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Healthy Kidneys

Outline of human torso showing front view of urinary tract. Two kidneys are in upper abdomen. Each kidney is connected by ureter to bladder which is in pelvis. One kidney in cross section to show inside. Urethra goes from bladder to outside body. Closeup of blood vessels in filtering unit of kidney. Tube leading from filtering unit monitors balance of fluid and chemicals.

Healthy kidneys clean the blood. Two normal kidneys can filter wastes and excess fluid from hundreds of pints of blood each day. This helps maintain the chemical balance the body needs to stay healthy and alive. The kidneys also carry out many other vital functions. This includes controlling blood pressure, maintaining healthy bones, and signaling the bone marrow to make red blood cells. The kidneys are bean-shaped, about the size of a fist, and located just below the rib cage near the midline of the back one on each side. 

When the kidneys fail

If both kidneys fail, it's called chronic kidney disease. Waste made during normal cell functions builds up in the blood (uremia). Over time, this can threaten your health. Some people are born with 1 kidney, or donate a kidney during their lifetime. People can function normally with just 1 healthy kidney, or even a part of one kidney. Some conditions that cause kidney damage include:

  • Diabetes

  • High blood pressure

  • Smoking

  • Injury

  • Immune system diseases

  • Hereditary conditions

  • Certain medicines

Removing wastes

The kidneys are part of a system that removes wastes from your body. For this system to work, the kidneys and urinary tract must do their jobs. The kidney is not one large filter. Each kidney is made up of about 1 million filtering units called nephrons. Each nephron filters a small amount of blood. Each nephron has a filter called the glomerulus. The nephron also has a tubule. The nephrons work through a two-step process: The glomerulus filters your blood, and the tubule returns needed substances to your blood and removes wastes.

Vessels carry blood

Tiny blood vessels inside the kidneys carry blood to the filtering units (nephrons). These vessels also shrink or expand to control the pressure inside the kidneys. This keeps a constant supply of blood to the nephrons.

Filters clean blood

Blood is cleaned as it passes through the nephrons. Wastes and extra fluid are taken and removed from the body in urine .The proper amounts of clean fluid and vital chemicals (salts and enzymes) are returned to the blood.

Urinary tract removes wastes

Two tubes, called the ureters, connect the kidneys with the bladder (where urine collects). When the bladder is full, the urine is passed out of the body through a tube (urethra) during urination. The kidneys, ureters, and bladder make up the urinary tract.

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