Chronic kidney disease is a major health problem in Sri Lanka since in last 8-10 years. CKDu or chronic kidney disease of unknown aetiology is characteristic from other kidney disease by its slow progressive asymptomatic development. This disease start at a younger age group and it is common among people who engaged in agriculture typically around age 40-60 years
In chronic kidney disease kidney dose not usually fail at once instead it slowly stepwise fail to perform it tasks chronic kidney disease involves 5 stages. Therefore stage 5 chronic kidney disease is also referred to as kidney failure, end-stage kidney disease, or end-stage renal disease, wherein there is total or near-total loss of kidney function. There is dangerous accumulation of water, waste, and toxic substances, and most individuals in this stage of kidney disease need dialysis or transplantation to stay alive.