Dr Nikhil Bhasin, consultant nephrologist and renal transplant physician, Wockhardt Hospitals, Mumbai Central, said that an eGFR of 53 usually indicates Stage 3A chronic kidney disease (CKD). “At this stage, the kidneys are filtering slower than ideal, but it’s not a panic situation — especially at your age. Kidney function naturally declines over time, and many people live well for years at this level without needing dialysis,” said Dr Bhasin.

The key is early control: once reduced kidney function is identified, it is essential to prevent further decline.

Can an eGFR of 53 return to “normal” (>59)?

Calling it the “most common question I hear”, Dr Bhasin told us that many are “not looking for reversal but stability”. “If the cause is temporary, such as dehydration, certain medications, or an acute infection, your eGFR may improve. But if the decline is due to long-standing diabetes, hypertension, or changes in the kidneys from ageing, we mainly try to slow progression and keep the number steady,” said Dr Bhasin.

Dr Bhasin compared restoring kidney function to maintaining a vintage car. “You may not make it brand-new, but you can keep it running beautifully for years,” said Dr Bhasin.

What to check immediately after seeing a low eGFR?

Blood pressure: High BP quietly damages the kidneys. Target ~130/80, said Dr Bhasin.

Blood sugar levels – Even borderline diabetes hastens kidney loss.

Medications- Painkillers such as ibuprofen, certain antibiotics, and contrast dyes can further deteriorate kidney function.

Urine Protein- A urine ACR test tells us how “leaky” the kidneys are.

This is what a doctor told us (Photo: Getty Images/Thinkstock)

Hydration and salt intake – both influence kidney workload.

How to protect the kidneys now?

Control blood pressure and blood sugar tightly, said Dr Bhasin. “This is the single greatest predictor of kidney survival,” he added.

Limit salt to less than 5 grams a day. Processed foods are the biggest culprits.

Stay hydrated, but do not overdo the water. Drink based on thirst, unless advised differently.

Choose kidney-friendly protein portions. Not zero protein—avoid excess red meat and supplements.

Here’s the Quora query (Photo: Quora)

Stay active. Walking 30 minutes a day improves blood flow to the kidneys.

Avoid OTC painkillers, especially NSAIDs. Always ask your doctor first.

Get kidney tests every 6-12 months. “eGFR, creatinine, potassium, and urine ACR,” said Dr Bhasin.

Reduced eGFR is not the end of the story, he affirmed. Dr Bhasin said that with the right habits and monitoring, most people maintain stable kidney health for a long time. The earlier you take charge, the better your kidneys reward you.

DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.