Acute renal failure patients may suffer from chest pain for a number of reasons. One reason is that excess fluid in the body may accumulate in the pleural cavity—or the chest—causing hydrothorax. This can be a very painful and life-threatening condition. Renal failure also increases the chance of pulmonary embolism, which is another life-threatening condition that can cause chest pain. Abnormal kidney function can lead to a high potassium level in the body. Since potassium regulates the heartbeat, too much of it can cause arrhythmia with symptoms of fatigue and chest pain. Kidney failure can also cause pain in the kidneys which are located toward your back between the ribs and the hips.

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