Persistent Itching, Dryness and Skin Changes Should Not Be Ignored:
Chronic Kidney Disease (CKD) does not affect the kidneys alone. Depending on the stage of kidney disease and a person’s overall health, several changes may also occur in the skin. Dry skin and persistent itching—known as CKD-associated pruritus—are particularly common in advanced CKD and among people receiving dialysis. (National Kidney Foundation)
Common Skin Changes Associated with Kidney Disease
- Dry and rough skin:
The skin may become excessively dry, rough, tight or flaky. These symptoms can become more noticeable during cold and dry weather. - Persistent itching:
A person may experience continuous or recurrent itching even without an obvious rash, blister or wound. CKD-associated pruritus is particularly common in advanced kidney disease and among dialysis patients. (National Kidney Foundation) - Changes in skin colour:
Some people with kidney disease may experience changes in their normal skin colour or pigmentation. - Changes involving the nails and hair:
Depending on the individual’s nutritional status and overall health, changes in the nails and hair may also occur.
Why Does Kidney Disease Cause Itching?
The exact cause of CKD-associated itching is complex and is not limited to a single factor. The accumulation of waste products, severe dryness of the skin, altered nerve signalling, inflammation, and abnormalities involving phosphorus, calcium or parathyroid hormone (PTH) may all contribute. (National Kidney Foundation)
Persistent itching can significantly affect a person’s quality of life. It may disturb sleep, affect mood and interfere with normal daily activities. Repeated scratching can also damage the skin and increase the risk of sores and infection. (National Kidney Foundation)
How Can Kidney Patients Take Care of Their Skin?
A few simple skin-care measures may help:
- Use a mild, non-drying cleanser.
- Avoid very hot water; use lukewarm or cooler water when bathing.
- Gently pat the skin dry instead of rubbing it vigorously.
- Use a suitable moisturiser regularly, preferably as advised by your healthcare professional.
- Avoid strongly fragranced products that may irritate sensitive skin. (National Kidney Foundation)
If itching is severe or persistent, do not self-medicate. Speak with your doctor or healthcare team to identify the underlying cause and appropriate treatment.
Skin Care During Dialysis
Dialysis is an important treatment for kidney failure. However, people receiving dialysis may also experience dry and itchy skin. (National Kidney Foundation)
Particular attention should be given to the dialysis access site. Maintain proper hygiene around the access area and avoid applying creams or lotions there unless specifically advised by your healthcare team.
Diet and Fluid Intake Matter
Dietary and fluid requirements vary from one kidney patient to another depending on kidney function, laboratory results and the type of dialysis being received. Therefore, patients should follow an individualized diet and fluid plan recommended by their nephrologist or renal dietitian. (National Kidney Foundation)
When Should You Consult a Doctor?
Seek medical advice if you experience:
- Severe or progressively worsening itching
- Itching that interferes with sleep or daily activities
- New wounds, sores or blisters
- Redness, swelling or warmth of the skin
- Possible signs of infection
- Sudden or significant changes in skin colour
Skin problems should not simply be dismissed as ordinary dermatological issues. In people with CKD, particularly those with advanced kidney disease or receiving dialysis, persistent itching can sometimes indicate an underlying problem that requires medical evaluation. Appropriate treatment can often provide significant relief and improve quality of life. (National Kidney Foundation)
Advanced Kidney and Urological Care at iUKD
Kidney Hospital, Institute of Urology and Kidney Diseases (iUKD), Sonapur, Guwahati, provides specialized care for a wide range of kidney, urological and urinary tract conditions.
The hospital provides treatment for kidney stones, prostate disorders, kidney failure, urinary problems in men and women, and urological cancers, including cancers of the kidney, urinary bladder, male genital organs, testicles and prostate, as well as various sexual health problems in men and women.
For complex kidney and urological procedures, iUKD offers advanced laser and laparoscopic surgery, along with robotic surgery.
Contact: 8011501833 / 9864104444
Hospital Address: Kidney Hospital, Institute of Urology and Kidney Diseases (iUKD), Nazirakhat, Sonapur, Guwahati, Assam – 782402.