Kidneys are bean shaped organs about 9 to 11 cm in length situated on either side of the backbone. Each kidney comprises of approximately 1 million nephrons which are the functional unit; not only involved in filtration of wastes but also many other functions. Maintaining fluid balance and electrolyte balance Maintaining haemoglobin by production of erythropoietin Maintaining balance of salt Maintaining blood pressure Maintaining bone Health by producing active Vitamin D Maintains acid-base balance Chronic Kidney Disease Chronic Kidney Disease is an abnormality in kidney function of more than three months duration. This results in accumulation of waste products and water in the body. It is very often progressive with gradual worsening of the kidney function leading to end stage kidney disease necessitating dialysis or transplantation. Chronic Kidney Disease (CKD) develops over a period of time when there is a decrease in the kidneys’ ability to perform their normal functions. If kidney disease gets worse, wastes can build to high levels in your blood and make you feel sick. Unfortunately most of the times early CKD has no or very vague symptoms like fatigue, poor appetite, increased urination at night. Chronic kidney disease is quite common (some studies estimate that 1 in 10 adults may suffer from kidney disease, and people often have the condition without knowing it. Complications of CKD like high blood pressure, anaemia, weak bones, poor nutritional health and nerve damage, may develop long before CKD is diagnosed. Kidney disease also increases your risk of having heart and stroke. Almost 80% of CKD is caused by diabetes and high blood pressure. Early detection and treatment can often keep chronic kidney disease from getting worse. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a renal transplant to maintain life.