Symptoms of Chronic Kidney Disease at Different Stages

Chronic Kidney Diseases, Kidney Symptoms

Hello Friends. In this article, we’ll discuss about symptoms of chronic kidney disease or CKD.  The symptoms associated with chronic kidney disease worsen as you progress from the least severe stage, The initial stage to most severe stage.

Stage 1 of Chronic Kidney Disease

This stage usually have no symptoms.  The only exception is patients who are spilling a massive amount of protein in the urine because they can subsequently develop swelling in the legs or other parts of the body. 

Stage 2 of Chronic Kidney Disease

Chronic kidney disease stage two is usually associated with no symptoms either just like stage one you don’t know.  The vast majority of patients with CKD stage one and two are not aware of having kidney disease unless they undergo specific blood and urine testing. So most of the time it’s incidental finding you are not even looking for it.

Stage 3 of Chronic Kidney Disease

Now chronic kidney disease stage three, this is the most common stage of kidney disease.  This is middle road. Your GFR is between 30 and 59. Since this stage associates with moderate reduction in level of kidney function. A proportion of patients might develop some symptoms and different kind of symptoms.  Some of those symptoms like fatigue or more frequent urination at night are nonspecific and overlooked by patients or attributed to some other things. When they think about it, there is a very long list of causes for fatigue and kidney diseases certainly not number. Some patients who are in chronic kidney disease stage three can experience swelling in the legs.

Stage 4 of Chronic Kidney Disease

Now comimg towards stage 4. This is associated with further reduction in the level of kidney function. It is considered severe if GFR is between 15 and 29. Thus, as you can expect, there will be more patients having symptoms in this stage symptoms can be similar to those with stage 3 but they’re just more obvious.  There might be some additional symptoms like decreasing appetite or some patients will experience shortness of breath. 

Stage 5 of Chronic Kidney Disease

Let us talk about stage 5 of chronic kidney disease and this is the most severe stage if you recall.  In stage 5 GFR is less than 15 as with other stages various patients will experience different amounts of symptoms.  There are certainly many people in this stage who continue to work full-time and live a pretty much normal life. You look at them and you would never guess that they have chronic kidney disease stage 5.  They ask me doc are you sure I feel just fine. I cannot tell in general. H7owever in this stage there are more symptoms than in any other previous stages on top of previously mentioned symptoms like fatigue swelling in the legs. Patients might suffer from some other symptoms like skin itching metallic or bitter taste in the mouth sometimes I ask patients do you feel like you swallowed a coin.  Now that I know what it tastes like but it’s just your taste is off.  Sometimes patients experience nausea or even vomiting. Vomiting might be most more pronounced in the morning when you are in stage 5 you can expect further worsening in energy level and some sleep disturbances. 

Other symptoms

Some patients will require we require more sleep at night for example instead of your previous six seven hours which was enough to feel refreshed.  Now you will need nine hours to feel rested or semi rested or maybe you’re going to have a reverse sleeping pattern that means that you will stay up at night. You’re just not sleepy, cannot sleep. May be, you will want to sleep all day long.  Some patients sleep at night just fine but they also required a nap during the day. They will tell me doc I go to work I can get through work but then when I got come home I really need this nap.  They didn’t need it a year ago.  Many patients when they are in Stage five chronic kidney disease, they are in denial.  All those changes are very slow.  It’s not like one day you have hundred percent of kidney function and the next day you wake up and your level of kidney functions down to ten percent.

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