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Real members of MyKidneyDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Has anyone had their doctor send them for testing on their heart? I've read that if you are Stage 4 you should definitely have tests run.

A MyKidneyDiseaseTeam Member asked a question 💭
Kansas City, KS

I am Stage 4 and I have never had any treatments, suggestions for diet, or discussions about my heart health. I really don't know what my Nephrologist has done for me except look at my labs and act like I am fine. Then he had me seeing his nurse, and the first thing she did was start talking about dialysis! It was quite a shock. It was as if all of the sudden they expect me to die soon. Still no discussion about my diet or heart health. I'm thinking of switching Doctors, but I'm afraid they will… read more

March 25
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MyKidneyDiseaseTeam

Should you have heart testing at stage 4 kidney disease?

Yes, heart health monitoring is important at stage 4. Heart disease is a common complication of kidney disease, and people with stage 4 are at increased risk. Your nephrologist should be monitoring for heart-related complications as part of your care.

It's concerning Show Full Answer

Should you have heart testing at stage 4 kidney disease?

Yes, heart health monitoring is important at stage 4. Heart disease is a common complication of kidney disease, and people with stage 4 are at increased risk. Your nephrologist should be monitoring for heart-related complications as part of your care.

It's concerning that you haven't received guidance on diet or heart health. These are key parts of managing stage 4 kidney disease and slowing progression. What should your doctor be discussing with you?

At stage 4, your care team should be:

* Monitoring your blood and urine closely for complications
* Discussing kidney-friendly diet recommendations
* Managing high blood pressure and other related conditions
* Talking about heart disease prevention
* Eventually discussing future treatment options like dialysis or transplant

A registered dietitian can provide individualized meal planning support, which is especially helpful since kidney-friendly eating can feel overwhelming. Should you switch doctors?

Your feelings are completely valid. The sudden mention of dialysis without prior education or support would shock anyone. You deserve a care team that communicates clearly, answers your questions, and helps you understand what's happening at each stage.

Consider asking your current nephrologist directly about heart testing, dietary guidance, and what to expect going forward. If they're not responsive to your concerns, seeking a second opinion or switching providers is reasonable. You might also ask your primary care doctor for a referral to a nephrologist who takes a more comprehensive approach.

Keep records of your appointments and test results, and don't hesitate to ask for clarity when you're unsure about next steps.

March 25
A MyKidneyDiseaseTeam Member

You should definitely switch doctors. Your current doctor isn't doing things right.

March 26

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