Your skin is often considered a reflection of your body's inner wellbeing, when it comes to kidney function, the connection goes beyond what may initially be something on the surface. The kidneys are responsible for filtering out wastes and toxins in the blood, balancing electrolytes, and helping to control moisture levels. Once kidney function breaks down, its effects are felt not only overall but also are reflected in discernible skin-related changes—dryness, pigmentation, long-term itching, and even hives.

But when the kidneys are unwell, they do not just impair internal function but also manifest themselves on the outside, and specifically on the skin. In the opinion of Dr. Sreedhar Reddy, Urologist and Urology Surgeon, "Kidney-related ailments frequently cause palpable changes to the skin, which may act as preliminary signals for renal illness."

Link Between Your Kidney Health and your Skin

When the kidneys do not effectively remove waste products and excess water from the body, toxins in the blood buildup. This accumulation manifests as several dermatological manifestations indicating intrinsic renal disease. These are:

Xerosis (Severe Dryness of the Skin): Patients can have very dry, rough, scaly skin, which is usually accompanied by cracking. Dr. Reddy describes, "Extremely dry skin that is tight and tends to crack is frequently seen in patients with end-stage kidney disease who are on dialysis or need a transplant."

Pruritus (Itchy Skin): Itching is one of the most common symptoms of kidney disease. A recent survey of individuals on hemodialysis found that 61% reported experiencing at least a moderate level of itching, with 25% describing it as "very" or "extremely intense." This persistent itch occurs as waste products accumulate in the blood, irritating nerve endings.

Pigment Disorders and Rashes: Inability of the kidneys to function properly can cause the accumulation of metabolic byproducts in the skin, causing color changes and rashes. "Dome-shaped, intensely itchy rashes tend to mean that the kidneys are not clearing toxins well," adds Dr. Reddy.

Effect of Kidney Disease on Overall Appearance

Aside from skin disorders, kidney disease has an effect on a person's overall appearance because of metabolic disturbances and fluid imbalance.

Weight Changes: Kidney disease may result in sudden weight loss from muscle atrophy or sudden weight gain from fluid buildup. "Patients tend to develop swelling of the face, hands, and feet because of too much fluid," explains Dr. Reddy.

Changes in Skin Texture and Color: Kidney impairment can result in pallor, yellowish or grayish complexion, and a dull skin.

Hair and Nail Changes: Thin hair, ridges, and brittle nails are reported by many patients with chronic kidney disease (CKD).

Kidney Disease and Its Link to Other Health Conditions

Some other health disorders linked with kidney disease can cause skin conditions and changes in appearance:

Diabetes and Hypertension: Diabetes and hypertension are major causes of kidney disease, and both diseases can worsen skin conditions like itching and delayed healing of wounds.

Liver Dysfunction: A dysfunctional liver, usually associated with kidney problems, can cause bile salts to pile up beneath the skin, which may cause intense itching.

Blood Diseases and Autoimmune Disorders: Certain cancers, thyroid disease, and autoimmune disorders such as celiac disease may also lead to long-term itching secondary to systemic inflammation and nerve stimulation.

How to Keep Your Kidneys Healthy?

For those of us who care about our skin and our well-being, ensuring that our kidneys are functioning properly is important. Dr. Reddy stresses that making some small lifestyle adjustments can greatly enhance kidney health and stave off overt skin decline.

1. Have a Kidney-Friendly Diet

Reducing the intake of sodium, phosphorus, and potassium while increasing antioxidant-rich foods can protect kidney function and enhance skin health.

2. Stay Hydrated

Adequate water intake helps flush out toxins, reducing the burden on the kidneys and preventing dryness and irritation in the skin.

3. Exercise Regularly

Physical activity improves circulation, enhances waste elimination, and supports overall metabolic function.

4. Avoid Smoking and Excessive Alcohol Consumption

Tobacco and alcohol also add to kidney stress, resulting in fluid buildup and inflammation that may adversely affect the skin.

5. Routine Health Checkups

Routine tests of blood pressure, blood sugar levels, and kidney function may help identify early evidence of kidney disease, averting severe complications.

When to Consult A Doctor?

Early warning signs of kidney disease can be identified and avoided in order to prevent severe complications. If you suddenly notice unexplained itching, a chronic rash, extreme dryness, swelling, or a great weight gain, seek advice from a health expert. Kidney function can be tested by conducting blood tests that eliminate other health conditions like diabetes, anemia, or thyroid disorders.

Your kidneys are also responsible for detoxification, the balance of fluid, and metabolism. When compromised, the effects are not only internal but also evident on your complexion and overall look. By living healthy, keeping an eye on kidney function, and consulting a doctor when needed, one can have healthy kidneys along with maintaining healthy skin's natural sparkle and radiance. Dr. Reddy affirms, "Healthy kidneys mean healthy skin. Paying attention to both can improve overall well-being and quality of life."

