Dr. Ruth Pepper

About Dr. Ruth Pepper

Dr Ruth Pepper is a consultant Nephrologist at the Royal Free Hospital.
She qualified from UCL Medical School in 2003.
She trained in Nephrology at Hammersmith Hospital, Royal London Hospital, and the Royal Free Hospital.
She completed her PhD in Glomerulonephritis at the UCL Centre for Nephrology in 2013.
She completed training as an Academic Clinical Lecturer at the Royal Free Hospital.
Dr Pepper was appointed as a Consultant in 2015.
Her subspecialty interests include renal autoimmune diseases such as lupus, vasculitis, and nephrotic syndrome.
She is involved in clinical studies at the Royal Free Hospital.
She is an active member of the Renal Association.

Conditions treated by Dr. Ruth Pepper

Chronic Kidney Disease (CKD)
Acute Kidney Injury (AKI)
Glomerulonephritis
Nephrotic Syndrome
Hypertension
Electrolyte and Acid-Base Disorders
Polycystic Kidney Disease
Kidney Stones (Nephrolithiasis)
Autoimmune Kidney Diseases (e.g., lupus nephritis, vasculitis)
End-Stage Renal Disease (ESRD)
Proteinuria
Hematuria
Kidney Transplantation
Inherited or Rare Kidney Disorders

Area of Interest

General Nephrology
Lupus
Vasculitis
Nephrotic syndrome

Qualification

MBBS – UCL Medical School, 2003
PhD – Glomerulonephritis, UCL Centre for Nephrology, 2013

Work Experiences

Global Team of Board Certified Surgeons and Medical Specialists
Written Second Opinion report delivered within 5 days
Option to avail the Video Consultation with the Lead Doctor of the board

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CERTIFICATIONS (1)

FRCP (Fellow of the Royal College of Physicians)

MEMBERSHIPS (1)

MRCP (Membership of the Royal College of Physicians)

RESEARCH PAPERS AND PUBLICATIONS (3)

The causes and consequences of paediatric kidney disease on adult nephrology care – Ruth J Pepper, Richard S Trompeter. Pediatr Nephrol, 2021 Aug 13.
A novel glucocorticoid-free maintenance regimen for anti-neutrophil cytoplasm antibody-associated vasculitis – Pepper RJ, McAdoo SP, Moran SM, et al. Rheumatology (Oxford), 2019 Feb 1;58(2):260–268.
The association of serum calprotectin (S100A8/S100A9) levels with disease relapses in PR3-ANCA-associated vasculitis – RJ Pepper, JB Draibe, B Caplin, et al.; for RAVE-ITN Research Group. Arthritis and Rheumatology, 2017;69(1):185–193.

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PROCEDURES

Hemodialysis
Peritoneal Dialysis
Plasmapheresis

FREQUENTLY ASKED QUESTIONS

Is Dr. Ruth Pepper doing teleconsultation on the MediGence platform?

Dr. Ruth Pepper is available to teleconsult on the MediGence platform.

How long is the consultation?

The consultation can last from 15 to 30 minutes. It may exceed the estimated time, depending on the patient’s queries and the doctor's medical suggestions.

How soon can the consultation be organised?

We have Medical specialists and board-certified doctors on our panel of doctors. The consultation will be organised within 24 to 48 hours or based on the availability of the doctor and the patient.

Is a follow-up consultation included in the consultation price?

No, the follow-up consultation fee is not included in the consultation price. The patient will be required to re-book the consultation.

How do I share my medical record with the doctor for review?

The option to share your medical records is available between the steps of the form provided to you on the website.

Can I book my procedure with the doctor post-consultation?

Yes. If you are satisfied with the consultation, you can go ahead with treatment packages for your diagnosis with the help of our case managers.

Can you get an estimate for the procedure?

Yes. The cost estimate will be provided to you by our case manager, including the doctor’s opinion, the cost estimate, and crucial information about traveling to your medical destination.

FAQ's Related to Nephrologist

What does a nephrologist do?

A nephrologist is a doctor who specializes in the diagnosis, treatment, and management of kidney-related diseases and disorders, including chronic kidney disease, kidney stones, high blood pressure, and electrolyte imbalances.

When should I see a nephrologist?

You should consult a nephrologist if you have:

Persistent high blood pressure
Abnormal kidney function tests (e.g., elevated creatinine or low eGFR)
Protein or blood in your urine
Swelling in hands, feet, or face
Kidney stones or recurrent urinary tract infections
History of kidney transplant or need for dialysis

What tests does a nephrologist perform?

Common tests include:

Blood tests (creatinine, urea, electrolytes)
Urine tests (urinalysis, protein, microalbumin)
Imaging (ultrasound, CT, MRI of kidneys)
Kidney biopsy for detailed tissue analysis

What treatments do nephrologists offer?

Nephrologists provide:

Medication management for kidney disease and high blood pressure
Dialysis (hemodialysis or peritoneal dialysis)
Kidney transplant evaluation and follow-up
Lifestyle and dietary counselling to protect kidney function

Can nephrologists treat other conditions besides kidney problems?

Yes. Nephrologists often manage conditions closely linked to kidney health, such as:

Diabetes and its impact on the kidneys
High blood pressure
Electrolyte and mineral imbalances (e.g., calcium, phosphate)
Bone disease related to chronic kidney disease

How often should I see a nephrologist?

The frequency depends on your condition:

Chronic kidney disease: typically every 3–6 months
Dialysis patients: multiple times per week
Post-transplant: regular follow-ups as per your transplant team

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