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As kidney function declines, symptoms may include: Swollen hands, feet, and face Unable to sleep or concentrate Loss of appetite Nausea Weakness Itching at end stage kidney disease Extremely dry skin Drowsiness (Strong desire to sleep and feelings of sleepiness) Abnormalities in the regular heartbeat Muscle twitching (unintentional contraction and relaxation of muscles) As kidney disease worsens, the kidneys find it difficult to eliminate waste from the circulation
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