Kidney failure, also called end-stage renal disease (ESRD), is the last stage of chronic kidney disease. When your kidneys fail, it means they have stopped working well enough for you to survive without dialysis or a kidney transplant.
What causes kidney failure?
In most cases, kidney failure is caused by other health problems that have done permanent damage (harm) to your kidneys little by little, over time.
When your kidneys are damaged, they may not work as well as they should. If the damage to your kidneys continues to get worse and your kidneys are less and less able to do their job, you have chronic kidney disease. Kidney failure is the last (most severe) stage of chronic kidney disease. This is why kidney failure is also called end-stage renal disease, or ESRD for short.
- Autoimmune diseases, such as lupus and IgA nephropathy
- Genetic diseases (diseases you are born with), such as polycystic kidney disease
- Nephrotic syndrome
- Urinary tract problems
Sometimes the kidneys can stop working very suddenly (within two days). This type of kidney failure is called acute kidney injury or acute renal failure. Common causes of acute renal failure include:
- Heart attack
- Illegal drug use and drug abuse
- Not enough blood flowing to the kidneys
- Urinary tract problems
This type of kidney failure is not always permanent. Your kidneys may go back to normal or almost normal with treatment and if you do not have other serious health problems.
Having one of the health problems that can lead to kidney failure does not mean that you will definitely have kidney failure. Living a healthy lifestyle and working with your doctor to control these health problems can help your kidneys work for as long as possible.
What are the symptoms of kidney failure?
You may notice one or more of the following symptoms if your kidneys are beginning to fail:
- Muscle cramps
- Nausea and vomiting
- Not feeling hungry
- Swelling in your feet and ankles
- Too much urine (pee) or not enough urine
- Trouble catching your breath
- Trouble sleeping
If your kidneys stop working suddenly (acute kidney failure), you may notice one or more of the following symptoms:
- Abdominal (belly) pain
- Back pain
Having one or more of any of the symptoms above may be a sign of serious kidney problems. If you notice any of these symptoms, you should contact your doctor right away.
What are the treatment options for kidney failure?
If you have kidney failure (end-stage renal disease or ESRD), you will need dialysis or a kidney transplant to live. There is no cure for ESRD, but many people live long lives while on dialysis or after having a kidney transplant.
There are just a few options for treating kidney failure, including kidney transplant and several types of dialysis. Your doctor can help you figure out which treatment is best for you. Learn more about the treatment options for kidney failure.
How do I adjust to kidney failure?
Learning that you have kidney failure can come as a shock, even if you have known for a long time that your kidneys were not working well. Having to change your lifestyle to make time for your treatments can make coping with this new reality even harder. You may have to stop working or find new ways to exercise. You may feel sad or nervous. All is not lost. You can get help to feel better and have a fulfilling life. Learn more about mental health and how to get help.
How do I adjust to dialysis?
Starting dialysis often means creating a new normal for yourself and your family. There’s a lot to think about, from choosing a treatment option, to finding new ways to enjoy your favorite activities, to managing a new diet. The FIRST30 program is all about helping you through this period of adjustment. Here, you’ll find videos featuring people like you, who once were new to dialysis, as well as a checklist of important questions to ask your health care team.
What are the complications of kidney failure?
Your kidneys do many jobs to keep you healthy. Cleaning your blood is only one of their jobs. They also control chemicals and fluids in your body, help control your blood pressure and help make red blood cells. Dialysis can do only some, not all, of the jobs that healthy kidneys do. Therefore, even when you are being treated for kidney failure, you may have some problems that come from having kidneys that don’t work well. Learn more about the complications of kidney failure.
What should I eat when I have Kidney failure?
Dialysis helps to do some of the work that your kidneys did when they were healthy, but it cannot do everything that healthy kidneys do. Therefore, even when you are on dialysis, you will need to limit what and how much you eat and drink. Your diet needs may depend on the type of dialysis you are on (hemodialysis or peritoneal dialysis) and your treatment schedule. Learn more about the diet for living with kidney failure.
Learn what healthy eating means for people in every stage of kidney disease, including those on dialysis or living with a kidney transplant. Find recipes on Kidney Kitchen.