​​What to Know About Alcohol and Kidney Damage

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Understanding the risks, signs, and treatment options available in Southern California

How Alcohol Affects Kidney Function

Your kidneys do more than just filter waste—they regulate blood pressure, maintain fluid balance, and support healthy bones and red blood cell production. When alcohol is introduced into the body, especially in large or frequent amounts, it can disrupt these functions in several ways:

Dehydration – Alcohol is a diuretic, which means it makes your body lose more fluids than it takes in, forcing the kidneys to work harder.

Electrolyte Imbalance – Losing fluids also means losing key minerals like sodium, potassium, and magnesium—leading to fatigue and muscle weakness.

Increased Blood Pressure – Heavy drinking contributes to hypertension, one of the leading causes of chronic kidney disease (CKD).

Impaired Filtration – Alcohol puts stress on the kidneys’ filtration system, making it harder to remove toxins from your bloodstream.

How alcohol affects the kidneys

Short-Term Effects of Alcohol on the Kidneys

Even occasional binge drinking can temporarily harm your kidneys. Signs of kidney damage from alcohol include:

  • Back or flank pain
  • Reduced urination or dark-colored urine
  • Dizziness or fatigue due to fluid loss
  • Headaches from electrolyte imbalance
  • Increased thirst or dry mouth

In some cases, binge drinking may lead to acute kidney injury (AKI), which is a sudden loss of kidney function that can become permanent without treatment.

Can Alcohol Cause Kidney Failure?

Yes—long-term heavy drinking can increase the risk of kidney failure.

One study shows that up to 1 in 3 people with alcohol use disorder experience reduced kidney function compared to the general population.

Here’s how alcohol may contribute to kidney disease and eventual failure:

  • High Blood Pressure: A major risk factor for kidney damage, worsened by chronic alcohol use.
  • Liver Disease: Alcohol-related liver dysfunction can lead to hepatorenal syndrome, a serious condition where the kidneys fail due to liver complications.
  • Chronic Dehydration: Continually stressing the kidneys with insufficient hydration and overexertion.

While liver damage gets most of the spotlight, alcohol’s silent impact on kidney health is just as serious—and often overlooked.

Signs of Kidney Damage from Alcohol

Alcohol-related kidney damage often develops gradually. Symptoms you shouldn’t ignore include:

  • Swelling in the feet, hands, or face
  • Frequent or reduced urination
  • Foamy or dark-colored urine
  • High blood pressure
  • Persistent fatigue or brain fog
  • Lower back or side pain
  • Nausea or shortness of breath

If you recognize these symptoms in yourself or someone else, it’s important to seek medical support immediately.

🧠 Want to learn more? Read our post: Recognizing the Signs of Substance Abuse

Can the Kidneys Heal After You Quit Drinking?

The good news is that mild to moderate kidney damage caused by alcohol can often improve once alcohol use stops. However, if the damage is advanced or combined with other conditions, full recovery may not be possible.

Factors that influence kidney healing:

  • Duration of alcohol use
  • Presence of liver damage
  • Blood pressure control
  • Hydration and nutrition habits
  • Early intervention through medical detox

Quitting alcohol and seeking support through a medical detox program for alcohol increases your chances of recovery and long-term kidney protection.

Read more: How to Bounce Back Stronger in Addiction Recovery

Protecting Your Kidney Health While Drinking

If you currently drink alcohol and want to reduce your risk of kidney issues:

  • Limit alcohol to one drink per day for women or two for men
  • Stay hydrated—alternate alcoholic drinks with water
  • Get regular blood pressure and kidney function tests
  • Follow a kidney-friendly diet rich in whole foods and low in sodium
  • Practice stress reduction, sleep hygiene, and physical activity

Still, the safest choice for your kidneys is abstinence, especially if you already have other health concerns.

Detoxing Safely at Coastal Detox in Southern California

At Coastal Detox SC, we specialize in helping clients safely withdraw from alcohol in a medically supervised, supportive environment. This is especially important if you’re concerned about kidney and liver health.

