How to Relieve itching for Dialysis patients with high creatinine 3.5

Itching is one of common symptoms of dialysis patients. And this symptoms had puzzled many kidney failure patients. So I want to share with you the causes and treatment for dialysis patients with itching and high creatinine 3.5.

Causes of itching for dialysis patients 

Among dialysis patients, itching is most often caused by dry skin. It occurs because the skin is not making enough oil to moisturize itself. It is important to keep the skin clean and moisturized. It may help to use a moisturizing soap when you bathe, to apply unscented body oil, and to use body lotions.
Another factor related to itching may be your diet. In your blood, phosphorus combines with calcium to form phosphorus-calcium products. Some of these phosphorus-calcium products are excreted through your skin and this may cause you to itch. The best way to avoid this is to keep your phosphorus level normal. Maintain your dialysis diet and take phosphorus binders with each meal or large snack as directed.

Allergic reactions to the dialyzer, blood tubing or medications may occur during the hemodialysis treatment. Keep a record of how you feel during your treatment. Maintaining such a log may help you to pinpoint the causes of your itching. Discuss how you feel with your doctor or nurse. There are medications available that may help you.

Treatment for Dialysis patients with itching 

Chronic kidney disease (CKD)-associated pruritus (itching) is a significant clinical symptom affecting more than 50% of patients on hemodialysis.
The most frequently used therapy is UVB phototherapy, eliciting favorable responses in most patients. Newer approaches, such as treatment with the μ-opiod-receptor antagonist, naltrexone, have yielded conflicting results. The use of the k-opioid-receptor-agonist, nalfurafine, appears to be partially effective in relieving CKD-associated pruritus, as shown by a meta-analysis of 2 clinical trials. Promising results have been obtained by treatment with the anticonvulsant gabapentin. CKD-associated pruritus is thought to be mediated by a proinflammatory state, which explains why immunomodulating drugs (e.g., thalidomide, tacrolimus, and pentoxiphylline) are effective in some patients. Treatment of CKD-associated pruritus should be undertaken according to individual benefit-risk ratio assessments.

And in our hospital we adopt The combination of Chinese Therapy and Western Medicine. Our Micro-Chinese Medicine Osmotherapy, Mediciated Bath Therapy and foot bath therapy had attracted many foreign patient to try. And The effect of these therapy had be praised by the foreign patients.

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