High creatinine & kidney function
Assessment of a raised creatinine or low filtration rate: why it happens, whether it's reversible and how to protect the kidney.
Nephrology · Girona
Dr. Jorge Mario Alfonzo Juliá, consultant nephrologist in Girona. Worried about a high creatinine, urine infections that keep coming back, blood pressure that's hard to control or kidney stones? I'll help you make sense of it and set out a clear plan, with scientific rigour and a close, personal approach.
JA
01 — About
Consultant in Nephrology, practising in Girona. Dedicated to the diagnosis, treatment and follow-up of kidney conditions. The consultation ranges from the most common reasons —raised creatinine, kidney stones, urinary tract infections and hypertension— to the comprehensive care of chronic kidney disease at every stage.
Clinical practice is grounded in the latest scientific evidence, prioritising clear communication and the consultation time each patient needs. Services include the metabolic work-up of kidney stones, blood-pressure monitoring and the issuing of second opinions with a clinical report for the referring doctor. Available to private patients and to members of the main health insurers.
02 — Areas of expertise
Assessment of a raised creatinine or low filtration rate: why it happens, whether it's reversible and how to protect the kidney.
When urinary infections keep coming back or affect the kidney: causes, treatment and prevention.
Metabolic work-up of the cause of stones for prevention tailored to you.
Managing hard-to-control blood pressure, with ambulatory monitoring (ABPM) when needed.
Diagnosis and follow-up to slow progression across all stages.
Hospital experience in renal replacement therapy and vascular access management.
03 — Your first visit
To make the first visit as useful as possible, here is what to know and to bring.
04 — The clinic
From organ to cell
05 — Career
Grup Clínica Girona · Girona
Consorci Sanitari de Terrassa · Barcelona
Quirónsalud · Barcelona
Serveis Mèdics Penedès · Barcelona
Manuel Fajardo University Hospital · Havana
06 — Training & credentials
University of Medical Sciences of Havana
National residency exam and training at Consorci Sanitari de Terrassa, Barcelona
Complutense University of Madrid
07 — Research
Enfermería Nefrológica · 2025 · Original article
Enfermería Nefrológica · 2025 · Original article
Revista Cubana de Medicina · Article
53rd Congress of the Spanish Society of Nephrology · Poster
53rd Congress of the Spanish Society of Nephrology · Poster
53rd Congress of the Spanish Society of Nephrology · Poster
39th Annual Meeting · Catalan Society of Nephrology
38th Annual Meeting · Catalan Society of Nephrology · Poster
08 — Frequently asked questions
Creatinine is a blood-test value that reflects how the kidney is working. A raised creatinine —or a low glomerular filtration rate— may be due to passing causes (dehydration, certain medicines) or point to a kidney problem worth investigating. In clinic we assess the cause, whether it is acute or chronic, and what to do to protect kidney function.
It's worth consulting if your blood tests show reduced kidney function (creatinine or glomerular filtration rate) or protein in the urine, if you have hard-to-control high blood pressure, known kidney disease, recurrent kidney stones, or if your GP refers you. For people with diabetes, hypertension or a family history, a regular check-up helps catch problems early.
Previous medical reports, recent blood and urine tests, imaging studies if you have them, a list of your current medication and your ID (and your insurance card if applicable). The more information, the more complete the assessment.
Not necessarily. Most people with chronic kidney disease never need dialysis. With early diagnosis and the right treatment, progression can be slowed for many years. Renal replacement therapy is only needed in very advanced stages.
To a large extent, yes. Controlling blood pressure and glucose, cutting salt, staying well hydrated, avoiding tobacco and using anti-inflammatories carefully all protect the kidneys. For people at risk, an annual blood test helps get ahead of the problem.
Consultations are private and also with the main health insurers. You can check the companies the clinic works with on the Clínica Girona insurers page, or ask when booking your appointment.
09 — Blog
Articles on kidney health, hypertension and haemodialysis, written for patients, families and professionals.
Why creatinine rises (not always serious), when to investigate and how to protect the kidney.
Cystitis or pyelonephritis, warning signs, when the nephrologist steps in and how to prevent them.
Renal colic, the types of stone and prevention tailored to each person.
10 — Contact
Nephrology consultation at Grup Clínica Girona. Write to me to assess your case, request a second opinion or arrange follow-up.