Chronic kidney disease is a progressive disease spanning over 5 stages of which the end stage may even prove to be fatal leading to kidney failure. CKD effective kidneys causing damage to the other parts as well resulting in consequent loss of many physiological attributes, for example, you may suffer pain in the kidneys but the reflexes reprogrammed your brain wires, simultaneously, may fluid build up in the body ,but these all has the connection to our supreme organ ,brain. Brain always works effortlessly for us, and a defect in one part influences other parts of the body as well. Your brain won’t be that efficient as it was before and concurrently causes some unavoidable symptoms like stress, anxiety, depression etc., impacting your social and personal life.

• According to the research done by kidney researchers, it is estimated that more than 30 million people have some form of kidney complications and are even at the risk of kidney failure or some other associated problems. The number of people requiring dialysis also have doubled the very previous year.
• The evolving signs of CKD recognises the important role of a complex web of medical and non medical risk factors that interacts with progression of CKD.
• Social science and social epidemiologic research have also estimated the social factors that contribute to the wellbeing of individuals with CKD.

Physiological factors affected by social environment and health outcomes on CKD patients

Social scientists contend that sustaining in an economically and socially challenged environment proves to be psychologically harmful to the affected people. As these physically challenged environments constantly expose a person to the distressing situations constraining anger, stress, hostility, anxiety and depression.

Major psychological attributes that are caused by the social factors are :- 

Depression

Depression is a leading disorder where individuals experience unwanted depressed mood along with other symptoms such as interest loss in different physical activities, significant weight loss or weight gain , insomnia, fatigueless, low energy levels , low self esteem, poor concentration, feeling of hopelessness, guilty felling , or recurrent thoughts of death that is suicidal thoughts come frequently. 

• Depression is associated with mental retardants and chronic illness including CKD risk factors such as hypertension and diabetes. 
• Depression is becoming an increasing talk of society where most of the adults are seen depriving themselves into depression . And CKD patients have been stressing over the disease , this impacts their social life too. 

Anxiety

• Anxiety is a situation where “an individual usually has the feeling of being unable to control feelings , clarify things and not able to come up with desired results. 
• Major studies have revealed that anxiety has a direct relation with the cardiovascular conditions that anxiety disorders have higher risks of coronary artery disease and even sudden cardiac arrest. 
• Anxiety disorders are also related to the nephrological literature. The recent manuals indicate the prevalence of anxiety among dialysis patients ranges between 27% to 30%.

Anger , Hostility

• Anger and hostility are correlated with negative affective dispositions. Anger is an unjust treatment with grievances which are tightly related to the unhealthy biological conditions.
• Anger and hostility are related to hypertension, a known risk factor for CKD and its progression leading to end stage renal disease. 

Stress

• Stress is a condition caused by the environmental factors exceeded by the adaptive capacity of individuals where psychological response may place you at a risk of nephrological disease.
•  It has also been seen that stress is related to cardiovascular disease and nephrological complications and increases the chance of CKD risk factors such as hypertension. 
• Also, stress is associated with the social and economical disadvantages for CKD development and correlates with other psychological factors and comorbid behaviours like alcohol, tobacco and drug abuse. 

Social relations

• Social relationships of an individual is also a leading fact which is related to an individual’s well being . Patients with sparse or low levels of social support are having an increased chance of death. 
• Such people are more prone to the higher rates of cardiovascular and nephrological morbidity and mortality rates . This causes depression, decreases quality of life , compliance and survival rates among patients lowers. .

Does daily lifestyle affect your kidney? 

Yes, lifestyle matters a lot to decide chronic kidney disease progression. Bad lifestyle affects your physiological conditions and simultaneously influences your mental conditions as well. In chronic kidney disease , in addition to your medications , certain lifestyle changes can slow the progression of kidney disease. 

Certain lifestyle changes that you may include to manage your underlying conditions such as diabetes, hypertension, stress and anxiety are :- 

Make dietary changes

Following a proper diet is very important for chronic kidney disease patients. You must consult the registered dietitian to approve you with the best effective diet plan to enrich you with optimum vitamins and minerals required for the replenishment and refilling of kidneys. 

Exercise regularly

Doing physical activities daily increases blood circulation and due to efficient oxygen reaching to body parts helps in replenishing of body organs. 

So, exercising can help you a lot . But so Avoid doing strenuous activities or heavy exercise as it would strain your kidneys a lot. What you can do is simple exercises, yoga , and brisk walking.

Relieve your stress

Stress causes you more than your disease. So, stop taking stress anymore. Stressing can affect your other body parts as well, especially your cardiovascular system. You can engage yourself in some stress relieving activities like conducting organizational works, engaging with kids , following your hobbies etc.

Does the kidney affect your emotions?

In kidney disease , fluid builds up in the body causing other related complications. This can be related to stress, anxiety and even depression which has a direct relation to the behaviour of a person affecting their emotions and social life. 

But you need to control your anger, hostility, and stress at a time to avoid straining your kidneys, heart and brain anymore.

Do you always feel tired when having a kidney disease ?

Due to the excess fluid build up in the body , these toxins cause poor regulation of oxygen that contradicts the regular functioning of other body parts. 

Such conditions in the body, for sure , cause you fatigueless, tiredness, and make it difficult for the person to concentrate on certain things. 

Another symptom is Anaemia , as you won’t be able to sleep properly that is trouble sleeping. . Also, you may feel the shortness of breath . Dryness in skin and eyes are also common when having a kidney disease. 

How do you come to know that your kidneys are getting worse over time ? 

Here are some of the symptoms to know that your kidneys are not functioning efficiently and getting worse over time . 

• You will feel tired most of the time . Experience fatigueless or weakness in the body. 
• You will suffer from insomnia that is trouble sleeping . 
• You won’t be able to concentrate and feel confused about things . 
• You might feel pain around your kidneys. 
• Shortness of breath .
• When you find such things happening for the most part , then it indicates that your kidneys are not healthy.
• Check your creatinine levels regularly , if it increases , then your kidneys are building up toxic materials in the body and cause you to suffer from other problems as well. 
• Gaining or losing weight than the recommended weight in a short period is also a sign of having a kidney disease.

What lifestyle factors increase the chances of kidney failure?

Bad lifestyle habits lead to diabetes and high blood pressure and these are the major contributors of chronic kidney disease and its symptoms. So to control your kidney problems, first regulate your blood pressure and sugar levels . And this can be achieved by a good and healthy Lifestyle change only.