Third Stage Kidney Disease: Symptoms, Causes, Treatment, and Expert Kidney Care

Learn about third stage kidney disease, its symptoms, causes, diagnosis, treatment, lifestyle changes, and expert kidney care at Prabhakar Bhurke Clinic by a super specialist nephrologist. ...

July 22, 2026

Introduction

Third Stage Kidney Disease, also known as Stage 3 Chronic Kidney Disease (CKD), is a condition in which the kidneys have a moderate reduction in their ability to filter waste products and excess fluid from the blood. Although kidney function is reduced, many people continue to live healthy and active lives with early diagnosis, proper treatment, and regular medical follow-up.

Because chronic kidney disease often develops gradually and may not cause symptoms in the early stages, many patients are diagnosed during routine blood or urine testing. Early medical care is important because it can slow disease progression, reduce complications, and help preserve kidney function.

At Prabhakar Bhurke Clinic, our super specialist nephrologist provides comprehensive kidney evaluations, personalized treatment plans, chronic kidney disease management, dialysis planning when required, kidney transplant evaluation, and long-term kidney care.


What Is Third Stage Kidney Disease?

Third Stage Kidney Disease refers to Stage 3 Chronic Kidney Disease, where kidney function is moderately reduced but the kidneys are still able to perform many of their essential functions.

Stage 3 CKD is commonly divided into:

Stage 3A

  • Mild to moderate reduction in kidney function.

Stage 3B

  • Moderate to severe reduction in kidney function.

Many patients are diagnosed before severe symptoms develop, allowing earlier treatment.


Causes of Third Stage Kidney Disease

Several medical conditions may lead to Stage 3 CKD, including:

  • Diabetes

  • High blood pressure (Hypertension)

  • Glomerulonephritis

  • Polycystic kidney disease

  • Autoimmune diseases

  • Recurrent kidney infections

  • Long-term urinary tract obstruction

  • Certain inherited kidney disorders

Proper management of these conditions helps slow kidney damage.


Symptoms of Third Stage Kidney Disease

Some patients have no symptoms.

As kidney function declines, symptoms may include:

  • Fatigue

  • Weakness

  • Swelling of the feet, ankles, or hands

  • Frequent urination, especially at night

  • Foamy urine

  • Blood in the urine

  • Dry or itchy skin

  • Muscle cramps

  • Loss of appetite

  • Difficulty concentrating

  • High blood pressure

Symptoms vary depending on the severity of kidney dysfunction.


Who Is at Risk?

The risk of developing third stage kidney disease is higher in people with:

  • Diabetes

  • High blood pressure

  • Heart disease

  • Obesity

  • Family history of kidney disease

  • Previous kidney injury

  • Recurrent urinary tract infections

  • Older age

Regular kidney screening is recommended for people in these high-risk groups.


How Is Third Stage Kidney Disease Diagnosed?

At Prabhakar Bhurke Clinic, our super specialist nephrologist performs a detailed kidney evaluation.

Medical History and Physical Examination

Your doctor reviews:

  • Symptoms

  • Medical history

  • Blood pressure

  • Diabetes

  • Family history

  • Current medications

  • Lifestyle habits


Blood Tests

Important investigations include:

  • Serum Creatinine

  • Estimated Glomerular Filtration Rate (eGFR)

  • Blood Urea Nitrogen (BUN)

  • Electrolytes

  • Hemoglobin

  • Blood sugar levels

These tests evaluate kidney function and identify complications.


Urine Tests

Urine investigations may include:

  • Routine Urinalysis

  • Urine Albumin

  • Protein Estimation

  • Urine Microscopy

These tests help detect kidney damage.


Imaging Studies

Depending on your condition, investigations may include:

  • Kidney Ultrasound

  • CT Scan when clinically indicated

These tests evaluate kidney structure and identify abnormalities.


Additional Testing

Some patients may require:

  • Kidney biopsy

  • Autoimmune investigations

  • Specialized laboratory tests

These help determine the exact cause of kidney disease.


Treatment for Third Stage Kidney Disease

Treatment focuses on slowing disease progression and preventing complications.

Blood Pressure Control

Maintaining healthy blood pressure is one of the most important ways to protect kidney function.

Your nephrologist may prescribe medications that also help reduce protein loss in the urine.


Diabetes Management

Good blood sugar control reduces ongoing kidney damage in patients with diabetes.

Regular monitoring is essential.


Medications

Your nephrologist may prescribe medicines to:

  • Control blood pressure

  • Manage diabetes

  • Reduce protein loss in urine

  • Treat anemia

  • Correct electrolyte imbalances

  • Reduce swelling

  • Manage associated medical conditions

Treatment is individualized according to each patient's needs.


