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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itching On Palms And Feet With Elevated Liver Enzymes

I have been detected with bilirubin 3.3 and sgpt 1154. I dont have any addiction. I am a frequenter to the gym and take whey supplement. My doctor has prescribed udimarin 300mg and liv 52 ds twice daily and complete bed rest. After continuing this medication for 3 days now I am suffering from excessive itching on my palms and feet intermittently. The doctor has asked me to apply calamine topically but to little relief. Please advise.
Tue, 28 Apr 2015
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General & Family Physician 's  Response
Welcome to HealthCare Magic. Thank you for posting your query.
I can understand your concern.

I have gone through the entire post. I can understand that you are a bit anxious about the high bilirubin and high SGPT levels.
It would have been great had I examined you on my own.

Yes the bilirubin and SGPT values are high but it is important to know the exact cause of this.
It can be due to hepatitis , gallstone disease(cholecystitis) , or a gallstone slipping into the bile duct ( choledocolithiasis) .
It is the conjugated bilirubin which is probably causing itching.

I would suggest you to
-     Drink loads of water
-     Avoid oily,spicy food
-     Have a diet rich in fibres
-     I would start tablet Pantoprazole . Your doctor can guide on the exact dosage
- Get a blood haemoglobin , total count , ESR done
- Get a MRCP (Magnetic resonance cholangiopancreatography)done to look at the biliary tree.

I would also suggest you to visit a gastroenterologist. . He/she can examine you and correlate clinically.


Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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Suggest Treatment For Itching On Palms And Feet With Elevated Liver Enzymes

Welcome to HealthCare Magic. Thank you for posting your query. I can understand your concern. I have gone through the entire post. I can understand that you are a bit anxious about the high bilirubin and high SGPT levels. It would have been great had I examined you on my own. Yes the bilirubin and SGPT values are high but it is important to know the exact cause of this. It can be due to hepatitis , gallstone disease(cholecystitis) , or a gallstone slipping into the bile duct ( choledocolithiasis) . It is the conjugated bilirubin which is probably causing itching. I would suggest you to - Drink loads of water - Avoid oily,spicy food - Have a diet rich in fibres - I would start tablet Pantoprazole . Your doctor can guide on the exact dosage - Get a blood haemoglobin , total count , ESR done - Get a MRCP (Magnetic resonance cholangiopancreatography)done to look at the biliary tree. I would also suggest you to visit a gastroenterologist. . He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.