Conversation: The conversation between human and AI assistant.
[|Human|] hy my mum got severe itching that she cant sleep...........we took her to skin speacilst but still......she is diebetic had and under treatment of kidney infection and heart swelled due to lack of trasportation of water....now her legs has realy swelled and the itching is getting worsewat is the problem?she is 53 years
[|AI|]  Dear user, I believe that the renal function is not going in the right direction. Swelling is a symptom of fluid retention, as well as pruritic may be associated with hyperazotemia and hypophosphatemia. I recommend a complete screen with serum creatinine, BUN, phosphorus, calcium, potassium, BNP, sodium, PTH, vitamin D. Introduction or increase of diuretics (in particular loop diuretics) should be considered by your physician.