Chronic Kidney Disease often causes no or very unnoticeable symptoms in its early stages, but over time, the symptoms can worsen, causing nausea and vomiting, fatigue, sleeping problems, reduced urination, loss of appetite, “brain fog” or difficulties concentrating, swelling of the ankles and feet; muscle cramps or twinges, and widespread itching. Also, due to the buildup of toxins and fluids, a patient with chronic kidney disease may experience shortness of breath and chest pain, and in some cases, blood pressure may begin to rise. Since the kidneys are naturally designed in such a way that they can compensate for the loss of function, many people might not find out that they have chronic kidney disease until it has caused permanent damage. For this reason, having regular screenings with urine and blood tests at a walk-in clinic is really crucial for diagnosing the disease in its primary stages. For further evaluation, a biopsy may be performed to obtain a small tissue sample when the kidney disease is suspected.