Dr. Sreedhar Reddy is a MBBS, MS(Gen sur), DNB (Urology), MNAMS (urology), FRTS, FIMS at Apollo Spectra Hospital, Bangalore in India

A 47-year-old autorickshaw driver from Royapettah, who had received a full course of vaccination after being bitten by a stray dog in July 2025, died of rabies at the Rajiv Gandhi Government General Hospital (RGGGH). He is the 22nd person to succumb to the disease in Tamil Nadu this year.

His death has left experts asking a difficult question, if protocols were followed, why are people still dying? Public health specialists suggest this may not just be a failure of administration, but a sign that India’s long-standing rabies protocol itself needs re-examination.

What Is Rabies?

“Rabies infects mammals, including dogs, cats, livestock and wildlife. It spreads to people through saliva, usually by bites, scratches, or direct contact with mucous membranes such as the eyes, mouth, or open wounds. Once symptoms appear, rabies is virtually 100% fatal,” explains Dr. Surrinder Kumar, MBBS, General Physician.

ALSO READ: Bird Flu In US: Are Cats Spreading A Deadly Disease?

Why Rabies Deaths Still Happen in India?

For those unversed, Rabies immunoglobulin is a medication made up of antibodies against the rabies virus. It is used to prevent rabies following exposure.

According to Dr Surrinder, the main reasons are:

1. Delayed or No Medical Attention: Many victims dismiss dog bites as minor and fail to seek immediate treatment.
2. Lack of Awareness: In rural and semi-urban areas, people often don’t know the importance of post-exposure vaccination.
3. Reliance on Home Remedies: Turmeric, lime, oils, and other traditional remedies are still used, offering no protection.
4. Incomplete Vaccination: Even if treatment begins, many patients drop out midway, making it ineffective.
5. Limited Access to Rabies Immunoglobulin (RIG): For severe bites, RIG is essential along with vaccines, but its high cost and patchy availability block timely use.

The Ground Reality of Rabies Treatment

ALSO READ: Why 1 In 6 U.S. Parents Are Rejecting Vaccine Recommendations

Alongside immunoglobulin, at least five separate rabies vaccine doses are necessary. These, Dr. Shaswath says, are not without side effects, as “every time people take the vaccine, they get fever.” While cities are able to conduct mass vaccination campaigns, rural areas face significant challenges in this regard.

He further stresses that rabies is not confined to dog bites alone. The virus can also spread from other animals, and in rare cases even from humans, if infected saliva comes in contact with open wounds or mucous membranes. “A bite isn’t always necessary,” he warns.

Dr. Ranjeet Singh, Professor and Head of General Medicine at NIIMS Medical College and Hospital, echoes the same concerns. He emphasises that rabies deaths in India do not reflect a failure of the vaccine itself. Instead, the main reasons are late treatment, lack of awareness, incomplete vaccination, shortage of immunoglobulin, and limited access in rural areas.

Is India’s Rabies Vaccination System Flawed?

India follows the WHO-approved five-dose rabies vaccine protocol, with immunoglobulin recommended for severe (Category III) bites. But the bigger question, they say, is whether the protocol assumes ideal conditions, which is immediate wound washing, uninterrupted cold chain storage, and trained professionals administering injections at the wound site. In reality, these conditions are not always met.

Common Mistakes After a Dog Bite Which Can Lead To Rabies

1. Not washing the wound immediately: The first step after a bite is washing with soap and running water for at least 15 minutes. Most skip it.
2. Covering the wound too soon: Tying cloth or applying bandages traps the virus inside.
3. Applying irritants: Substances like chili, lime, or ash worsen the wound and delay treatment.
4. Ignoring minor bites or scratches: Even tiny wounds can transmit rabies if saliva enters.
5. Stopping the vaccine midway: Completing the full course is essential; partial doses give no real protection.

To end rabies deaths in India, awareness must go hand in hand with medical access. Every bite, no matter how small, needs immediate action: wash, vaccinate, and if severe, take immunoglobulin.

“Rabies is 100% preventable but 100% fatal if ignored. No bite should ever be taken lightly. The key is simple, wash, vaccinate, and complete the course,” concludes Dr. Surrinder Kumar.

Sometimes a simple headache can derail your entire day. It slows down your work, causes you issues etc. When that happens, the easiest way to get rid of it is by taking medicine. However, did you know, you may be able to avoid taking the medicine by doing a simple check before?

Sometimes, the cause isn't a lack of medicine—it's a lack of hydration. Dehydration is a very common cause of headaches, and it's often overlooked. In a post, Suzanne Soliman, a US board certified pharmacist, explained that your headache may be a simple issue, that may not need medicine. Before you grab a pain reliever, try this simple trick: Drink a full glass of water with a small pinch of salt. The salt helps your body absorb the water better.

But how does salt water help you get rid of headaches? Is there medical backing to this or is it a placebo trick that helps some people?

Can Salt Water Treat a Migraine?

For some people, drinking salt water can help relieve a migraine, but it depends on the cause. Here are a couple of reasons why it might work:

You're dehydrated

If you've been sweating a lot, you lose both water and salt. Rehydrating with a glass of water and a pinch of salt can restore your body's balance and ease the headache.

