter it out of the blood. Elevated levels of serum creatinine can suggest potential issues with kidney function, as impaired kidneys may struggle to filter creatinine effectively.

Urine Tests For Kidney Function

  • Urinalysis involves examining a small urine sample to detect signs of kidney disease and other health issues. It helps identify protein leakage in urine, an early indicator of kidney problems. By monitoring urine tests over time, doctors can track kidney damage progression. 
  • Microalbuminuria: A crucial test in kidney function assessments, detecting small amounts of albumin in urine to identify early signs of kidney damage, especially in conditions like diabetes. It helps monitor kidney health by revealing changes in albumin levels that could indicate kidney complications.

What Is The Most Accurate Assessment Of Kidney Function?

The most accurate assessment of kidney function involves measuring blood levels of both creatinine and cystatin C together. Research has shown that combining these markers provides a more precise estimation of the Glomerular Filtration Rate (GFR) compared to using either marker alone. 

This combined approach enhances the accuracy of diagnosing chronic kidney disease, allowing for better identification of kidney issues even before symptoms manifest. By incorporating both creatinine and cystatin C levels in kidney function tests, healthcare professionals can obtain a more comprehensive and reliable evaluation of kidney health.

What Happens During A Kidney Function Test?

During a kidney function test, various assessments are conducted to evaluate kidney health. This typically involves blood tests like serum creatinine to measure waste product levels, urinalysis to check for protein and blood in urine, and the Estimated Glomerular Filtration Rate (eGFR) test to estimate kidney function. Specimen collection may require fasting or timed urine samples. 

The results help diagnose kidney diseases, monitor treatment effectiveness, and determine the progression of kidney issues. Abnormal results may prompt further testing or treatment adjustments. Overall, kidney function tests play a crucial role in assessing renal health, detecting issues early, and guiding appropriate management strategies

What Do The Test Results Of The Kidney Function Test Mean?

The test results of a kidney function test provide insights into the health of the kidneys. Here are the normal values for some common parameters and what they indicate if they are low or high:

 

TESTS

NORMAL RANGE

LOW LEVELS

HIGH LEVELS

Serum Creatinine

0.6 to 1.3 milligrams per deciliter (mg/dL) for adult males and 0.5 to 1.1 mg/dL for adult females.

It is uncommon but can sometimes indicate muscle loss or certain medical conditions.

High creatinine levels may indicate that the kidneys are not effectively filtering waste from the blood.

Blood Urea Nitrogen (BUN)

7 to 20 mg/dL

Low BUN levels are not typically a cause for concern and may occur in individuals with liver disease, malnutrition, or overhydration.

Elevated BUN levels can indicate dehydration, kidney disease, heart failure, or excessive protein intake.

Glomerular Filtration Rate (GFR)

90 mL/min/1.73 m² or higher is considered normal.

A decrease in GFR suggests reduced kidney function and lower values indicate more severe kidney impairment. This may be indicative of kidney disease or damage.

High GFR values are less common but can occur in certain conditions such as hyperfiltration in early diabetes or after kidney donation.

Conclusion

Kidney function tests play a pivotal role in evaluating renal health and detecting potential issues before they progress. By monitoring parameters such as serum creatinine, blood urea nitrogen (BUN), and glomerular filtration rate (GFR), healthcare providers can assess kidney function accurately. Early detection and intervention are crucial in managing kidney diseases effectively, emphasizing the importance of regular kidney function testing for overall well-being.

PSA Test

PSMA Scan Introduction Prostate cancer detection and monitoring have advanced significantly with the

PSMA Scan

PSMA Scan Introduction Prostate cancer detection and monitoring have advanced significantly with the