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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Terrible Itching Throughout Body While Treating Biliary Tract Obstruction?

I became jaundiced, had clay colored stools, and terrible itching all over my body on May 17. I went to theER, and they diagnosed a biliary tract obstruction. They did an ERCP on May 22, and removed my gall bladder laparoscopically on May 18. The itching has not abated, and is almost unbearable, worse in the afternoon and at night. They said it would go away once the bilirubin was out of my system, but although the obstruction was cleared and my jaundice is gone, the itching is as bad as before. I am taking huge amounts of Benadryl which barely takes the edge off. Could this be a result of bile now constantly present since I don t have a gall bladder to regulate the flow anymore? Do you think cholestramine is called for? I have my post surgery follow up appointment in one week.
Tue, 24 Nov 2020
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General & Family Physician 's  Response
Hi,

Itching of skin during biliary obstruction can be due to accumulation of bile salts in skin. You need detailed study of liver function testes including serum bile salts, USG of liver, gall bladder and bile ducts to find exact cause followed by specific treatment by a gastroenterologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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What Causes Terrible Itching Throughout Body While Treating Biliary Tract Obstruction?

Hi, Itching of skin during biliary obstruction can be due to accumulation of bile salts in skin. You need detailed study of liver function testes including serum bile salts, USG of liver, gall bladder and bile ducts to find exact cause followed by specific treatment by a gastroenterologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician