Polycystic kidney disease

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Diagnosis

A nephrologist (healthcare provider specializing in kidney disorders) diagnoses PKD. They may order the following imaging exams to check your kidneys:

Kidney ultrasound or prenatal ultrasound.

CT scan.

MRI.

A healthcare provider may also recommend genetic testing. A blood or saliva test can check for the mutated genes that cause PKD.

Treatment

The most common treatments for PKD include:


Blood pressure management: Your provider helps you control your blood pressure with medicine, diet and exercise. Keeping your blood pressure within a safe range reduces your risk of heart disease and stroke.

Breathing support: Infants with underdeveloped lungs and breathing problems may need mechanical ventilation.

Dialysis: If you have kidney failure, you may need dialysis (a procedure to clean the blood). Hemodialysis uses a machine to filter blood outside the body. Peritoneal dialysis uses the lining of your belly and a special fluid to filter blood.

Growth therapy: Underweight or underdeveloped infants may need help growing. A healthcare provider may recommend nutritional therapy or human growth hormone.

Kidney transplant: You may need a kidney transplant if ADPKD progresses to end-stage renal failure. A transplant is surgery to replace a failing kidney with a donor kidney.

Pain management: Medicine can control pain caused by infections, kidney stones or burst cysts. Your healthcare provider should approve any pain medicines you take. Some medicines can make kidney damage worse.