11 Ways You're Stressing Your Kidneys While You Sleep
5. Drinking alcohol close to bedtime

Alcohol before bed often seems relaxing, but it affects hydration, blood pressure, and sleep cycles in ways that can indirectly burden kidneys. Alcohol increases urine production initially, then can lead to dehydration later, and it disrupts restful sleep stages that help regulate blood pressure and repair processes [NIAAA; Cleveland Clinic]. For people with diabetes or high blood pressure, those shifts are especially important because they can influence kidney health over time. A practical choice is to set a sensible alcohol cutoff earlier in the evening and match it with moderate hydration earlier in the day. Lower-alcohol options and smaller portions help too. If you use alcohol to fall asleep, consider alternative wind-down routines such as a short walk, warm shower, or calming music. Small changes to evening drinking habits support both sleep quality and kidney wellbeing; take changes at your own pace.
6. Untreated sleep apnea and poor nighttime breathing

Sleep apnea, where breathing pauses repeatedly during sleep, is linked to higher risk of kidney disease through repeated low oxygen events and spikes in blood pressure overnight [Sleep Foundation; NIDDK]. These changes can promote inflammation and reduce kidney perfusion over time, making the kidneys work under stress. Many people don't realize how much untreated sleep apnea can affect other organs. If you snore heavily, feel overly sleepy during the day, or your partner notices breathing pauses, a sleep evaluation is worth discussing with your clinician. Treatments like CPAP, weight management, positional therapy, and treating nasal congestion can improve breathing and reduce strain on kidneys and cardiovascular systems. Getting evaluated and treated is a medical step that often yields improvements across sleep, mood, and physical health. Approach testing and treatment as an act of self-care; addressing sleep-breathing issues can protect your kidneys and restore better rest.