Our services include:

  • 24/7 clinical and medical monitoring
  • Medication-assisted detox for comfort and safety
  • Personalized treatment plans
  • Dual diagnosis support for underlying mental health issues
  • Nutritional therapy, hydration support, and post-detox planning
  • You’re in the right place. We’re here to help you heal safely and holistically.

At our San Diego-area detox center, we provide medically supervised alcohol detox that supports kidney and liver health for clients throughout Orange County, Los Angeles, and all of Southern California.

Read more: Evidence-Based Detox Approaches That Guide Sobriety

Learn more about our Alcohol Detox in San Diego

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Meet Our Team

Coastal Detox of Southern California is composed of an entire team of highly trained substance abuse professionals in recovery.
Phil Castagnola SUDCC program director at Coastal Detox of Southern California

Phil Castagnola, SUDRC

Program Director

Kay Saffe LPCC clinical director at Coastal Detox of Southern California

Kay Saffe, LPCC

Clinical Director

Jeff Swem SUDRC director of operations at Coastal Detox of Southern California

Jeff Swem, SUDRC

Director of Operations

Coastal Detox of Southern California is only a call away.

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Phil Castagnola

Case Manager

Philip Castagnola, SUDCC, is the Program Director for Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Phil has over 15 years of continuous sobriety and is an active Sponsor in the San Diego Alcoholics Anonymous (AA) community. He struggled with substance abuse issues throughout his youth. He started using drugs at the age of 15, having been raised in an environment that normalized heavy drug and alcohol use. He spent a lot of time in and out of various rehab programs before being incarcerated in federal prison, which is where he finally completed an 18-month treatment program and used that time to work the 12 Steps.

After completing his sentence and serving his debt to society, he vowed to continue to give back to others who are going through similar hardships. Phil is passionated about sharing his experience with openness and honesty so that others may find hope for their future and find the strength to break free from the bondage of addiction.

In addition to a successful career as a certified counselor, Phil is also reconnecting with his passion for surfing. Phil surfed professionally in competitions for a few years in his early 20s and even owned his own surf shop (Select Surf Shop) before losing everything to his addiction. Now in his sobriety he is able to once again surf recreationally and in contests, showing that it’s never too late to reclaim your own narrative, overcome substance use disorder, and pursue the life you were always meant to have.

Kay Saffe, LPCC

Clinical Director

Kay Saffe, LPCC,  is a Licensed Professional Clinical Counselor and Clinical Director at Coastal Detox of Southern California. She holds a Master’s Degree in Clinical Mental Health Counseling from the University of San Diego and a Bachelor’s Degree in Psychology from New College of Florida. 

Kay grew up in Miami, Florida and is a first generation American with Argentinian roots. Throughout her youth, she struggled with drinking and substance abuse. Today, she has been in recovery for over 4 years and strives to prioritize her spiritual, mental, and physical health.

A lifelong athlete and ocean lover, she moved to San Diego to pursue her Master’s degree and progress her surfing. She has spent years working as a surf instructor and therapist, working with local non-profits that treat at risk individuals and families in both English and Spanish. She incorporates a mindful and holistic approach to therapy. She is passionate about positive psychology and helping others through their recovery journey.

Jeff Swem, SUDCC

Director of Operations

Jeff Swem, SUDCC, is a Substance Use Disorder Certified Counselor and the Director of Operations at Coastal Detox of Southern California. He holds an Associate’s in Science and Certification in Alcohol and Other Drug Studies from San Diego City College.

Jeff has 6 years of continuous sobriety and is active in the San Diego Alcoholics Anonymous (AA) community. Jeff struggled with substance abuse from a young age and endured some harrowing, near-death experiences before “settling down” into a career as a professional beer brewer. It was during the COVID outbreak that he surrendered to his higher power and made the choice to get sober for good.

After completing an inpatient rehab program and IOP aftercare, Jeff quit the brewing industry and pivoted to become a Substance Use Disorder Certified Counselor so he could surround himself with a caring and supportive sober community and help others who struggle with addiction by leading through example and sharing his personal experience.

Born and raised in San Diego, Jeff is married to his wife of 25 years. They have a son and daughter together, and thanks to the 12 Steps and a successful career at Coastal Detox, Jeff is able to be fully present for them every day, be a positive role model, and show them how it is possible to thrive in recovery.