The Fist-Sized Filters Beside Your Spine
Tucked against the back wall of your abdomen, just below the ribs, sit two organs that are each about the size of a fist. They are the kidneys, and they work around the clock as the body's filtration plant, cleaning the blood without ever taking a break.
Blood arrives at each kidney through a large artery. Inside, it passes through about a million tiny filters called nephrons. Each nephron has a knot of microscopic blood vessels that lets water and small dissolved substances squeeze out of the blood, while blood cells and large proteins stay inside. The filtered liquid then travels through a long, narrow tube. Along the way, the body takes back what it needs, such as water, sugars, and useful salts, and returns them to the blood. What is left, the waste and the extra water, becomes urine. Urine flows through tubes called ureters to the bladder, where it is stored until you use the bathroom.
Kidneys do more than clean. They help control how much water is in your body, keep salts and minerals in balance, and release hormones. One of these hormones helps manage blood pressure, and another tells the bone marrow to make red blood cells.
Because the job is so important, kidneys are worth protecting. Drinking enough water, eating a balanced diet without too much salt, and staying active all help. A person can live a healthy life with only one working kidney, which is why some people choose to donate one to a patient whose kidneys have failed.