You're on a low-salt diet

Several studies, like a 2021 study published in the Medical Science journal, suggest that if your body is used to a high-salt diet (like the average American diet), suddenly reducing your sodium intake can trigger a "withdrawal" headache. In this case, eating or drinking something salty might help.

However, the evidence isn't clear, and drinking too much salt water can make you feel sick. If you want to try this, only add a tiny pinch of salt to a full glass of water. A better way to get more salt might be through salty snacks or a sports drink with electrolytes.,

Can Eating Salt Prevent or Worsen a Migraine?

There's a complex link between salt and migraines. Some people who eat a lot of salt regularly report fewer migraine symptoms, possibly because their bodies are used to a high-sodium diet.

According to the 2021 study, the relief people feel when they eat salty foods during a migraine isn't a cure, but rather a temporary relief from withdrawal symptoms. This might help explain why some studies have found that people who eat more salt tend to have fewer migraines—their bodies are simply getting the high amount of salt they're used to.

Can Too Much Salt Trigger Migraine?

On the other hand, consuming too much salt can also be a migraine trigger. Eating too much salt can increase your blood pressure, which is a known cause of headaches and migraines. Studies have shown that for some people, a high-salt diet can actually make a migraine episode last longer.

Also Read: Frank Grillo On Steroid Use: 'I’m Not Cheating At Anything Except Aging'

A 2023 study published in JAMA included 213 people with a median age of 61. The group was 65% female and 64% Black. Each person followed three different diets: their usual diet, a high-salt diet, and a low-salt diet.

If your headaches are related to high blood pressure, a low-salt diet may be more beneficial

Salt's effect on migraines is different for everyone. It might help if your headache is caused by dehydration or a sudden drop in sodium, but it could also trigger a migraine or make it worse if you have high blood pressure or are sensitive to salt. Always talk to your doctor to figure out what's best for you and your symptoms.

Salt's effect on migraines is different for everyone. It might help if your headache is caused by dehydration or a sudden drop in sodium, but it could also trigger a migraine or make it worse if you have high blood pressure or are sensitive to salt. Always talk to your doctor to figure out what's best for you and your symptoms.

Frank Grillo, the 60-year-old actor known for his roles in superhero films like Superman Peacemaker, recently opened up about how he gets in shape for the big screen. In a recent interview on the Men’s Health “Strong Talk” podcast, he candidly discussed his use of steroids, revealing that many actors use similar methods to prepare for roles.

Grillo spoke on his use of the steroid medication, and gave his view on its criticism. As a part of his Testosterone Replacement Therapy treatment, which helps improve symptoms of low testosterone, he took the medication, and it helped him deal with many age-related health issues.

Why Does Frank Grillo Use Steroids?

Grillo shared that about six years ago, he found out his natural testosterone levels were low. To fix this, he started using testosterone replacement therapy. He says this treatment has helped him in many ways, like improving his sleep, speeding up his recovery after workouts, and making him feel happier in general. Grillo doesn't hide his use of steroids.

Also Read: Do This 1 Thing Before You Pop A Pill For Your Headache According To Pharmacist

He pushes back against people who call it “cheating,” arguing that as an actor, he isn’t competing in a sport like football or wrestling. Instead, he’s simply trying to look the part for a movie role and, in his words, is "not cheating at anything except aging." He also points out that when actors are hired for a superhero movie, there’s an expectation to look a certain way, and sometimes that means using medications like Anavar, a steroid that acts like testosterone.

How Do You Build ‘Superhero’ Physiques?

Grillo claims that what he's doing is not uncommon in Hollywood. He believes that many other actors also use steroids to quickly achieve dramatic body transformations for their roles. He mentioned that drugs like Anavar and Deca, which is another type of steroid, are now often prescribed by doctors, which means their use can be monitored by a medical professional.

Grillo was very clear that incredibly muscular bodies aren't natural. He explains that it's just not realistic for someone to look one way for most of the year and then suddenly gain 35 pounds of muscle. He says that while many actors might not want to talk about it, everyone in the industry knows exactly what’s going on.

What Is Anavar/ Oxandrolone?

According to US National Cancer Institute, Oxandrolone is a man-made drug that's very similar to testosterone, a natural hormone in our bodies. It works by attaching to and activating certain receptors, which are like tiny switches in our cells. Because of this, oxandrolone is used for several reasons, including:

Testosterone replacement therapy: To help men who have low testosterone levels.

HIV-wasting syndrome: To help people with HIV who are losing a lot of weight and muscle.

Other conditions: To help the body hold onto more nitrogen (which is key for building muscle) and to increase lean muscle mass.

How Does Aging Effect Testosterone For Men?

According to Hospital for Special Surgery (HSS), as men get older, it's common for them to experience a natural decline in both testosterone and muscle mass. While this is a normal part of aging, there are ways to fight back against it.

Testosterone is a crucial hormone for men. It helps build muscle by creating proteins, which in turn increases muscle strength. Starting around age 40, a man's testosterone levels gradually drop by about 1-2% each year. This decline can lead to symptoms like fatigue, hair loss, and depression, but many men don't realize what's causing these changes because testosterone levels aren't always checked during a routine doctor's visit.