Nephrology & Hypertension Associates

At Nephrology & Hypertension Associates in Columbia, Missouri, our mission is to provide exceptional, patient-centered care for individuals facing kidney-related and hypertensive challenges. We are dedicated to delivering comprehensive services that encompass prevention, diagnosis, and advanced treatment options.

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About Us

Our team of experienced specialists are committed to fostering a compassionate and collaborative environment, where patients are actively involved in their healthcare journey.

Through personalized care plans and a focus on education and support, we strive to enhance the well-being of our patients, optimizing kidney health, managing hypertension, and improving overall quality of life. With a commitment to excellence, innovation, and community well-being, we aim to be a trusted partner in our patients’ health, providing the highest standard of care with integrity, empathy, and a relentless pursuit of medical excellence.

Services

Acute Renal Failure

Our team at Nephrology & Hypertension Associates provides specialized care for Acute Renal Failure, a sudden and severe decline in kidney function.

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Chronic Kidney Disease

Our practice is dedicated to addressing the complexities of Chronic Kidney Disease (CKD), a progressive condition that impairs kidney function over time.

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End-Stage Renal Disease

For individuals facing End-Stage Renal Disease (ESRD), our specialists offer comprehensive care, including renal replacement therapy options such as dialysis or kidney transplantation

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Hypertension

At Nephrology & Hypertension Associates, we provide expert care for hypertension, a common risk factor for kidney disease and cardiovascular complications.

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Anemia of CKD

Our specialists are equipped to address Anemia of Chronic Kidney Disease, a common complication affecting red blood cell production.

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Electrolyte Disorders

Nephrology & Hypertension Associates specializes in managing Electrolyte Disorders, common in kidney-related conditions.

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What makes NHA different?

Together, Dr. Winkelmeyer, Dr. Watson, Dr. Brooks, Dr. Hamlett and Board Certified Nurse Practitioner Leslie Prosser have over 65 years of Nephrology experience. Long-time members of the local community, Leslie, along with Dr. Winkelmeyer, Dr. Watson and Dr. Brooks, all studied medicine at the University of Missouri in Columbia, MO. Our providers travel to many outlying clinics across the Mid-Missouri offering convenient access to Nephrology services, limiting patient travel time to see a nephrologist.

Why wait longer to find answers?

End-Stage Renal Treatment

Counseling & Education

In-Center Hemodialysis

For patients requiring In-center Hemodialysis, our practice offers state-of-the-art facilities and experienced healthcare professionals to deliver effective dialysis treatments. We prioritize patient comfort and well-being during in-center hemodialysis sessions to ensure optimal outcomes.

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Home Hemodialysis

Our practice supports Home Hemodialysis programs, empowering patients to undergo dialysis treatments in the comfort of their homes. We provide comprehensive training, ongoing support, and necessary resources to enable individuals to manage their health independently.

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Peritoneal Dialysis

Nephrology & Hypertension Associates offers Peritoneal Dialysis as a renal replacement therapy option. Our team provides thorough education, guidance, and ongoing support for patients choosing peritoneal dialysis, allowing for flexibility in treatment schedules and personalized care.

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Transplant

Our transplant services involve comprehensive evaluation and management for individuals considering kidney transplantation. We collaborate with transplant centers and provide pre- and post-transplant care, ensuring optimal outcomes for patients seeking kidney transplants.

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FAQs

What is nephrology?

Nephrology is a branch of medicine that focuses on the kidneys including the diagnosis and treatment of kidney diseases.

What are the common symptoms of kidney disease?

Symptoms can vary and some patients may not experience any symptoms, especially in the early stages of kidney disease. Symptoms may include swelling in the legs and ankles, fatigue, changes in urination, nausea, and high blood pressure.

What causes hypertension (high blood pressure)?

Hypertension can be caused by genetic factors, poor diet, lack of exercise, obesity, stress, and chronic conditions like diabetes and kidney disease.

How is kidney function tested?

Kidney function is tested through blood tests (e.g., serum creatinine, glomerular filtration rate) and urine tests (e.g., urine protein).

What is the connection between kidney disease and hypertension?

Kidney disease can cause hypertension by affecting the kidneys’ ability to regulate blood pressure. Conversely, hypertension can damage blood vessels in the kidneys, leading to kidney disease.

What lifestyle changes can help manage hypertension?

Lifestyle changes include maintaining a healthy diet, exercising regularly, avoiding smoking, limiting alcohol, and managing stress can help manage hypertension.

What medications are used to treat high blood pressure?

Common medications include diuretics, ACE inhibitors, angiotensin II receptor blockers, beta-blockers, and calcium channel blockers. You should consult your health provider before starting any new medication.

Can kidney disease be reversed?

Chronic Kidney Disease may be managed or slowed with treatment, but chronic damage is irreversible.

How often should I get my kidneys checked if I have high blood pressure?

If you have high blood pressure, it’s recommended to have routine blood work at least once a year or as advised by your healthcare provider.

What is dialysis, and when is it needed?

Dialysis is a treatment that filters the blood and helps removes waste products and excess fluid when the kidneys are no longer able to function properly. It is needed in patients with advanced kidney failure.

What dietary changes are recommended for kidney disease?

Every patient is different, and typically dietary changes are recommended based on the specific patient and their needs. Some dietary changes may include reducing fluid, protein, sodium, potassium, and phosphorus intake. It is important that you discuss any dietary changes with your healthcare provider to see what is best for you before making any changes.

Can hypertension be cured?

Hypertension cannot usually be cured, but it can be effectively managed with lifestyle changes and medications.

What are the risks of untreated hypertension?

Untreated hypertension can lead to serious health issues, including heart attack, stroke, kidney damage, and vision loss.

Is it safe to take over-the-counter pain medications with kidney disease?

Some over-the-counter pain medications, especially NSAIDs (e.g., ibuprofen, naproxen), can be harmful to the kidneys. It’s important to consult with a healthcare provider before taking any medication.

How can I prevent kidney disease?

Preventative measures include maintaining a healthy lifestyle, managing blood pressure and blood sugar levels, staying hydrated, and avoiding excessive use of medications that can harm the kidneys. Regular check-ups are also important.