Anemia is a common complication of chronic kidney disease (CKD). CKD means your kidneys are damaged and can’t filter blood the way they should. This damage can cause wastes and fluid to build up in your body. CKD can also cause other health problems.

Anemia is less common in early kidney disease, and it often gets worse as kidney disease progresses and more kidney function is lost.

Complications of anemia in someone with CKD

In people with CKD, severe anemia can increase the chance of developing heart problems because the heart is getting less oxygen than normal and is working harder to pump enough red blood cells to organs and tissues. People with CKD and anemia may also be at an increased risk for complications due to strokes NIH external link.


Anemia related to CKD typically develops slowly and may cause few or no symptoms in early kidney disease.

Symptoms of anemia in CKD may include

  • fatigue or tiredness
  • shortness of breath
  • unusually pale skin
  • weakness
  • body aches
  • chest pain
  • dizziness
  • fainting
  • fast or irregular heartbeat
  • headaches
  • sleep problems
  • trouble concentrating


Anemia in people with CKD often has more than one cause.

When your kidneys are damaged, they produce less erythropoietin (EPO), a hormone that signals your bone marrow—the spongy tissue inside most of your bones—to make red blood cells. With less EPO, your body makes fewer red blood cells, and less oxygen is delivered to your organs and tissues.

In addition to your body making fewer red blood cells, the red blood cells of people with anemia and CKD tend to live in the bloodstream for a shorter time than normal, causing the blood cells to die faster than they can be replaced.

People with anemia and CKD may have low levels of nutrients, such as iron, vitamin B12 NIH external link, and folate NIH external link, that are needed to make healthy red blood cells.

Other causes of anemia related to CKD include

  • blood loss, particularly if you are treated with dialysis for kidney failure
  • infection
  • inflammation
  • malnutrition, a condition that occurs when the body doesn’t get enough nutrients

Eating, diet, and nutrition affect anemia in CKD

You may need to change what you eat to manage your anemia and CKD. Work with your health care professional or a registered dietitian to develop a meal plan that includes foods that you enjoy eating while maintaining your kidney health and managing your anemia.

If your body doesn’t have enough iron, vitamin B12, or folate, your health care professional or a dietitian may suggest that you add more foods with these nutrients to your diet. However, some of these foods have high amounts of protein, sodium, or phosphorus, which people with CKD may need to limit. Talk with your health care professional or a dietitian before making any changes to your diet.


FERRUM METALICUM - Ferrum met. is one of the top remedies for anemia.  The persons needing Ferrum Met are weak with paleness, and have frequent false flushings appearing at the slightest excitement.

ALETRIS FARINOSA --Aletris Farinosa is the best  Homeopathic medicine for women suffering from anemia with extreme weakness and fatigue. There is a marked weariness and tiredness all day in such patients. The energy level seems to be markedly reduced and the body feels powerless.

CHINA —China is the best remedy for anemia following excessive bleeding. The bleeding can be the result of a traumatic injury, excessive bleeding in periods or bleeding from any part of body like throat, bowels, nose, etc. The person is exhausted and even fainting spells occur due to extreme anemic conditions consequent to blood loss.

FERRUM PHOS - Ferrum phos is a haemoglobin enhancer. Ferrum Phos is the most frequently used  Homeopathic medicine to increase the haemoglobin level. It can be safely used among people of all age groups.

PHOSPHORUS -Phosphorus is another effective remedy for pernicious anemia.  Phosphorus is  of great help when there is a numbness of hands and arms. Longstanding diarrhoea with weakness is also experienced. An increased desire for cold drinks and ice creams is often noticed in Phosphorus patients.Phosphorus is also prescribed for anemia due to kidney diseases .