The physical aspects of kidney failure
There are many causes of chronic kidney failure which can lead to the need for dialysis. These can be diagnosed by a variety of blood tests, X-rays and perhaps, a kidney biopsy. In all of these conditions, high blood pressure is a major factor causing progression of the problems and needs to be controlled very carefully (140/80 or less). All of the problems associated with kidney failure may develop and need to be managed carefully in the follow-up clinic.
Chronic pyelonephritis This is a painless inflammation of the part of the kidney surrounding the renal tubules, rather than the glomerulus.