Chronic Fatigue

Feeling Cold for No Reason
Another one of kidney failure symptoms that may raise concern is the sensation of feeling excessively cold, even when the ambient temperature is comfortable. Kidney failure can disrupt the body's balance of electrolytes and fluids, resulting in temperature dysregulation. Patients with kidney disease may experience a constant chill, which can be puzzling, especially in warm environments.
Shortness of Breath
Kidney failure can lead to the accumulation of excess fluid in the lungs, a condition known as pulmonary oedema. Fluid buildup may cause and lead to shortness of breath, mainly when lying down. Patients with kidney disease may find it difficult to breathe comfortably, especially at night. The feeling of breathlessness can be distressing and requires immediate medical attention.
Feeling Faint, Dizzy, or Weak
Kidneys play a pivotal role in regulating blood pressure. In cases of kidney failure, this regulation can become compromised, often resulting in hypertension or high blood pressure. Episodes of feeling faint, dizzy, or weak can occur due to fluctuations in blood pressure. These symptoms should be promptly addressed, as uncontrolled hypertension can exacerbate kidney damage.
Pressure While Urinating
Kidney failure can lead to alterations in urinary patterns. Some individuals may experience pressure or discomfort while urinating. This discomfort can be attributed to the buildup of waste products and fluid retention, which stresses the urinary system. It is essential to note any changes in urination and report them to a healthcare provider.
Foamy or Bubbly Urine
Foamy or bubbly urine can be an alarming sign of kidney failure. This phenomenon often indicates proteinuria, a condition in which excessive protein is excreted or found in the urine. Typically, the kidneys filter out proteins, so their presence in urine suggests impaired kidney function. Proteinuria is a standard marker of kidney damage and should be thoroughly evaluated by a healthcare professional.
Other Possible Symptoms of Kidney Failure
While chronic fatigue, feeling cold, shortness of breath, dizziness, urinary discomfort, and foamy urine are prominent symptoms of kidney failure, other signs may also manifest in individuals at risk of kidney disease. These additional symptoms can include:
Swelling (Edema):
Kidney failure can lead to fluid retention in various body parts, resulting in swelling of the ankles, legs, and even the face.
Decreased Appetite:
Patients with kidney failure may experience a reduced appetite, which can contribute to unintended weight loss.
Nausea and Vomiting:
Impaired kidney function can and may lead to the accumulation of waste in the bloodstream, causing nausea and vomiting.
Metallic Taste:
Some individuals with kidney failure report a persistent metallic taste in their mouths, often affecting their sense of taste.
Itchy Skin:
Kidney failure can lead to the buildup of toxins in the bloodstream, which may manifest as itching and dry skin.
Conclusion
Knowing and understanding about kidney failure symptoms is critical to identify the illness early and treat it effectively. Kidney failure symptoms include chronic weariness, inexplicable chilly sensations, shortness of breath, fainting or dizziness, urinary pain, and frothy or bubbly urine. If you or someone you know is exhibiting these symptoms, it's essential to identify them and get medical help immediately, mainly if they occur in combination. The early detection and prompt treatment of renal failure is paramount in preventing the development of kidney diseases such as chronic kidney disease or acute kidney failure.
Meet Dr Alvin Ng Kok Heong

Dr Alvin Ng
Senior Consultant NephrologistMBChB (Auckland), FRACP (Aus), FAMS (Renal Medicine)
Dr Alvin Ng is a nephrologist in Singapore with more than 20 years of experience. He specialises in the diagnosis and management of a wide range of kidney conditions and is committed to providing comprehensive, personalised and evidence-based care for patients with kidney disease.
Prior to private practice, Dr Ng served as a consultant nephrologist at Changi General Hospital, where he was Director of the Peritoneal Dialysis Service and a member of the MOH Peritoneal Dialysis Workgroup. He has also held leadership roles within the Singapore Society of Nephrology and has been actively involved in the education of medical students, junior doctors and specialist trainees. His contributions to patient care, medical education and professional service have been recognised through multiple awards.
