More than 37 million American adults have kidney disease, and most don’t know it. “There are many symptoms of kidney disease, but sometimes people mistake it for other conditions. Also, in people with kidney disease, symptoms do not appear until very late, when kidney failure and high levels of protein in the urine occur. This is one reason why only 10% of people with chronic kidney disease know they have it,” said Dr. Joseph Vassalotti, MD, chief medical officer of the National Kidney Foundation.
The only way to know for sure if you have kidney disease is to get tested, but Dr. Vassalotti shares 10 signs you may have kidney disease. If you are at risk of developing kidney disease due to high blood pressure or diabetes, or if you are over 60, it is important to get screened for kidney disease every year. Be sure to tell your doctor about any symptoms you are experiencing.
Symptoms of kidney disease
You are more tired, have less energy, or have trouble concentrating. A sharp decline in kidney function leads to the accumulation of toxins and impurities in the blood. It makes people tired, weak, and hard to concentrate. Another complication of kidney disease is anemia, which can cause weakness and fatigue.
You have a hard time sleeping. When the kidneys don’t filter properly, toxins stay in the blood instead of leaving the body in the urine. It makes it difficult to sleep. There is also a link between obesity and chronic kidney disease, and sleep apnea is more common in people with chronic kidney disease than in the general population.
You have dry and itchy skin. Healthy kidneys perform many important functions. They help remove waste and excess fluid from your body, make red blood cells, strengthen bones, and maintain proper levels of minerals in your blood. Dry and itchy skin is a symptom of mineral and bone disease that accompanies chronic kidney disease, in which the kidneys no longer maintain the balance of minerals and nutrients in the blood.
You need to urinate more often. If you need to urinate more often, especially at night, this may be a sign of kidney disease. When the kidney filter is damaged, the urge to urinate increases. Sometimes it can be a sign of a urinary tract infection or an enlarged prostate in men.
You see blood in your urine. Healthy kidneys filter waste from the blood to make urine and store blood cells in the body, but when kidney filters are damaged, these blood cells begin to “leak” into the urine. In addition to being a sign of kidney disease, blood in the urine can also be a sign of a tumor, kidney stone, or infection.
Your urine is foamy. Excessive bubbles in the urine, especially those that require several flushes before they go away, may indicate protein in the urine. Albumin, a common protein found in urine, is the same as egg protein, so this foam may look like egg foam.
You have persistent swelling around the eyes. Protein in the urine is the first sign of kidney filter damage, which allows protein to enter the urine. This puffiness around the eyes can be caused by your kidneys losing too much protein in the urine, rather than the protein that is stored in the body.
Your ankles and feet are swollen. Decreased kidney function can lead to sodium retention and swelling in the feet and ankles. Swelling of the lower extremities can be a symptom of heart disease, liver disease, or chronic venous disease in the legs.
You have a poor appetite. Although this is a very general symptom, one of the causes may be the accumulation of toxins associated with reduced kidney function.
Your muscles are contracting. Electrolyte imbalances can occur due to impaired kidney function. For example, low calcium levels and poor phosphorus control can cause muscle spasms.