Specialized Kidney Care & Diagnostic Workups
Chronic Kidney Disease (CKD) Management
Chronic kidney disease affects how well the kidneys filter toxins and balance fluids. Our nephrologists use individualized dietary regimens, evidence-based medication strategies, blood pressure targets, and ongoing laboratory monitoring to preserve kidney function and delay or avoid dialysis.
Common Signs & Referral Indications:
- Fatigue and decreased energy
- Swelling in ankles, feet, or hands
- Changes in urination frequency
- Unexplained high blood pressure
- Foamy urine or blood in urine
Diagnostic & Management Approach:
- Glomerular filtration rate (eGFR) tracking
- Proteinuria management
- Dietary and sodium counseling
- Cardiovascular risk reduction
- Anemia and bone-mineral disorder management
Resistant & Complex Hypertension
High blood pressure is both a primary cause and a major complication of kidney damage. When standard medications fail to control blood pressure, our specialists evaluate secondary hypertension causes to achieve safe targets.
Common Signs & Referral Indications:
- Blood pressure consistently above 130/80 mmHg despite 3+ medications
- Headaches or dizziness
- Shortness of breath
- Visual changes
Diagnostic & Management Approach:
- 24-hour ambulatory blood pressure monitoring review
- Renal artery duplex ultrasound
- Hormonal testing
- Targeted anti-hypertensive combination therapies
Dialysis Coordination & Oversight
Dr. Singh and our clinical team serve as medical directors for dialysis centers across St. Louis and Southeast Missouri, coordinating vascular access planning, peritoneal dialysis training, and monthly clinical rounds.
Common Signs & Referral Indications:
- End-stage renal disease (Stage 5 CKD)
- Severe fluid overload
- Uremic symptoms
Diagnostic & Management Approach:
- Vascular access planning
- Peritoneal dialysis coordination
- Monthly clinical rounding
- Dry weight optimization
Diabetic Nephropathy Care
Diabetes is the leading cause of kidney failure in the United States. Our team partners closely with primary care providers and endocrinologists to detect early microalbuminuria and implement protective medical protocols.
Common Signs & Referral Indications:
- Protein in routine urinalysis
- Worsening blood pressure
- Swelling in lower extremities
Diagnostic & Management Approach:
- Urine microalbumin surveillance
- Kidney-protective medication protocols
- Glycemic control coordination
Kidney Stone Prevention & Metabolic Evaluation
Nephrologists discover why stones form in the first place and prevent them from returning through 24-hour urine chemistry evaluations and tailored mineral therapies.
Common Signs & Referral Indications:
- Severe flank, back, or groin pain
- Blood in the urine (hematuria)
- Frequent, painful urination
Diagnostic & Management Approach:
- 24-hour LithoLink urine metabolic analysis
- Uric acid and calcium-lowering medications
- Dietary fluid and mineral plans
Electrolyte & Glomerular Disorders
Our practice specializes in rare, autoimmune, and complex renal conditions requiring hospital-level nephrology expertise and immunosuppressive therapy guidance.
Common Signs & Referral Indications:
- Severe swelling in legs and eyelids (edema)
- Dark, cola-colored urine
- Muscle weakness or cramping
Diagnostic & Management Approach:
- Renal biopsy review and coordination
- Immunosuppressive regimens
- Electrolyte replacement and diuretic titration