The silent epidemic, why chronic kidney disease remains largely ignored in Malaysia

Sinar Daily

16 hours ago

DESPITE being one of the most common non-communicable diseases in Malaysia, Chronic Kidney Disease (CKD) continues to fly under the radar.
Often referred to as a 'silent killer,' CKD develops slowly and without obvious symptoms, only becoming apparent when it has reached an advanced stage, by which point lifelong dialysis or a kidney transplant may be necessary.
The rise in CKD cases is concerning.
In 2018, its prevalence in Malaysia jumped to 15.48 per cent up from 9.07 per cent in 2011. Today, more than 50,000 Malaysians are on dialysis, with projections from the Health Ministry estimating that this number could double to over 100,000 by 2040 if preventive measures and early detection efforts remain inadequate.
Yet, despite these alarming figures, CKD continues to go largely unnoticed.
In response, Sunway Medical Centre Damansara (SMCD) is taking a proactive role in closing this awareness gap, championing early detection and public education as critical tools in combating the nation's growing CKD burden.
Understanding CKD and its silent progression
One of the key reasons CKD often goes undiagnosed until it's too late is its subtle progression.
In its early stages, the condition rarely causes discomfort or symptoms, leading many to assume they're healthy until serious damage has already occurred. Dr Chong Yip Boon - Photo: Sunway Medical Centre Damansara
SMCD, Consultant Nephrologist and Physician, Dr Chong Yip Boon stated that Chronic Kidney Disease is particularly dangerous because it progresses silently, often going unnoticed.
'When left undetected, CKD can result in life-threatening complications such as cardiovascular disease, symptomatic anemia, metabolic bone diseases, fluid overload and ultimately, irreversible renal failure and death.
'Its insidious onset and silent progressive nature make early detection both challenging and critical. Lack of public awareness and regular health screenings further increase the difficulty in its early diagnosis,' he said.
Why Malaysians are missing the warning signs
One of the major challenges in tackling CKD in Malaysia is the lack of public awareness around kidney health and the importance of regular check-ups.
Most people associate good health with feeling well, and because CKD shows few to no early symptoms, it's often overlooked.
Even when signs do appear, such as fatigue, swollen limbs, or changes in urination, they're frequently dismissed or misattributed to other, less serious conditions.
'The issue isn't that kidney tests aren't available. In fact, they are included in most health screening packages. The problem is that people simply don't come in for check-ups until it's too late,' Dr Chong added. Despite being one of the most common non-communicable diseases in Malaysia, Chronic Kidney Disease (CKD) continues to fly under the radar. - Photo: Sunway Medical Centre Damansara
He highlighted that early screening is crucial for high-risk individuals, such as those with diabetes, hypertension, heart disease, obesity, or a family history of kidney issues. Older adults and frequent users of painkillers or self-medication are also more susceptible and should prioritise regular check-ups.
'Among these patients, common pitfalls include missing regular appointments, skipping blood or urine tests, self-treatment, and a lack of understanding about their condition,' he said.
Some early signs, though subtle, are more noticeable than people realise, such as bubbly or foamy urine, which may indicate protein leakage, an early sign of kidney damage. A simple urine test can help determine whether this is benign or something more serious.
Prevention begins with awareness and lifestyle
Dr Chong also emphasised practical lifestyle habits to support kidney health, such as staying well-hydrated, eating a balanced diet, maintaining a healthy weight, and exercising regularly.
He advised against excessive use of painkillers, self-medication, and unregulated supplements, while also urging individuals to limit alcohol, avoid smoking, and keep existing conditions like diabetes or high cholesterol under control through routine medical check-ups.
Changing the narrative around kidney health
Sunway Medical Centre Damansara is actively working to shift public perception of kidney health in Malaysia. SMCD urged the public to stay on top of medical appointments, go for regular screenings, and consult healthcare professionals about their risk of CKD, before it's too late. - Photo: Sunway Medical Centre Damansara
Acknowledging that early detection is essential in managing CKD, the hospital is prioritising greater awareness, encouraging early screening among high-risk groups, and addressing the stigma and misconceptions that often surround kidney testing.
'Malaysians must begin to see kidney health as an essential part of general wellbeing, not something to think about only when symptoms appear.
'Routine screening, especially among at-risk individuals, can lead to early detection, delay disease progression, improve quality of life, and significantly reduce long-term healthcare costs,' Dr Chong said.
Don't wait for symptoms, act early
Ultimately, SMCD hopes to shift the national mindset from reactive care to preventive action.
By helping Malaysians recognise the importance of kidney health as part of routine medical care, more lives can be improved, or even saved.
The message is simple but urgent: early detection makes all the difference.
SMCD urged the public to stay on top of medical appointments, go for regular screenings, and consult healthcare professionals about their risk of CKD, before it's too late.