Your kidneys are powerful, yet often overlooked, organs. Situated just below the rib cage, one on each side of your spine, they work relentlessly 24/7, filtering waste products, excess fluid, and toxins from your blood, which are then excreted as urine. Recognising the early signs of kidney problems is important, as your kidneys also play a critical role in regulating blood pressure, producing red blood cells, and keeping your bones healthy.
At Southern Medical Moss Vale and Bundanoon, servicing patients across Moss Vale, Bundanoon, Bowral, and Mittagong, we understand the importance of early detection. Kidney problems can often be silent, only showing symptoms when damage has become significant. However, being aware of subtle changes in your body can prompt an earlier conversation with your GP, leading to better outcomes and long-term kidney health.

1. Changes in Urination
Because the kidneys manage fluid balance and waste removal, changes in how often and how much you urinate are often among the earliest indicators of kidney issues.
- Frequency: You may notice the need to urinate more often, particularly at night (nocturia). This can occur when kidney function declines, and urine is no longer concentrated effectively.
- Appearance: Foamy or bubbly urine may suggest protein in the urine (proteinuria), which can be an early sign that the kidney filters (glomeruli) are not working as they should.
- Blood: Blood in the urine (haematuria) should never be ignored and requires prompt medical assessment, as it may be linked to infection, kidney stones, or other kidney conditions.
These urinary changes are common early signs of kidney problems, and you should always discuss them with your GP.
2. Persistent Fatigue and Weakness
Healthy kidneys produce erythropoietin (EPO), a hormone that signals your bone marrow to make red blood cells. When kidney function declines, EPO production may decrease, leading to anaemia.
- Symptoms: Ongoing fatigue, weakness, and difficulty concentrating can result from reduced oxygen delivery throughout the body. If you feel persistently run down without a clear cause, checking your kidney health may be worthwhile.
3. Swelling, Especially in the Limbs
One of the kidneys’ key functions is removing excess fluid from the body. When this process is impaired, fluid can accumulate.
- Oedema: Swelling in the feet, ankles, legs, or puffiness around the eyes, especially in the morning, can be a sign that the kidneys are struggling to maintain fluid balance.
4. Itching or Dry Skin
As kidney function declines, waste products and toxins can build up in the bloodstream.
- Skin symptoms: Persistent itching (pruritus) or unusually dry skin may occur due to imbalances in minerals and nutrients, sometimes appearing alongside other early signs of kidney problems.
5. Metallic Taste or Ammonia-Like Breath
When the kidneys are no longer filtering waste effectively, urea can accumulate in the blood, a condition known as uraemia.
- Taste and appetite changes: This can cause a metallic taste in the mouth, ammonia-like breath, nausea, and reduced appetite, all of which may affect overall well-being.
What to Do Next
If you live in Moss Vale, Bundanoon, Bowral, or Mittagong and have noticed any of these symptoms, even subtle ones, it’s important not to delay. Identifying the early signs of kidney problems allows your GP to investigate further and, if needed, take steps to slow disease progression and protect your long-term health.
Your GP at Southern Medical Centre can organise simple blood and urine tests, such as an Estimated Glomerular Filtration Rate (eGFR), to assess how well your kidneys are filtering.
If you have risk factors such as diabetes, high blood pressure, obesity, or a family history of kidney disease, preventative checks are especially important.
If you’re concerned about your kidney health, we encourage you to contact Southern Medical Moss Vale and Bundanoon to discuss your symptoms or book an appointment. Through our services, our experienced GPs provide comprehensive preventative care, routine health assessments, and personalised management plans to support your overall wellbeing.
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