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Why do itching and muscular pain occur in a stage 3 CKD patient who is on medications?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 67-year-old female who is a stage 3 CKD patient with proteinuria. I am a rheumatoid arthritis patient for 30 years and am wheelchair-bound. I have had excessive itching and muscular pain for the last few days. My creatinine level is 1.8. Currently, I am taking Dytor, Ciplox, Oxemia 50 mg, and HCQS.

Kindly help.
Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

Thank you for your query.

I understand your concern regarding itching. Itching may happen due to various reasons in CKD (chronic kidney disease) patients like increased urea or high phosphate, but these are normal here. Secondly, a high amount of parathormone may cause this. I would advise you to get this test done if not done already. I suggest you answer a few questions mentioned below.

  1. Since when are you taking HCQS as this drug is known to cause skin problems and itching
  2. Are there any skin rashes?

You can take anti-allergic drugs like Levocetirizine or histocalamine lotion for itching. Get vitamin D3 and iPTH (intact parathyroid hormone) levels checked to evaluate for muscle pain. Your albumin level is low which may cause weakness and muscle aches. You need to increase protein in your diet to at least 0.6g/kg per day.

I hope this has helped you.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I will surely get the tests done. Is Tums antacid safe for CKD patients? I have read a lot of patients getting relief from itching after having it.

Kindly help.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Yes, Tums can be taken by CKD (chronic kidney disease) patients, but I am not sure whether it can relieve the itching as it is not used in our daily practice.

I hope this has helped you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 26, 2023
Reviewed At May 8, 2026

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Yash Kathuria
Dr. Yash Kathuria

Cardiology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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