trying can occur when appetite decreases or chronic illness affects nutrition.
Because unexplained weight loss has many potential causes, it should be medically assessed if it continues.
## 19. Shortness of Breath
Breathlessness can sometimes occur with kidney disease because of:
* anemia
* excess fluid
* associated heart problems
New or worsening shortness of breath should never be assumed to be kidney-related without proper evaluation.
## 20. Difficulty Sleeping
Sleep problems are common in people with chronic kidney disease.
Possible contributors include:
* itching
* restless legs
* cramps
* breathing problems
* discomfort
But insomnia itself is extremely
