<s>[INST] Yes i have PKD stage 2 and i started having severe back pain yesterday and extreme itching around my back on the the right side my right side and my stomach. near my navel. What can i do to stop the itching and back pain. i do not have health insurance so i do not have a attending doctor [/INST] One cannot get rid of the pain in pkd disease forever unless doing nephrectomy. But that is necessary only in case of advanced renal failure or repeated infections of the cysts. Till that time one can use symptomatic treatment in the form of paracetamol and some other safer painkillers for which you need to visit a doctor... </s>