What are the signs of fluid retention in chronic kidney disease patients?

July 31, 2024

The Chronic Kidney Disease Solution™ by Shelly Manning It is an eBook that includes the most popular methods to care and manage kidney diseases by following the information provided in it. This easily readable eBook covers up various important topics like what is chronic kidney disease, how it is caused, how it can be diagnosed, tissue damages caused by chronic inflammation, how your condition is affected by gut biome, choices for powerful lifestyle and chronic kidney disease with natural tools etc.


What are the signs of fluid retention in chronic kidney disease patients?

Fluid retention, or edema, is a common issue in chronic kidney disease (CKD) patients due to the kidneys’ reduced ability to excrete excess fluid. This condition can manifest in various ways, depending on the severity and areas affected. Here are the signs and symptoms of fluid retention in CKD patients:

1. Swelling (Edema)

  • Description: One of the most visible signs of fluid retention is swelling, which typically occurs in the lower extremities such as the feet, ankles, and legs. Swelling can also occur in the hands, face, and around the eyes.
  • Reason: The accumulation of excess fluid in the tissues due to poor kidney function leads to edema.

2. Weight Gain

  • Description: Unexplained rapid weight gain over a short period, such as several pounds in a few days, can indicate fluid retention.
  • Reason: The body retains more fluid than it expels, leading to increased body weight.

3. Shortness of Breath

  • Description: Difficulty breathing or shortness of breath, especially when lying down (orthopnea) or during physical activity.
  • Reason: Fluid accumulation can occur in the lungs (pulmonary edema), making it difficult for the patient to breathe.

4. Elevated Blood Pressure

  • Description: High blood pressure (hypertension) is common in CKD patients with fluid retention.
  • Reason: Excess fluid in the bloodstream increases the volume, leading to higher pressure in the blood vessels.

5. Decreased Urine Output

  • Description: A noticeable decrease in the amount of urine produced can indicate fluid retention.
  • Reason: Impaired kidney function reduces the ability to excrete excess fluid through urine.

6. Fatigue and Weakness

  • Description: Patients may feel unusually tired or weak, even with minimal physical exertion.
  • Reason: Fluid retention can lead to decreased oxygen delivery to tissues, contributing to fatigue and weakness.

7. Abdominal Swelling

  • Description: An increase in abdominal girth or a feeling of fullness or bloating.
  • Reason: Fluid can accumulate in the abdominal cavity, a condition known as ascites.

8. Pitting Edema

  • Description: When pressed, the swollen area leaves an indentation (or pit) that slowly fills back in. This is commonly seen in the ankles and legs.
  • Reason: Excess fluid in the tissues causes them to become compressible, leading to pitting when pressure is applied.

9. Jugular Venous Distension (JVD)

  • Description: A visible swelling or bulging of the jugular veins in the neck.
  • Reason: Increased pressure in the right side of the heart or volume overload can cause the veins to swell.

10. Cough and Wheezing

  • Description: Persistent coughing or wheezing, especially at night.
  • Reason: Fluid buildup in the lungs can irritate the airways and cause these symptoms.

11. Reduced Physical Tolerance

  • Description: Difficulty performing everyday activities or exercise due to breathlessness or fatigue.
  • Reason: Fluid overload can reduce the body’s ability to supply sufficient oxygen during physical exertion.

12. Palpitations or Irregular Heartbeat

  • Description: Sensation of skipped heartbeats, fluttering, or a racing heart.
  • Reason: Fluid overload can strain the heart, leading to arrhythmias.

13. Headache

  • Description: Persistent headaches can be a less common symptom but may occur.
  • Reason: Elevated blood pressure or fluid imbalance can contribute to headaches.

14. Increased Need to Urinate at Night (Nocturia)

  • Description: Frequent urination at night can be a sign of fluid overload.
  • Reason: As fluid shifts when lying down, the kidneys may produce more urine.

15. Skin Changes

  • Description: The skin over the swollen areas may become shiny, stretched, or warm to the touch.
  • Reason: Fluid accumulation stretches the skin and can cause irritation or redness.

It’s essential for CKD patients experiencing any of these symptoms to seek medical evaluation promptly. Fluid retention can lead to serious complications, including heart failure, pulmonary edema, and increased risk of infections. Early intervention and proper management are crucial to prevent these complications and improve the patient’s quality of life.

The Chronic Kidney Disease Solution™ by Shelly Manning It is an eBook that includes the most popular methods to care and manage kidney diseases by following the information provided in it. This easily readable eBook covers up various important topics like what is chronic kidney disease, how it is caused, how it can be diagnosed, tissue damages caused by chronic inflammation, how your condition is affected by gut biome, choices for powerful lifestyle and chronic kidney disease with natural tools etc.