When chronic kidney disease (CKD) develops into stage 5, there will be many 
symptoms for the cells and tissues are damaged in the kidney, which make 
functions fail.
1.protein in urine and blood in urine
Protein in urine or blood in urine, which can also be called proteinuria or 
hematuria appear in stage 5 of chronic kidney disease. With kidney being 
damaged, renal glomeruli will also be damaged. In renal glomeruli, there is 
filtration membrane, through which, red blood cells and proteins will leak out 
through it, thus causing proteinuria and hematuria. These in turn will worsen 
kidney damage. If your urine is foamy, bubbly, very pale or darker than usual 
you may have blood in your urine.
2. high blood pressure
Once kidney is damaged, it can not discharge out the sodium and water, which 
leads to the retention of water and sodium, thus increasing the blood content 
and increased high blood pressure. In a world, kidney plays an important role in 
adjusting the metabolism of water and sodium and in secreting materials which 
can activate the blood vessels. Materials which can increase the retention of 
water and sodium increase, and those which can lead the blood vessels to shrink 
decrease, so the rate of high blood pressure increase accordingly.The National 
Heart, Lung, and Blood Institute (NHLBI), one of the National Institutes of 
Health (NIH), recommends that people with CKD use whatever therapy is necessary, 
including lifestyle changes and medicines, to keep their blood pressure below 
130/80.
3. anemia
In stage 5 of chronic kidney disease, the generation of red blood cells 
decreases. Because kidney function is damaged, the EPO in kidney disease will 
produce less, thus leading to anemia.
In addition, in the late stage of kidney disease, a lot of toxic materials 
accumulates, which leads to the damage to the red blood cells and the inhibition 
of hematopoietic function is also damaged. Shortened lifespan of red blood cells 
leads to anemia.
4. swelling
Swelling in the ankles, feet, legs or hands could be another symptom of 
kidney disease. When the kidneys start to fail, they are unable to remove extra 
fluids, which then start to build up in other parts of your body.
5. Sleeping habits
Sleeping habits may change because there is less oxygen in the blood than 
normal. This is called anemia and causes fatigue. This can also cause trouble in 
concentration or experiencing bouts of dizziness. The anemia caused by kidney 
disease means less blood flows to the brain.
