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This is usually determined by doing an eGFR blood test which estimates kidney function.
Google says.
What is eGFR in blood test normal range?
In adults, the normal eGFR number is more than 90. IF YOUR eGFR IS BETWEEN 60 AND 89... People with mildly low eGFR (between 60 and 89) may not have kidney disease if there is no sign of kidney damage, such as protein in their urine.
An eFGR of 55 may indicate an issue affecting the kidneys. A reduced eFGR may be temporary or it may be consistently lower than expected.
An eFGR of 55 needs to be followed up, so please ensure your doctor does repeat tests in order to confirm or eliminate a diagnosis.
In UK the National Institute for Health and Care Excellence (NICE) provides a range of clinical guidance to the NHS in England and Wales. Their page outlining the process for diagnosing kidney issues is here https://cks.nice.org.uk/topics/chronic-kidney-disease/diagnosis/initial-investigations/
The doctors diagnosis process may not follow exactly what the procedure says, but basically you should receive a number of tests over a few months to determine whether your result is a temporary reduction or if it's a consistently reduced. At some point in that time you may also have a urine test.