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What Do Leg Cramps Reveal About Your Kidney Health?

Leg cramps—sudden, sharp spasms often occurring at night or after prolonged activity—are usually linked to dehydration, muscle fatigue, or mineral deficiencies. However, persistent or unusually severe cramps may signal a deeper issue, including kidney problems.

The kidneys play a key role in muscle health by regulating electrolytes like sodium, potassium, calcium, and magnesium, essential for proper muscle contraction and relaxation. When kidney function is impaired, these minerals can become unbalanced, causing frequent leg cramps. Chronic kidney disease (CKD) patients, especially those undergoing dialysis, often report cramping due to fluid and electrolyte shifts.

Kidney dysfunction can lead to cramps through electrolyte imbalance, fluid retention that compresses muscles and nerves, toxin buildup irritating muscles, or dialysis-related rapid changes. Other warning signs include swelling in ankles or hands, fatigue, foamy or bloody urine, high blood pressure, and changes in urination frequency.

To protect kidney health and reduce cramps, stay hydrated, maintain balanced electrolytes, limit salt intake, avoid excessive NSAIDs, and seek medical advice if symptoms persist. Early evaluation helps safeguard both kidney and muscle health.

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