Urologist explains role of gut microbiota in kidney health and diseases: ‘To avoid kidney issues, focus on gut health’

Urologist Dr AK Jayaraj discusses the connection between gut health and kidney function, warning that an imbalance could lead to harmful toxin buildup.
Your gut is one of the most important parts of your body. Several studies now show that a healthy gut means overall wellbeing, and have linked it to a healthy immune system, good mental health, and lower risk of autoimmune diseases, gastrointestinal disorders, cardiovascular disease, and even cancer. Did you know that a healthy gut is also associated with your kidney health?
In an interview with HT Lifestyle, Dr AK Jayaraj, MBBS, MS -Urology, Apollo Spectra Hospital, Chennai, explained the role of gut microbiota in kidney health and disease.
The role of gut microbiota
Known for its role in digestion and immune function, microbiota involves gazillions of microorganisms existing in the human gut. According to the urologist, if there is an imbalance of the microbiome, known as dysbiosis, it leads to health issues. “During this stage, it could trigger kidney disease and hamper everyday life. Dysbiosis induces uremic toxins like indole and p-cresol, causing the buildup of harmful substances,” he explained.

He also stated that: “Usually, healthy gut toxins get filtered out by the kidneys, but with individuals facing kidney issues, for example, chronic kidney disease or intestinal permeability (leaky gut), the toxins accumulate or, worse, mingle with the blood flow.”
In such situations, the patient often faces several issues, such as:
- Cardiovascular issues
- Inflammation in the body
- Toxin buildup, leading to kidney impairment or a reduction in kidney function
A healthy gut means a healthy kidney
Per Dr Jayaraj, to improve health or address gut problems, medical examinations or routine checkups are necessary. He explained: “For instance, an individual needs to get checked with urine and blood tests. In some extreme cases, stool tests are advised to evaluate the status of gut health and prescribe medications to reduce toxins.”
In conclusion, he added, “To avoid kidney-related issues and maintain good overall health, focusing on gut health plays a vital role. Indulging in regular medical examinations keeps individuals informed and diagnoses any early diseases.”
Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
ABOUT THE AUTHORKrishna Pallavi PriyaKrishna Priya Pallavi is a journalist with over 9 years of experience, covering health, fashion, pop culture, travel, wellness, entertainment, festivals, mental health, art, decor, fitness, and sex and relationships. She is an alumna of the Indian Institute of Mass Communication (IIMC), Dhenkanal, and holds an undergraduate degree in Journalism and Mass Communication from Guru Gobind Singh Indraprastha University, Delhi. Her strong academic foundation informs her analytical and detail-oriented approach to storytelling, helping her uncover stories where none seem to exist. Before joining Hindustan Times, Pallavi worked with some of India’s leading media organisations. She spent close to three years at India Today, where she honed her newsroom skills and developed a sharp editorial sensibility. She also worked for over a year and a half at Vagabomb, ScoopWhoop’s feminist digital platform, where she explored stories through a gender-sensitive, socially aware lens. Pallavi has a deep interest in global fashion trends and international fashion seasons, and enjoys interviewing celebrities and tracking pop culture movements—interests that frequently translate into engaging, reader-friendly stories. Alongside lifestyle and entertainment, she has a keen eye for impactful health and wellness journalism, regularly interacting with doctors, designers, and digital content creators to bring nuance and credibility to her work. Born and raised in Haryana, Pallavi remains deeply connected to her ancestral roots in Odisha. Her ability to spot fresh angles brings curiosity and depth to stories she pursues. When not chasing deadlines, she enjoys spending time with her dog, planning her next vacation, reading, running new trails, and discovering new destinations.Read More
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