Anaemia in Chronic Kidney Disease: A comprehensive guide

One of the most common complications of chronic kidney disease (CKD) is anaemia. It is estimated that up to 50% of individuals with CKD experience anaemia, which can have a significant impact on quality of life and overall health.

What Causes Anaemia in Chronic Kidney Disease?

CKD can affect the body's ability to produce erythropoietin (EPO), a hormone produced by the kidneys that helps regulate the production of red blood cells. Without enough EPO, the bone marrow may not make enough red blood cells, leading to anaemia. Additionally, other factors that contribute to anaemia in CKD include blood loss during dialysis, decreased lifespan of red blood cells, and inflammation.

Symptoms of Anaemia in Chronic Kidney Disease

The symptoms of anaemia can vary depending on the severity of the condition, but common symptoms include fatigue, weakness, dizziness, shortness of breath, and pale skin. In advanced cases, individuals with CKD may require blood transfusions to alleviate symptoms.

Treatment Options for Anaemia in Chronic Kidney Disease

The most effective treatment for anaemia in CKD is erythropoiesis-stimulating agents (ESAs), which are injected under the skin or into the bloodstream. ESAs work by stimulating the production of red blood cells, which can improve energy levels and reduce the need for blood transfusions. Iron supplements may also be prescribed to help the body make more red blood cells. In some cases, blood transfusions may be necessary.

Lifestyle Changes to Support Anaemia Treatment

In addition to medical treatments, lifestyle changes can also play a role in the management of anaemia in CKD. Eating a balanced diet rich in iron, vitamin B12 and folate can help support red blood cell production. Quitting smoking and reducing alcohol consumption can also help improve anaemia symptoms and overall health.


Anaemia is a common complication of chronic kidney disease, but it can be managed through a variety of treatment options. If you believe you may be experiencing symptoms of anaemia, schedule an appointment with your healthcare provider to discuss diagnosis and treatment options. By working with a healthcare professional and making lifestyle changes, it is possible to improve quality of life and overall health in individuals living with CKD and anaemia.