Chronic Kidney Disease (CKD)?

With chronic kidney disease (CKD), the kidneys lose their ability to filter fluid, wastes and toxins, which may build up in the blood. Other complications, such as high blood pressure, anemia (low red blood cell count) and weak bones, may also develop over time.

This condition may lead to more serious health problems including kidney failure. People whose kidneys have failed need dialysis or a transplant.

Causes of CKD

The two main causes of CKD are diabetes and high blood pressure. Other causes include:

Symptoms of CKD

In the early stages, many people may not have symptoms. As the disease progresses, symptoms include:

  • Bad taste or loss of taste
  • Changes in urination (volume, frequency and color)
  • Difficulty sleeping
  • Fatigue and lack of energy
  • Muscle cramping at night
  • Nausea or vomiting
  • Poor appetite
  • Swollen feet, ankles or puffy eyes
  • Shortness of breath
  • Weight loss or gain

CKD stages: Know your number

CKD has five different stages, each defined by your glomerular filtration rate (GFR). Your physician calculates your GFR using a blood test along with your age and gender.

The five stages of CKD



Kidney Function



Kidney damage with normal or higher kidney function



Kidney damage with mild decrease in kidney function



Moderate decrease in kidney function



Severe decrease in kidney function



Kidney failure

Nutrition counseling for CKD

Registered dietitians at CHI Franciscan offer personalized nutrition counseling to help prevent or delay CKD. Find out more about our individual nutrition counseling at locations throughout the Puget Sound area.

Outpatient kidney dialysis

We offer dialysis services at several locations throughout the Tacoma area. Make an appointment at one of our dialysis center locations near you.