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Kidney Biopsy

Kidney Biopsy

A patient’s guide by
Dr. Anil Prasad Bhatt, MD, DM (Nephrology, AIIMS)
Director – Nephrology and Kindey Transplant
Max Super Speciality Hospital, Noida.
Holy Family Hospital, New Delhi
And Renacare Center for Kindey Disease and Research.
 

A kidney biopsy is a medical procedure where a small sample of kidney tissue is taken for examination. It’s often recommended by doctors to diagnose conditions affecting the kidneys, such as chronic kidney disease, glomerulonephritis, or unexplained kidney failure. If you or a loved one is preparing for this procedure, here’s what you need to know.

Why Is a Kidney Biopsy Done?

A kidney biopsy helps doctors understand the cause of kidney problems that may not be clear from blood tests or imaging alone. It can:

  • Identify the type or stage of kidney disease (#keywords: diagnosis, kidney disease).
  • Check how much damage has occurred.
  • Guide treatment plans, especially for conditions like lupus or transplant rejection.

Your doctor will explain if this procedure is necessary based on your symptoms, lab results, or imaging studies.

How Is a Kidney Biopsy Performed?

The procedure is usually done by a nephrologist (kidney specialist) or radiologist using these steps:

  1. Preparation: You’ll be asked to lie on your stomach or side. The doctor may use ultrasound or CT scans to locate the kidney (#keywords: imaging).
  2. Anesthesia: Local anesthesia is injected to numb the area, though you may feel some pressure. In rare cases, general anesthesia is used.
  3. Sample Collection: A thin needle is inserted through the skin into the kidney to collect a tiny tissue sample. This is often guided by imaging to ensure accuracy.
  4. Completion: The sample is sent to a lab for analysis, and the site is bandaged.

The procedure typically takes 30-60 minutes, and most patients go home the same day or stay overnight for observation.

What Are the Risks?

While kidney biopsy is generally safe, there are some risks to be aware of:

  • Bleeding: The most common issue, ranging from minor bruising to, rarely, internal bleeding requiring treatment (#keywords: risks).
  • Infection: There’s a small chance of infection at the biopsy site.
  • Pain: Some discomfort is normal, but severe pain should be reported.
  • Other Complications: In very rare cases, the needle may damage surrounding organs or cause a leak of urine.

Your medical team will monitor you closely to manage any issues.

Before the Procedure

  • Follow your doctor’s instructions, which may include fasting or stopping certain medications (e.g., blood thinners).
  • Inform your doctor about allergies, medications, or health conditions.
  • Arrange for someone to drive you home, as you may feel drowsy.

After the Procedure

  • Recovery: Rest for 24-48 hours and avoid strenuous activity for a week or as advised. You might notice some blood in your urine, which is usually normal for a day or two.
  • Watch for Warning Signs: Contact your doctor if you experience fever, severe pain, heavy bleeding, or dizziness (#keywords: recovery, complications).
  • Follow-Up: Results may take a few days to a week. Your doctor will discuss the findings and next steps.

Tips for Patients

  • Ask questions! Understanding the process can ease anxiety.
  • Bring a list of your medications and medical history.
  • Stay hydrated (if allowed) to support kidney function post-procedure.

A kidney biopsy is a valuable tool to unlock answers about your health. With proper care and guidance from your healthcare team, most patients recover well. If you have concerns or need more details, don’t hesitate to reach out to your doctor.

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