Kidney damage doesn’t always hurt—These 5 silent signs might be your clue

Key symptoms of kidney disease to know
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Key symptoms of kidney disease to know

​​The kidneys have a crucial role to play in the overall health of an individual—they remove waste, maintain fluid and electrolyte balance, monitor blood pressure, and even assist in red blood cell production. And yet, the initial indicators of kidney malfunction tend to go unnoticed or be misinterpreted as other minor concerns. Silent in its early years, Chronic Kidney Disease (CKD) may become halted in its progress with early red flag recognition. Below are five frequently overlooked warning signs that should be seen by a doctor:

Persistent fatigue and weakness
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Persistent fatigue and weakness


Kidney failure results in the accumulation of toxins in the blood, affecting energy levels. Besides, when the kidneys do not produce sufficient erythropoietin—a hormone responsible for stimulating red blood cell creation—it can cause anaemia. This causes chronic fatigue, lack of concentration, and shortness of breath during light activity. Most patients blow it off as normal exhaustion or ageing, and diagnosis is delayed.

Alteration of urination habits
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Alteration of urination habits


Changes in urine frequency, color, or appearance are usually the initial signs of kidney problems but are seldom seriously considered. Nocturia or frequent nighttime urination, bubbly or foamy urine (which signifies protein loss), hematuria or blood in urine, or very dark urine are all indications of possible kidney injury. Neglecting these variations even if they appear trivial can permit the disease to develop insidiously.

Swelling in the feet, ankles, or face
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Swelling in the feet, ankles, or face


If the kidneys cannot clear excess sodium and fluid from the body, it results in swelling (edema) that is easily seen, especially in the legs and around the eyes. Patients often blame the swelling on a long standing position or bad eating, but it could be evidence of failing kidneys. Detection and testing are important as soon as possible.

Persistent itching or skin changes
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Persistent itching or skin changes


One of the less familiar signs of kidney impairment is persistent itching (pruritus). This is caused by waste products in the blood and mineral imbalances like calcium and phosphorus. Flaky dry skin and a nagging desire to scratch, particularly without a dermatological cause, should be evaluated with a renal check-up.

Loss of appetite, metallic taste, or nausea
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Loss of appetite, metallic taste, or nausea

As kidney function worsens, the body accumulates uremic toxins, producing gastrointestinal symptoms such as a metallic taste in the mouth, foul odor of the breath (uremic fetor), nausea, or loss of appetite. These symptoms are usually misinterpreted as a digestive issue, resulting in misdiagnosis or delay in treatment.

How to improve kidney health
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How to improve kidney health

Improving kidney health involves adopting healthy lifestyle habits. Stay well-hydrated by drinking enough water daily to help kidneys flush out toxins. Eat a balanced diet rich in fruits, vegetables, and whole grains, and limit salt, sugar, and processed foods to reduce kidney strain. Manage blood pressure and blood sugar, as both are leading causes of kidney damage. Avoid excessive use of over-the-counter painkillers and limit alcohol consumption. Quit smoking, as it impairs kidney function. Maintain a healthy weight and exercise regularly. Regular health check-ups can help detect early signs of kidney issues. Always consult a doctor for personalized kidney care advice.

Kidney friendly foods
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Kidney friendly foods

  1. berries (like blueberries and strawberries)

  2. apples

  3. red grapes

  4. cauliflower

  5. cabbage

  6. garlic

  7. onions

  8. bell peppers

  9. olive oil

  10. egg whites

  11. fish high in omega-3s (like salmon and mackerel)

  12. skinless chicken

  13. pineapple

  14. radish

  15. water (staying well-hydrated is essential)

When to seek help
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When to seek help


If you or someone you know experiences any of these symptoms—particularly in the setting of risk factors like diabetes, high blood pressure, a family history of kidney disease, or long-term use of pain medication—see a healthcare provider for a kidney function test. Complications can be prevented and quality of life enhanced by early detection through the routine blood (creatinine, eGFR) and urine (albumin) screening.
The secret to maintaining kidney health is awareness and prompt action. Pay heed to your body's subtle signs—your kidneys might be silently crying out for assistance.


Dr. Mohit Khirbat, Consultant, Nephrology, CK Birla Hospital, Gurugram5 yoga asanas that help reduce blood pressure Avoid consuming these foods to avoid serious kidney disease

Consult a doctor
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Consult a doctor

Always consult a doctor, if you experience these symptoms

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