Generally speaking, individuals with kidney disease and those undergoing dialysis may need to limit their alcohol intake depending on their overall health and medical history. Alcohol can have negative effects on the kidneys and can also interact with some medications used to treat kidney disease. Additionally, individuals undergoing dialysis may have restrictions on their fluid intake, and alcohol intake should be counted as part of your total fluid intake. It is important to follow the advice of your healthcare team regarding the effects of alcohol consumption while on dialysis.