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One of the most common side effects of chronic kidney disease (CKD) is swelling. This can make everyday activities like walking difficult, and may lead to shortness of breath, chest pain, and stiffness.
Wondering what you can do to avoid this discomfort? PatientsLikeMe has a guide to managing swelling, as well as an explanation for some of the underlying causes and risk factors.
What Causes Swelling?
Swelling, also known as edema, is a common symptom of CKD. It occurs when the kidneys are unable to effectively remove excess fluid and waste from the body. The reduced kidney function leads to an imbalance in electrolytes and fluid levels, resulting in the accumulation of fluid in various parts of the body, typically seen as swelling in the ankles, legs, and face.
Identifying Swelling
Swelling in CKD is often noticeable in the lower extremities, such as the ankles and legs. Facial swelling, particularly around the eyes, is also common. Additionally, sudden weight gain without a clear explanation may indicate fluid retention and should be discussed with a healthcare professional.

Diet and Swelling Management
Dietary modifications can help manage swelling. Limiting sodium intake is crucial because excess sodium can contribute to fluid retention. Patients are advised to avoid high-sodium processed foods, canned goods, and restaurant-prepared meals. Monitoring fluid intake is also essential, as excessive fluid consumption can exacerbate swelling.
Treatment: Water Pills
Diuretics, commonly known as water pills, may be prescribed by healthcare professionals to help increase urine output and reduce fluid retention. It's important to take these medications as prescribed and not to self-adjust the dosage, as improper use can lead to electrolyte imbalances.
Lifestyle Changes
Adopting a healthy lifestyle can significantly impact swelling!
- Regular exercise helps improve blood circulation and can reduce fluid buildup.
- Elevating the legs when resting and avoiding prolonged periods of sitting or standing can also be beneficial.
- Quitting smoking and limiting alcohol consumption are additional lifestyle changes that can contribute to overall kidney health.

How Does Blood Pressure Affect Swelling?
Controlling blood pressure is crucial in managing CKD-related swelling. High blood pressure can worsen kidney damage and contribute to fluid retention. Patients are often prescribed medications to help maintain optimal blood pressure levels. Lifestyle modifications, such as a low-sodium diet and regular exercise, also play a role in blood pressure management.
Can CKD Swelling Be Eliminated?
While complete elimination of swelling may not always be possible, effective management strategies can help alleviate symptoms and improve quality of life. It's crucial for individuals with CKD to work closely with their healthcare team to develop a personalized treatment plan that addresses the underlying causes of swelling and focuses on overall kidney health.
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