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Hi, I Am 36 Weeks Pregnant. Around A Month Back

Posted on Sun, 15 Nov 2020

Question: hi, I am 36 weeks pregnant. Around a month back I developed itching all over my body. There is no visible rash. My doc asked me to do LFT. My report is attached. She said it is normal and there is no cholestasis. She also prescribed udiliv 150mg along with frequent showers and moisturisation. It’s been 3 weeks but there is no relief in the itching. It does not occur when i sleep but during the day and late evenings, it is constant.

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
Liver dysfunction is not present.

Detailed Answer:
Hello.
Thanks for writing to us.
I have seen the attached report. There is mild rise in alkaline phosphatase levels which is normal during pregnancy. There is no cholestasis. The feeling of itching all over the body is common during pregnancy due to the hormonal changes in the body. Only frequent moisturization and using calamine lotion can help in reducing it.
Using warm oil massage can also help.
Hope my answer is helpful.
You can ask further queries in case you need any further clarifications.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Rakhi Tayal (14 hours later)

Do I need to redo the test since Udiliv 150mg is not having any effect?

Answered by Dr. Dr. Rakhi Tayal (3 hours later)

Brief Answer:
You can repeat the tests after 6 weeks.

Detailed Answer:
Hello.
Udiliv shows an effect only if the liver enzymes are deranged.
Your liver enzymes are normal. You can repeat the tests after 6 weeks to see the trends.
Hope this answer is helpful.
Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Rakhi Tayal (2 days later)

My doctor also asked me to redo the test since it has been more than 5 weeks. I have attached the latest report. The SGOT and SGPT values are high this time. The doctor has increased the Udiliv dosage to 300mg twice a day and benadryl cough syrup, 1 spoon at night.
Is it cholestasis now? Or is it still in normal range?

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
Levels of SGOT and SGPT are raised.

Detailed Answer:
Hello.
I have seen the attached report.
The levels of SGOT and SGPT are slightly raised. These are suggestive of mild cholestasis. Now that your doctor has increased the dosage of Udiliv, the itching is likely to decrease now. Do take the medicines as prescribed.
Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Rakhi Tayal (31 minutes later)

Is the Udiliv 300mg treatment enough? Is there any threat to the baby? I have read that ICP can cause stillbirth and meconium discharge.

My Doppler and NST reports are all normal. My doctor has not said anything about delivering the baby earlier than natural labour. Is that the best course of action? Please advise.

Answered by Dr. Dr. Rakhi Tayal (39 minutes later)

Brief Answer:
There is no threat to the baby.

Detailed Answer:
You have very mild rise of liver enzymes. It does not cause any threat to the baby. The ultrasound scan shows that baby corresponds to 36-37 week and there is no abnormality. The baby is getting proper blood circulation and fluid around the baby is also sufficient. There is no need to pre pone the delivery. It is better to wait for natural pains to start if there is no complication.
Regards.

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Above answer was peer-reviewed by : Dr. Yogesh D