It's call Pruritis.

Currently, the cause is not known. There are some ideas and theories within the medical community, such as:

• Long-term inflammation and/or swelling.

• Dry skin, which is typical for those on dialysis due to the loss of sweat glands

• High phosphorus levels

• Hyperparathyroidism

• High levels of aluminum and magnesium

• Not attending all dialysis appointments (leading to mineral build-ups)  

Symptoms aren't always the same for everyone.

For some, the itching may be constant; for others, it may be reoccurring or cyclic.

• Can feel differently; some feel itchy, crawly, or prickly

• Scratching does not relive the feelings

• Skin can become dry, raw, and have an uneven skin tone

• Sleep disturbances are common

• Hot weather can aggravate it

• Stress can also contribute

No matter how it feels, it's freaking annoying to deal with!  

Treatment options can be discussed with your doctor. Currently, these are the best options:

• Attend all dialysis appointments to avoid excessive mineral build-ups

• Lotions may help

• Switch soaps and laundry detergents to those made for sensitive skin

• When bathing or showering, avoid hot water, try cool or lukewarm

• Use a humidifier in your home, and have a second smaller one in the bedroom as you sleep

• Avoid scratching, which can make it worse, can damage the skin, and lead to infections

• Try rubbing or applying a cold, wet cloth to irritating patches

• Try an oatmeal bath or apply anti-itching creams (thank goodness oatmeal isn't expensive!)

• Try skin-sensitizing items that you can gently drag or brush over your skin, which will not remove or damage your skin but allow the sensation to aid in relief. There’s probably a word for that, but I chose to use the long, comforting-sounding explanation.

• Reduce calcium, phosphorus, magnesium, and aluminum by following a kidney-friendly diet

• Have your parathyroid hormones tested and talk with your doctor Antihistamines

• Ask your doctor about medication options. The FDA has approved a drug that can be administered during hemodialysis (not available for peritoneal)