Silent Kidney Damage: We live such a hectic life that we often only realize what’s happening inside our bodies when the situation worsens. Kidney disease, in particular, often begins asymptomatically and progresses slowly. The biggest question that arises is: can a blood test alone detect kidney damage, or are ultrasound and CT scans also necessary? Experts were interviewed to answer this question, and the information that emerged is crucial for everyone to know.
The First Sign of Kidney Disease: Blood and Urine Tests

According to doctors, the first and easiest way to check kidney health is through simple blood and urine tests. Dr. Nikhil Bhasin, nephrologist at Wockhardt Hospital, Mumbai, explains that serum creatinine test and eGFR are two key tests that indicate how well your kidneys are cleaning the blood. In addition, urine tests can help determine if there are any underlying kidney problems. The presence of protein or blood in the urine can be the first sign of kidney disease.
Is a blood test alone enough? Doctors’ clear answer: No. According to Dr. Mahesh Prasad, nephrologist at KIMS Hospital in Thane, blood and urine tests only indicate that the kidneys are not functioning properly, but do not pinpoint the cause of the problem.
Silent Kidney Damage: Imaging tests are needed here, such as:
Ultrasound, CT scan, These can detect whether the kidneys have:
- A stone
- Any blockage
- Scarring or swelling
- Or any structural problem from birth.
For this reason, doctors recommend imaging along with blood and urine tests to uncover the full cause of the problem.
When is an ultrasound or CT scan necessary?

If your kidney function tests reveal kidney impairment or you complain of frequent pain, swelling, burning sensations with urination, or poor blood pressure control, an ultrasound is necessary. This test is completely safe and painless.
FAQs: Common questions about kidney testing
- Can kidney disease occur without any symptoms?
Yes, kidney disease often progresses silently in the early stages.
- Is a complete diagnosis of kidney disease possible with a blood test alone?
No. Blood and urine tests are necessary initially, but imaging is essential to understand the cause.
- How often should an ultrasound be done?
If your kidney function tests are normal, once a year is sufficient. If you have a condition, consult your doctor.
- Is a CT scan necessary for everyone?
No. It is only performed when ultrasound does not provide complete information or requires further investigation.
- Is a kidney problem treatable?
Many problems can be easily controlled or cured in the early stages, so testing is crucial.
Disclaimer: The information provided in this article is for general awareness only. Always consult your doctor regarding any health concerns or tests.














