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Not Fair, I Know. You Need More Info Than This

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Posted on Sat, 11 Jul 2020
Question: Not fair, I know. You need more info than this space allows but am desperate. Chronic itching/swelling, mostly at night. Creates other issues. 1st dr says use lotion, diuretics ran tests, said all ok. 2and dr says took two conflicting meds, discontinued one, 3rd dr gave me anti itch med after being told I had already tried EVERY OTC and nothing work. 3rd dr said thats all. My skin hurts all over, all the time. Son says after 3 opinions, must be in my head.
Ok, so nothing stops itching but if I take pumice stone and scrape all skin off, bleeding pain. I can STOP Pain, just cannot stop itching. Ok, to note. I offered itching is originating from inside my body because I also itch places (all orifices) i cannot reach. Am told NOT allergic because I take benadryl for known allergies. I also have uncontrollable feet leg movements constantly. These two issues prohibit all sleep. PCP says not RLS, psychiatrist says RLS, should be taken care of by PCP. Ongoing, over 1.5 year. Keep skin covered because air also hurts skin. 66 y.o. with other health issues.
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Follow up: Dr. Dr. Vasudha (0 minute later)
Not fair, I know. You need more info than this space allows but am desperate. Chronic itching/swelling, mostly at night. Creates other issues. 1st dr says use lotion, diuretics ran tests, said all ok. 2and dr says took two conflicting meds, discontinued one, 3rd dr gave me anti itch med after being told I had already tried EVERY OTC and nothing work. 3rd dr said thats all. My skin hurts all over, all the time. Son says after 3 opinions, must be in my head.
Ok, so nothing stops itching but if I take pumice stone and scrape all skin off, bleeding pain. I can STOP Pain, just cannot stop itching. Ok, to note. I offered itching is originating from inside my body because I also itch places (all orifices) i cannot reach. Am told NOT allergic because I take benadryl for known allergies. I also have uncontrollable feet leg movements constantly. These two issues prohibit all sleep. PCP says not RLS, psychiatrist says RLS, should be taken care of by PCP. Ongoing, over 1.5 year. Keep skin covered because air also hurts skin. 66 y.o. with other health issues.
doctor
Answered by Dr. Dr. Vasudha (2 hours later)
Brief Answer:
Some more information please.

Detailed Answer:
Hi XXXXXXX cockrill,
Thanks for using HCM doctor sevice for your health concern.
I have gone through your query &understood your concern.
Generalised itching through out day is really an irritable symptom to face. I am sorry for your sufferings.
From the information given, I feel you should have an extensive check up &investigations to find exact pathology & get specific management.
Cause of the problem can be ranging from as simple as dry skin, various skin diseases, unnoted allergies, hormonal problems like thyroid, diabetic neuropathy, nerve symptoms like in multiple sclerosis, may be systemic diseases like liver or kidney diseases.
To short list, I would like to have details of your other health issues...so that it would be easier to think more specifically &advise you there after.
Please furnish with the information.
Thanks.


Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Vasudha (0 minute later)
Brief Answer:
Some more information please.

Detailed Answer:
Hi XXXXXXX cockrill,
Thanks for using HCM doctor sevice for your health concern.
I have gone through your query &understood your concern.
Generalised itching through out day is really an irritable symptom to face. I am sorry for your sufferings.
From the information given, I feel you should have an extensive check up &investigations to find exact pathology & get specific management.
Cause of the problem can be ranging from as simple as dry skin, various skin diseases, unnoted allergies, hormonal problems like thyroid, diabetic neuropathy, nerve symptoms like in multiple sclerosis, may be systemic diseases like liver or kidney diseases.
To short list, I would like to have details of your other health issues...so that it would be easier to think more specifically &advise you there after.
Please furnish with the information.
Thanks.


Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Dr. Vasudha (4 hours later)
Current treatment for
Thyroid
Heart, CHF history, sincopy, right branch bundle blockage
Cholesterol
Bi polar, depression, anxiety
Osterierperosis
default
Follow up: Dr. Dr. Vasudha (0 minute later)
Current treatment for
Thyroid
Heart, CHF history, sincopy, right branch bundle blockage
Cholesterol
Bi polar, depression, anxiety
Osterierperosis
doctor
Answered by Dr. Dr. Vasudha (1 hour later)
Brief Answer:
It is thyroid problem you have..causing the itching.

Detailed Answer:
Hi XXXXXXX cockrill,
Thanks for the information. I have thought of the each condition you have mentioned...& I would like to suggest that,
The thyroid heart you are suffering from..seems to be the cause of itchiness all over body you are suffering from.Both Hypothyroidism or hyperthyroidism..show . the symptom .
Now the thing that whatever the cause is..thyroid pathology was increased to the extent to cause heart problem..this itself indicates how severe the condition must be.
*In this context, I would suggest to be strictly under the care of your Endocrinologist & heart specialist, have a very good control of thyroid hormone...this would help in both the problems...skin itching &heart problem.
You should also start skin care for dry skin(hypothyroidism)&moist, sweaty skin (hyperthyroidism)after the hormone normality is achieved.
I hope that answers your query.Any follow up query is welcome.
Thhanks


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Dr. Vasudha (0 minute later)
Brief Answer:
It is thyroid problem you have..causing the itching.