Kidney-Friendly Diet

A healthy diet may include:

  • Reduced salt intake

  • Appropriate protein intake

  • Limiting processed foods

  • Managing potassium and phosphorus when necessary

  • Following individualized dietary recommendations

A kidney-friendly diet helps support long-term kidney health.


Regular Monitoring

Routine follow-up appointments allow your nephrologist to:

  • Monitor kidney function

  • Adjust medications

  • Detect complications early

  • Slow disease progression

Regular monitoring improves long-term outcomes.


Lifestyle Changes That Help Protect Kidney Function

Patients are encouraged to:

  • Maintain a healthy weight

  • Exercise regularly

  • Stop smoking

  • Limit alcohol consumption

  • Stay hydrated as advised

  • Avoid unnecessary use of pain-relieving medications (NSAIDs)

  • Monitor blood pressure

  • Take medications exactly as prescribed

Healthy habits complement medical treatment.


Can Third Stage Kidney Disease Be Reversed?

Chronic kidney disease is generally not reversible.

However, with early diagnosis and proper treatment, disease progression can often be slowed significantly.

Treatment aims to:

  • Preserve remaining kidney function

  • Delay progression to advanced kidney disease

  • Reduce complications

  • Improve quality of life

Many patients maintain stable kidney function for years with appropriate care.


Possible Complications

Without treatment, Stage 3 CKD may progress and lead to:

  • Stage 4 Chronic Kidney Disease

  • Kidney failure

  • High blood pressure

  • Anemia

  • Bone and mineral disorders

  • Heart disease

  • Fluid retention

  • Electrolyte abnormalities

Early intervention greatly reduces these risks.


Will Third Stage Kidney Disease Require Dialysis?

Most patients with Stage 3 CKD do not require dialysis.

Dialysis is generally needed only if kidney disease progresses to advanced stages where the kidneys can no longer adequately perform their essential functions.

Regular nephrology care helps delay or prevent the need for dialysis.


When Should You See a Nephrologist?

Consult a super specialist nephrologist if you have:

  • High creatinine levels

  • Reduced eGFR

  • Protein in the urine

  • Blood in the urine

  • Swelling

  • Diabetes

  • High blood pressure

  • Family history of kidney disease

Early specialist care helps preserve kidney function.


Why Choose Prabhakar Bhurke Clinic?

Patients trust Prabhakar Bhurke Clinic because we provide:

  • Consultation with a super specialist nephrologist

  • Comprehensive chronic kidney disease management

  • Advanced kidney function testing

  • Personalized treatment plans

  • Expertise in Stage 3 CKD and other kidney disorders

  • Dialysis planning and kidney transplant evaluation

  • Long-term kidney health monitoring

  • Compassionate, evidence-based, patient-centered care

Our goal is to preserve kidney function, reduce complications, and improve every patient's quality of life.


Frequently Asked Questions (FAQs)

Is third stage kidney disease serious?

Yes. Stage 3 CKD represents a moderate loss of kidney function, but with proper treatment many patients continue to live healthy, active lives.

Can third stage kidney disease be treated?

Yes. Although chronic kidney disease usually cannot be cured, medications, blood pressure control, diabetes management, a kidney-friendly diet, and regular monitoring can slow progression.

Will everyone with Stage 3 CKD need dialysis?

No. Most patients with Stage 3 CKD do not require dialysis, especially when kidney disease is managed early and appropriately.

Which doctor treats third stage kidney disease?

A super specialist nephrologist diagnoses chronic kidney disease, monitors kidney function, manages medications, and provides long-term kidney care.


Conclusion

Third Stage Kidney Disease is a manageable stage of chronic kidney disease when diagnosed early and treated appropriately. Although kidney function is moderately reduced, many patients can maintain stable kidney health through medications, healthy lifestyle changes, regular monitoring, and specialist care. Early intervention plays a vital role in slowing disease progression and preventing complications.

At Prabhakar Bhurke Clinic, our super specialist nephrologist provides expert diagnosis, comprehensive kidney evaluations, personalized treatment plans, advanced kidney function monitoring, dialysis planning when required, kidney transplant evaluation, and long-term kidney care. Through evidence-based treatment and compassionate support, we are committed to helping patients preserve kidney function and enjoy a better quality of life.


Book an Appointment Today

If you have third stage kidney disease, high creatinine levels, reduced eGFR, protein in the urine, swelling, diabetes, high blood pressure, or other symptoms of chronic kidney disease, schedule a consultation at Prabhakar Bhurke Clinic. Our super specialist nephrologist will perform a comprehensive evaluation, explain your treatment options, and develop a personalized care plan to protect your kidneys and support your long-term health.

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Dr. Sandip Bhurke

Nephrologist Super-Specialist

Consultation Fees: 1800
Follow-Up Fees : 1000

Dr. Kakalee K Saha

Diabetologist and Obesity Specialist

Consultation Fees: 2000
Follow-Up Fees : 1000

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