Providing Comprehensive High-Quality Kidney Care


North Texas Kidney Disease Associates (NTKDA) provides a wide spectrum of services related to kidney disease which includes education, prevention, and treatment. Some of the common conditions managed by NTKDA physicians is as below:

  • Acute renal failure
  • Chronic kidney disease (CKD)
  • End-stage renal disease (ESRD)
  • Anemia of kidney disease
  • Glomerulonephritis
  • Polycystic kidney disease
  • Hypertension
New Patient Packet
  • Metabolic syndrome
  • Pregnancy and renal disease
  • Acid-base disorders
  • Electrolyte disorders
  • Hematuria
  • Proteinuria
  • Kidney stones

What is Chronic Kidney Disease?

Chronic kidney disease (CKD) is a slow loss of kidney function that occurs over months or years and results in the buildup of waste products. Conditions such as diabetes, high blood pressure, and other disorders that damage the kidney, results in chronic kidney disease.

Until CKD is in the advanced stage, most patients will not have severe symptoms. Below are some early symptoms of CKD:

Chronic Kidney Disease
  • Having dry itchy skin
  • Having less energy and feeling tired
  • Having trouble in sleeping
  • Having trouble in concentrating
  • Muscle cramping at night
  • Needing to urinate more often, especially at night
  • Poor appetite
  • Puffiness around the eyes, especially after waking up
  • Swollen ankles and feet

If you are consistently experiencing one or more of these symptoms, contact your primary care provider or schedule an appointment with a NTKDA physician.

What are the Stages of CKD?

To check how well your kidneys are functioning, your NTKDA nephrologist will calculate the Glomerular Filtration Rate (GFR), which is derived from your blood creatinine, your age, race, gender, and other factors. The GFR determines the stage of kidney function, which are five.

Stage 1

Kidney damage with normal kidney function > 90 mL/ min

Stage 2

Kidney damage with mild loss of kidney function – 60 – 89 mL/ min

Stage 3a

Mild to moderate loss of kidney function – 45 – 59 mL/ min

Stage 3b

Moderate to severe loss of kidney function – 30 – 44 mL/ min

Stage 4

Severe loss of kidney function – 15 – 29 mL/ min

Stage 5

Kidney failure < 15 mL/ min

ckd stages