Kidney disease can be silent
Chronic kidney disease may not cause symptoms in its early stages. People with diabetes, hypertension, older age or previous kidney injury may need periodic assessment.
Useful tests
Serum creatinine with estimated filtration rate and urine testing for protein or albumin are commonly used. One abnormal result does not always establish chronic disease; persistence and clinical context matter.
Protecting kidney function
Good blood-pressure and diabetes control, avoiding unnecessary painkillers and unregulated remedies, reviewing medicines during dehydration or acute illness, and maintaining appropriate hydration can help protect kidney function.
When to seek assessment
Swelling, reduced urine, blood in urine, persistent vomiting, severe weakness, breathlessness or rapidly worsening kidney blood tests require medical review.