CKD progresses, possible symptoms can include:
* Fatigue
* Trouble concentrating
* Loss of appetite
* Nausea
* Changes in urination
* Foamy urine
* Muscle cramps
* Swelling
* Dry or itchy skin
* Shortness of breath
That is why relying on skin appearance alone is not a good way to detect kidney disease.
## Who Should Be Especially Aware of Kidney Health?
Testing is particularly important for people at increased risk.
Major risk factors include:
* Diabetes
* High blood pressure
* Family history of kidney failure
* Older age
The National Kidney Foundation identifies diabetes and high blood pressure as major kidney-disease