Saturday, April 18, 2026

Swollen feet and fatigue could signal kidney trouble warns Mumbai nephrologist

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Kidneys play a vital role in keeping the body balanced by filtering waste removing excess fluids regulating blood pressure and supporting red blood cell production. According to the National Kidney Foundation nearly 10 percent of the global population is affected by chronic kidney disease making early awareness essential.

Dr Hemant Chaugule consultant nephrologist at Holy Family Hospital Mumbai explains that kidney disease does not always begin with dramatic symptoms. In many cases the body gives subtle early warnings that are often overlooked. Recognising these signs early can help prevent progression to advanced kidney damage.

Changes in urination patterns are often the first indicator. This may include passing urine more frequently producing less urine than usual waking up multiple times at night to urinate noticing foamy or bubbly urine which can signal protein leakage or spotting blood in the urine. Any persistent shift in urinary habits should prompt medical evaluation.

Swelling in the feet ankles or around the eyes is another common early sign. When kidneys are unable to remove excess salt and fluid efficiently fluid can accumulate in tissues leading to puffiness. Unlike general weight gain this swelling tends to be localised and may fluctuate throughout the day.

Persistent fatigue and weakness can also be linked to declining kidney function. The kidneys produce a hormone that helps regulate red blood cell production. When kidney performance drops anaemia may develop causing tiredness breathlessness and low energy levels.

Loss of appetite nausea or a metallic taste in the mouth may seem minor but can be early indicators of toxin buildup in the bloodstream due to reduced kidney filtration. These digestive changes should not be ignored especially when combined with other symptoms.

Hypertension that remains difficult to control despite medication can also point toward underlying kidney problems particularly in younger individuals. High blood pressure and kidney disease are closely connected with each condition capable of worsening the other.

Individuals with diabetes high blood pressure or a family history of kidney disease are advised to undergo regular blood and urine testing rather than waiting for severe symptoms to appear. Early detection remains the most effective way to protect long term kidney health.

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