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If kidneys don't work properly, harmful substances build up in the body, blood pressure can rise, and too much fluid can collect in the body's tissues, which leads to swelling, called edema. If your kidneys fail, you will need dialysis or a kidney transplant to take over their job.
Dialysis is a treatment that removes wastes and excess fluid from your blood. In the early stages of chronic kidney disease (CKD), you do not need dialysis. The stages of chronic kidney disease can last for many years. But if your kidneys fail, you will need dialysis or a kidney transplant to keep you alive.