Detailed Answer:
Hi XXXXXXX cockrill,
Thanks for the information. I have thought of the each condition you have mentioned...& I would like to suggest that,
The thyroid heart you are suffering from..seems to be the cause of itchiness all over body you are suffering from.Both Hypothyroidism or hyperthyroidism..show . the symptom .
Now the thing that whatever the cause is..thyroid pathology was increased to the extent to cause heart problem..this itself indicates how severe the condition must be.
*In this context, I would suggest to be strictly under the care of your Endocrinologist & heart specialist, have a very good control of thyroid hormone...this would help in both the problems...skin itching &heart problem.
You should also start skin care for dry skin(hypothyroidism)&moist, sweaty skin (hyperthyroidism)after the hormone normality is achieved.
I hope that answers your query.Any follow up query is welcome.
Thhanks


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Dr. Vasudha (13 hours later)
I thought I followed up
Heart: history of Chf
, sincopy right branch bundle blockage
Thyroid
Cholesterol
Osteoporosis
Known allergies to eggs and tetracycline
default
Follow up: Dr. Dr. Vasudha (0 minute later)
I thought I followed up
Heart: history of Chf
, sincopy right branch bundle blockage
Thyroid
Cholesterol
Osteoporosis
Known allergies to eggs and tetracycline
doctor
Answered by Dr. Dr. Vasudha (4 hours later)
Brief Answer:
Need a detailed review &specific treatment.

Detailed Answer:
Hi, XXXXXXX cockrill,
Thanks for the query.
Looking at the information given through all the three queries,I would suggest-
* As the suspected cause is thyroid hormone imbalance,which apart from causing heart problem..can cause severe skin itching too, maintaining thyroid hormone to normal level would help for itching as well as heart involvement.
To be under care of
Endocrinologist for thyroid treatment would help to solve basic cause.&Heart specialist would treat symptoms of heart.So you need both the helps.
*Known allergens(egg,tetracyclin) suggest possibility of other allergens...which need to be taken in consideration while treating allergy.
Blood levels of immunoglobins are raised due to long standing allergy...this increases sevierity of symptoms..&so needs to be treated.An allergy specialist would help if the allergy screening test comes +ve.
*Though all the three doctor's did not suspect other skin problems like fungal infection, exema,psoriasis or scabies...it's worth taking second opinion of a skin specialist for possible missed diagnosis.
So as I opined in begining..an extensive physical tests&needful investigations would find the exact cause&solution.
Though it would need patience& persistence in treatment, a positive mind without stress would definately help.
Wish you a quick recovery.
Hope that helps.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Vasudha (0 minute later)
Brief Answer:
Need a detailed review &specific treatment.

Detailed Answer:
Hi, XXXXXXX cockrill,
Thanks for the query.
Looking at the information given through all the three queries,I would suggest-
* As the suspected cause is thyroid hormone imbalance,which apart from causing heart problem..can cause severe skin itching too, maintaining thyroid hormone to normal level would help for itching as well as heart involvement.
To be under care of
Endocrinologist for thyroid treatment would help to solve basic cause.&Heart specialist would treat symptoms of heart.So you need both the helps.
*Known allergens(egg,tetracyclin) suggest possibility of other allergens...which need to be taken in consideration while treating allergy.
Blood levels of immunoglobins are raised due to long standing allergy...this increases sevierity of symptoms..&so needs to be treated.An allergy specialist would help if the allergy screening test comes +ve.
*Though all the three doctor's did not suspect other skin problems like fungal infection, exema,psoriasis or scabies...it's worth taking second opinion of a skin specialist for possible missed diagnosis.
So as I opined in begining..an extensive physical tests&needful investigations would find the exact cause&solution.
Though it would need patience& persistence in treatment, a positive mind without stress would definately help.
Wish you a quick recovery.
Hope that helps.
Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 9402 Questions

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Not Fair, I Know. You Need More Info Than This

Not fair, I know. You need more info than this space allows but am desperate. Chronic itching/swelling, mostly at night. Creates other issues. 1st dr says use lotion, diuretics ran tests, said all ok. 2and dr says took two conflicting meds, discontinued one, 3rd dr gave me anti itch med after being told I had already tried EVERY OTC and nothing work. 3rd dr said thats all. My skin hurts all over, all the time. Son says after 3 opinions, must be in my head. Ok, so nothing stops itching but if I take pumice stone and scrape all skin off, bleeding pain. I can STOP Pain, just cannot stop itching. Ok, to note. I offered itching is originating from inside my body because I also itch places (all orifices) i cannot reach. Am told NOT allergic because I take benadryl for known allergies. I also have uncontrollable feet leg movements constantly. These two issues prohibit all sleep. PCP says not RLS, psychiatrist says RLS, should be taken care of by PCP. Ongoing, over 1.5 year. Keep skin covered because air also hurts skin. 66 y.o. with other health issues.