<|im_start|>system
You are a helpful AI assistant.<|im_end|>
<|im_start|>user
what is kidney disease<|im_end|>
<|im_start|>assistant
Kidney disease refers to any condition that damages the kidneys and impacts their ability to function properly. The kidneys are two bean-shaped organs located on either side of the spine below the rib cage. They are responsible for filtering waste and excess fluid from the blood to produce urine. They are also involved in regulating blood pressure, electrolyte balance, and red blood cell production in the body. 

Some common causes of kidney disease include:

- Diabetes - The high blood sugar levels associated with diabetes can damage the kidneys over time. Diabetic kidney disease is the leading cause of kidney failure. 

- High blood pressure - High BP can damage the small blood vessels in the kidneys, impairing their function. Controlling blood pressure can help prevent further damage. 

- Glomerulonephritis - Inflammation of the glomeruli, the tiny filters in the kidneys. This can be caused by an autoimmune disease or infection. 

- Polycystic kidney disease - An inherited disorder where cysts form in the kidneys, causing them to enlarge and lose function over time. 

- Recurrent kidney infections - Repeated urinary tract infections, especially in children, can lead to permanent kidney damage if left untreated or improperly treated. 

- Toxins - Exposure to heavy metals, medications, or other toxins can potentially harm the kidneys. 

- Lupus - An autoimmune disease that can cause inflammation of various organs, including the kidneys. 

The symptoms of kidney disease include increased urination, swelling in the legs and face, fatigue, nausea, and poor appetite. Diagnosis is made through blood and urine tests to check kidney function and the presence of protein or blood in the urine. Treatment focuses on managing the underlying cause and preventing further damage. In severe cases, dialysis or a kidney transplant may be needed.

The key to kidney health is maintaining a healthy weight, controlling blood pressure and blood sugar, eating a balanced diet, exercising regularly, and avoiding exposure to toxins.  Early detection and treatment of kidney disease can help prevent the progression to kidney failure.<|im_end|>
<|im_start|>user
What causes it and how do I know if I have it? I don't have much money for the doctor so what symptoms should I look out for along with what other diseases appear or are related to kidney disease?<|im_end|>
<|im_start|>assistant
It is important to note that I'm not a doctor, but I can provide some general information on kidney disease.  There are several causes of kidney disease, including diabetes, high blood pressure, infections, hereditary factors, and exposure to toxins.  It's essential to consult a healthcare professional for a proper diagnosis.

Some common symptoms of kidney disease:
* Fatigue and weakness
* Swelling in the ankles, feet, or legs
* Nausea and vomiting
* Loss of appetite
* Changes in urine output or color
* Persistent itching
* Shortness of breath
* High blood pressure

Related diseases and conditions:

* Diabetes: High blood sugar can damage the kidneys over time.
* High blood pressure: This can put strain on the kidneys, potentially leading to kidney disease.
* Polycystic kidney disease: A genetic disorder causing cysts to develop in the kidneys.
* Glomerulonephritis: Inflammation of the kidney's filtering units, possibly due to infections or autoimmune diseases.
* Kidney stones: Mineral deposits that can cause pain and sometimes block urine flow.

If you're experiencing any symptoms, it's crucial to see a healthcare professional to discuss your concerns and receive appropriate care.  There may be low-cost or free clinics in your area that can help if financial concerns are an issue.<|im_end|>