9 Warning Signs Your Kidneys Are Failing in Children

Kidneys play a major role in regulating blood pressure. When damaged, blood pressure may rise silently.

High blood pressure in children is a major red flag for kidney disease in kids and often goes unnoticed unless measured.

Routine blood pressure checks are essential for early detection.

6. Frequent Infections or Fevers
Recurrent urinary tract infections (UTIs) can indicate underlying kidney abnormalities.

Warning signs include:

Fever without a clear cause

Pain during urination

Back or side pain

Frequent need to urinate

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Repeated infections can gradually damage kidney tissue if not treated properly.

7. Growth Delays
Chronic kidney disease can interfere with growth hormones and nutrient balance.

Children may experience:

Slower height or weight gain

Delayed puberty

Poor overall development

Growth issues are often overlooked but can be a major clue to long-term kidney problems.

8. Pale Skin and Dark Circles
Kidney-related anemia may cause:

Pale or grayish skin

Dark circles under the eyes

Cold hands and feet

These signs are often mistaken for lack of sleep but may indicate reduced kidney function.

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9. Shortness of Breath or Chest Discomfort
In advanced stages, fluid buildup can affect the lungs and heart.

This may cause:

Rapid breathing

Shortness of breath

Difficulty lying flat

At this point, kidney failure may already be severe, making early recognition crucial.

Kidney Function Tests That Help Avoid Dialysis
Early testing is one of the most powerful tools for dialysis prevention.

Blood Tests
Doctors often begin with blood work to assess kidney performance:

Creatinine – measures waste buildup

BUN (Blood Urea Nitrogen) – indicates filtration efficiency

eGFR – estimates overall kidney function

Abnormal levels may reveal early kidney disease even before symptoms appear.

Urine Tests
Urine testing is simple but extremely valuable:

Protein in urine (proteinuria)

Blood in urine (hematuria)

Abnormal concentration levels

These findings often appear long before kidney failure develops.

Imaging Studies
Doctors may recommend:

Ultrasound

CT scan or MRI (in select cases)

These tests help identify structural issues such as blockages, scarring, or congenital abnormalities.

Kidney Biopsy (When Needed)
In certain cases, a biopsy may be used to identify the exact cause of kidney disease and guide treatment decisions.

How Early Diagnosis Helps Prevent Dialysis
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