apollo

Early Symptoms of Kidney Failure

Learn the early signs of kidney failure, including fatigue, swelling, and changes in urination. Discover causes, prevention tips, and when to seek medical help to protect your kidney health

reviewerImg

Written by Dr. Vasanthasree Nair

Reviewed by Dr. Md Yusuf Shareef MBBS

Last updated on 11th Aug, 2025

Your kidneys play a vital role in keeping your body healthy by filtering waste, balancing fluids, and regulating blood pressure. However, when they start to fail, the early signs can be subtle and easy to miss. Recognising these symptoms early can help you seek timely medical care and prevent further damage.

In this article, we’ll discuss the early warning signs of kidney failure, possible causes, and steps you can take to protect your kidney health.

What Are the Early Signs of Kidney Failure?

Kidney failure often develops slowly, and symptoms may not appear until significant damage has already occurred. However, paying attention to these early signs can make a difference:

1. Fatigue and Weakness

Healthy kidneys produce a hormone called erythropoietin, which helps make red blood cells. When kidneys aren’t working well, you may feel unusually tired, weak, or have trouble concentrating due to anaemia (low red blood cell count).

2. Swelling (Oedema) in Hands, Feet, or Face

Kidneys help remove excess fluid from the body. If they aren’t functioning properly, fluid can build up, leading to swelling in the legs, ankles, feet, or even around the eyes.

3. Changes in Urination

One of the earliest signs of kidney trouble is changes in urination, such as:

  • Frequent urination (especially at night)

  • Foamy or bubbly urine (a sign of protein leakage)

  • Dark or bloody urine

  • Difficulty urinating or reduced urine output

4. Persistent Itching and Dry Skin

When kidneys fail, waste builds up in the blood, leading to itchy, dry, or flaky skin. This happens because the kidneys can no longer filter toxins effectively.

5. Nausea and Loss of Appetite

A buildup of waste products in the blood (uremia) can cause nausea, vomiting, and a metallic taste in the mouth, leading to a loss of appetite and unintended weight loss.

6. Shortness of Breath

Fluid retention and anaemia can make it harder to breathe, even with mild exertion. Excess fluid may also accumulate in the lungs, causing breathlessness.

7. High Blood Pressure

Kidneys help regulate blood pressure. If they are damaged, blood pressure can rise, which in turn can worsen kidney function—creating a dangerous cycle.

8. Muscle Cramps and Weakness

Electrolyte imbalances (like low calcium or high potassium) due to poor kidney function can lead to muscle cramps, twitching, or weakness.

Consult a top nephrologist for the best advice

Dr. Pardha Saradhi, Nephrologist

Dr. Pardha Saradhi

Nephrologist

9 Years • MBBS, MD-DNB (Gen. Med.), DNB (Nephro)

Hyderabad

Apollo Hospitals D R D O kanchanbagh, Hyderabad

recommendation

92%

(50+ Patients)

1000

100 Cashback

1000

No Booking Fees

What Causes Kidney Failure?

Kidney failure can result from conditions that damage the kidneys over time, including:

  • Diabetes (leading cause)

  • High blood pressure

  • Chronic kidney infections

  • Polycystic kidney disease (PKD)

  • Long-term use of painkillers (NSAIDs)

  • Heart disease

  • Smoking and excessive alcohol use

How Can You Protect Your Kidneys?

If you notice any early symptoms, consult a doctor immediately. Here are some ways to keep your kidneys healthy:

1. Stay Hydrated

Drinking enough water helps kidneys flush out toxins. Aim for 6-8 glasses a day, unless your doctor advises otherwise.

2. Eat a Kidney-Friendly Diet

  • Reduce salt intake to control blood pressure.

  • Limit processed foods high in phosphorus and potassium.

  • Eat more fruits, vegetables, and whole grains.

  • Control protein intake if advised by a doctor.

3. Manage Blood Sugar and Blood Pressure

If you have diabetes or hypertension, keep them under control with medication, diet, and regular check-ups.

4. Avoid Overuse of Painkillers

Excessive use of NSAIDs (like ibuprofen) can harm kidneys. Always follow dosage instructions.

5. Quit Smoking and Limit Alcohol

Smoking reduces blood flow to the kidneys, while excessive alcohol can damage them.

6. Get Regular Check-ups

If you’re at risk (due to diabetes, high BP, or family history), get kidney function tests (like creatinine and GFR tests) periodically.

When to See a Doctor

If you experience any of the symptoms mentioned, especially persistent fatigue, swelling, or changes in urination, consult a doctor immediately. Early detection can slow kidney damage and improve outcomes.

Need a Kidney Function Test or Expert Advice?

If you're concerned about kidney health, you can book a consultation or lab test through Apollo 24|7. Early diagnosis and proper care can make all the difference.

Conclusion

Kidney failure often progresses silently, but recognising early symptoms can save your kidneys and your life. By staying aware, making healthy lifestyle choices, and seeking timely medical help, you can protect your kidney function and maintain overall well-being.

Consult a top nephrologist for the best advice

Dr. Pardha Saradhi, Nephrologist

Dr. Pardha Saradhi

Nephrologist

9 Years • MBBS, MD-DNB (Gen. Med.), DNB (Nephro)

Hyderabad

Apollo Hospitals D R D O kanchanbagh, Hyderabad

recommendation

92%

(50+ Patients)

1000

100 Cashback

1000

No Booking Fees

Consult a top nephrologist for the best advice

Dr Gayatri Pegu, Nephrologist

Dr Gayatri Pegu

Nephrologist

15 Years • MD (General Medicine) DM(Nephrology)

Guwahati

Apollo Clinic Guwahati, Assam, Guwahati

900

No Booking Fees

Dr Ch Sashidhar, Nephrologist

Dr Ch Sashidhar

Nephrologist

20 Years • MBBS, MD General Medicine, DNB, Nephrology

Secunderabad

Apollo Hospitals Secunderabad, Secunderabad

600

90 Cashback

600

No Booking Fees

Dr Praveen Kumar Etta, Nephrologist

Dr Praveen Kumar Etta

Nephrologist

10 Years • MBBS,MD DM(SGPGI) FORMER ASST(PIMS)

Hyderabad

Apollo Spectra Ameerpet, Hyderabad

600

No Booking Fees

Dr. Pardha Saradhi, Nephrologist

Dr. Pardha Saradhi

Nephrologist

9 Years • MBBS, MD-DNB (Gen. Med.), DNB (Nephro)

Hyderabad

Apollo Hospitals D R D O kanchanbagh, Hyderabad

recommendation

92%

(50+ Patients)

1000

100 Cashback

1000

No Booking Fees

Dr. Manju Kamal, Nephrologist

Dr. Manju Kamal

Nephrologist

12 Years • MBBS,MD(General Medicine), DNB,DM(Nephrology)

Angamaly

Apollo Hospitals Karukutty, Angamaly

500

No Booking Fees

More articles from General Medical Consultation