Kidney Health: Symptoms of Dehydration and Concerns - Internal Medicine

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Hello, how can I assist you today?


Hello, doctor.
I usually drink a lot of water, but recently I've noticed that my urine is very yellow, and I've been urinating less frequently.
I've also been feeling a dull ache around my kidneys, sometimes on one side and sometimes on both.
My eyes are also a bit swollen.
Could this indicate a problem with my kidneys?

jiàn tèlán, 20~29 year old female. Ask Date: 2003/07/04

Dr. Yang Jun reply Internal Medicine


Hello: In response to your question, the recent issue of yellow urine and decreased urination may be due to high temperatures in the summer, leading to increased sweating.
Although you may be drinking plenty of water, it might still be insufficient for your body's needs, causing the kidneys to increase water reabsorption, which results in reduced urination and concentrated yellow urine.
As for the feeling of soreness in the lower back and slight swelling around the eyes, it would be advisable to consult a nephrologist and undergo a urinalysis to determine if there are any kidney-related issues.

Reply Date: 2003/07/04

More Info


Hello! Thank you for your question regarding kidney health and the symptoms you are experiencing. Based on your description, it seems you are experiencing several concerning symptoms, including dark yellow urine, reduced urination frequency, discomfort in the kidney area, and slight swelling around the eyes. Let's break down these symptoms and their potential implications for your kidney health.

Firstly, dark yellow urine can often indicate dehydration. When the body is not adequately hydrated, urine becomes more concentrated, leading to a darker color. This can happen even if you generally drink a lot of water, especially if your fluid intake has decreased recently or if you are losing fluids through sweating, diarrhea, or other means. It's essential to ensure that you are consuming enough fluids throughout the day, particularly if you are active or live in a hot climate.

The reduction in urination frequency can also be a sign of dehydration or could indicate that your kidneys are not filtering waste effectively. The kidneys play a crucial role in regulating fluid balance in the body, and any changes in urination patterns can be a signal that something is amiss. If your kidneys are not functioning optimally, they may not produce urine as efficiently, leading to less frequent urination.

The discomfort you are feeling in the kidney area is another symptom that warrants attention. While mild discomfort can sometimes be attributed to muscle strain or other benign causes, persistent or severe pain could indicate a more serious issue, such as a kidney infection, kidney stones, or other renal conditions. It's essential to monitor this symptom closely and seek medical advice if it worsens or persists.

Swelling around the eyes can be associated with several conditions, including fluid retention, which can occur if the kidneys are not filtering waste and excess fluid properly. This symptom, combined with your other signs, could suggest that your kidneys are under stress or not functioning as they should.

Given these symptoms, it is crucial to consult with a healthcare professional for a comprehensive evaluation. They may recommend blood tests to assess kidney function, including serum creatinine and blood urea nitrogen (BUN) levels, as well as a urinalysis to check for any abnormalities in your urine. These tests can help determine if there is any underlying kidney dysfunction or other health issues that need to be addressed.

In the meantime, here are some general recommendations to support kidney health:
1. Stay Hydrated: Ensure you are drinking enough fluids throughout the day. Water is the best choice, and you should aim for at least 8-10 cups daily, adjusting for activity level and climate.

2. Monitor Your Diet: A balanced diet low in sodium, processed foods, and excessive protein can help reduce the burden on your kidneys. Focus on fruits, vegetables, whole grains, and lean proteins.

3. Limit Caffeine and Alcohol: Both can contribute to dehydration and may affect kidney function if consumed in excess.

4. Regular Check-ups: If you have any pre-existing conditions such as diabetes or hypertension, regular monitoring of your kidney function is essential.

5. Listen to Your Body: Pay attention to any changes in your symptoms and seek medical advice if you notice worsening or new symptoms.

In conclusion, while your symptoms may not necessarily indicate a severe kidney issue, they do warrant further investigation to rule out any potential problems. Early detection and intervention are key to maintaining kidney health, so please do not hesitate to reach out to a healthcare provider for a thorough evaluation.

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