9 Warning Signs Your Kidneys Are Failing in Children

Tests to Avoid Dialysis and Protect Long-Term Kidney Health
Kidney health plays a critical role in your child’s overall growth, energy, and development. Yet kidney problems in children are often silent. In many cases, symptoms appear only after significant damage has already occurred. This is why understanding the early warning signs of kidney failure can make a life-changing difference.

This guide explains the most important kidney failure symptoms in children, how to recognize when kidneys are failing, and which kidney function tests doctors use to detect disease early. With timely action, many children can slow kidney damage and potentially avoid dialysis altogether.

Why Pediatric Kidney Health Matters
The kidneys filter waste, regulate fluids, control blood pressure, and help maintain healthy electrolytes. When kidney function declines, toxins begin to build up in the body, affecting nearly every organ system.
Children with kidney disease may appear normal at first. Because kids often cannot clearly describe how they feel, early signs are easily missed. That’s why awareness is one of the strongest tools for kidney failure prevention.

9 Warning Signs Your Kidneys May Be Failing
1. Changes in Urination
One of the earliest signs kidneys are failing involves noticeable changes in urination, such as:

Urinating much less or much more than usual

Foamy or bubbly urine

Dark, cloudy, or tea-colored urine

Pain or burning during urination

Bedwetting in a child who was previously dry

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These changes may signal early kidney disease or impaired filtration.

2. Swelling of Face, Hands, or Feet
Unexplained swelling—especially around the eyes in the morning—is a classic sign of kidney problems in kids.

When kidneys cannot remove excess fluid, it accumulates in tissues, causing:

Puffy eyelids

Swollen ankles or feet

Abdominal bloating

This symptom should never be ignored, even if it comes and goes.

3. Persistent Fatigue and Weakness
Healthy kidneys help produce erythropoietin, a hormone that supports red blood cell production. When kidney function declines, anemia can develop.

Children may show:

Constant tiredness

Low energy

Reduced interest in play

Difficulty concentrating at school

Fatigue is one of the most common kidney failure symptoms in children.

4. Poor Appetite and Nausea
As waste products build up in the bloodstream, children may experience:

Loss of appetite

Nausea or vomiting

Metallic taste in the mouth

Unexplained weight loss

These symptoms often appear as kidney disease progresses.

5. High Blood Pressure
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