At Stage 4 CKD, kidney function is significantly reduced, with an eGFR between 15-29. Symptoms become more noticeable and complications such as anemia, bone disease, and high blood pressure are common. This is the stage when dialysis or kidney transplant planning begins.

Stage 4 CKD is when you and your healthcare team will begin planning for either dialysis or a kidney transplant. Early planning allows you to explore options, understand the process, and mentally prepare for the next steps. You may be referred to a nephrologist, who specializes in kidney disease management.

As kidney function worsens, the complications associated with Stage 4 CKD become more prominent. Common issues include fluid retention, high blood pressure, bone disease, anemia, and electrolyte imbalances. Medications and lifestyle changes can help control these symptoms, but the primary goal is to slow further kidney decline.

A kidney-friendly diet becomes even more crucial at Stage 4 CKD. Limiting sodium, protein, phosphorus, and potassium helps reduce strain on the kidneys. Your healthcare team will also provide specific recommendations based on lab results. Staying active, managing weight, and avoiding smoking and alcohol are also important at this stage.

Regular monitoring is key at Stage 4 CKD. Blood tests (e.g., eGFR, creatinine), urine tests, and regular blood pressure checks help assess kidney health and the need for intervention. You may also need additional tests to assess for complications like anemia or bone disease. Your healthcare provider will adjust treatment plans as needed.