Chronic Kidney Disease Doctor in Webster TX

CKD is a condition that develops gradually when the kidneys are damaged over time, often without noticeable symptoms in the early stages. As your trusted primary care providers, we focus on early detection and prevention, especially for patients with risk factors such as diabetes and high blood pressure.
 
The most common cause of CKD is diabetes, particularly when blood sugar levels are not well controlled. High blood sugar can damage the tiny blood vessels in your kidneys, impacting their ability to filter waste. High blood pressure (hypertension) is another leading cause, as it puts extra strain on the kidneys’ delicate filtering units.
 
Other potential causes include glomerulonephritis (inflammation of the kidney’s filtering units) and genetic conditions like polycystic kidney disease, which leads to cyst formation and impaired kidney function. Long-term use of certain medications, such as NSAIDs (nonsteroidal anti-inflammatory drugs), can also contribute to kidney damage. Additionally, chronic urinary tract obstructions—such as those caused by an enlarged prostate, kidney stones, or certain cancers—can lead to CKD. Autoimmune diseases like lupus and recurring infections may also play a role.

Many people may not experience any symptoms until the disease has significantly progressed. Some of the initial warning signs to be aware of include changes in urination—such as needing to urinate more frequently, especially at night, or noticing urine that appears foamy, bloody, or darker than usual. Swelling in the ankles, feet, or hands may also occur due to the kidneys’ reduced ability to remove excess fluid from the body.
 
Fatigue is another common early symptom, as healthy kidneys are responsible for filtering waste from the blood and producing erythropoietin, a hormone that supports red blood cell production. When kidney function declines, anemia can develop, leading to persistent tiredness and weakness. Other early signs might include unexplained shortness of breath, difficulty concentrating, loss of appetite, and ongoing nausea.

CKD is characterized by a gradual loss of kidney function over time. While there is currently no cure, our experienced medical team is dedicated to helping patients slow the progression of CKD and manage its complications through personalized treatment plans.
 
The cornerstone of CKD management is addressing the underlying causes—most commonly diabetes and high blood pressure. Our providers work closely with patients to control these conditions using a combination of medications, such as angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs), and healthy lifestyle changes. These medications play a key role in protecting kidney function and maintaining healthy blood pressure levels.
 
Nutritional Guidance and Support

Dietary modifications are essential in managing CKD, and our team provides individualized nutrition counseling to help patients make kidney-friendly choices. We educate patients on limiting salt, protein, and phosphorus intake to reduce the workload on the kidneys and prevent further damage. For those in more advanced stages of CKD, we also provide guidance on fluid management to help avoid fluid overload. When needed, we coordinate care with registered dietitians who specialize in kidney health.
 
Ongoing Monitoring and Support

Regular monitoring is critical for patients with CKD. We perform routine lab tests to assess kidney function, monitor symptoms, and adjust treatments as needed.
 
At Primary Care Center of Clear Lake, our mission is to provide compassionate, comprehensive care for patients with chronic kidney disease. Through early detection, patient education, ongoing support, and coordination with specialists, we strive to help our patients maintain the best possible quality of life.

CKD progresses through five stages, each defined by how well the kidneys are functioning, typically measured by the glomerular filtration rate (GFR).
 
Stage 1: The kidneys function normally or at a high level (GFR of 90 or above), but early signs of kidney damage—such as protein in the urine—may be present.
 
Stage 2: Kidney function starts to decline (GFR between 60 and 89), but symptoms are usually absent.
 
Stage 3: This stage is divided into 3a (GFR 45–59) and 3b (GFR 30–44). At this point, moderate loss of kidney function may cause symptoms like fatigue, swelling, or changes in urination.
 
Stage 4: With a GFR between 15 and 29, kidney function is severely reduced.
 
Stage 5: When the GFR drops below 15, kidney failure (end-stage renal disease) occurs.
 
Why Primary Care Matters

Early detection and ongoing management of CKD are crucial to slowing disease progression and minimizing complications. Primary Care Center of Clear Lake partners with you every step of the way—from routine screening and education to medication management and referrals to specialists—ensuring you receive the best possible care close to home.

At Primary Care Center of Clear Lake, Dr. Niraj Choudhary, MD, and Dr. Smriti Choudhary, MD specialize in the comprehensive management of chronic kidney disease (CKD). With more than 20 years of combined experience in internal medicine and obesity medicine, they provide customized care plans that address each patient’s unique health needs. Their approach emphasizes early detection and effective management to slow disease progression and improve kidney function.

Dr. Smriti and Dr. Niraj Choudhary offer a holistic approach to treating CKD, focusing on underlying conditions such as hypertension, diabetes, and obesity. Their treatment strategies include dietary adjustments, weight management programs, and medication management, all tailored to help patients maintain optimal kidney health. By empowering patients with the tools and knowledge needed for long-term health, Dr. Smriti and Dr. Niraj Choudhary ensure a personalized and effective path to wellness.
 
If you have risk factors for CKD or have concerns about your kidney health, contact or schedule an appointment with our team at Primary Care Center of Clear Lake. We are here to support your long-term health and well-being. We are conveniently located at 13920 Osprey Ct, Suite C, Webster, TX 77598. We serve patients from Webster TX, Bacliff TX, Dickinson TX, Seabrook TX, League City TX, Clear Lake City TX, and surrounding areas.