Aa
All over body itching without rash like a feather or bug crawling
Fatty liver, chronic diarrhea, all over body itching without rash which commenced after starting taking statins and diabetes medications? Is this common or related in those suffering from type 2 diabetes, hypertension (taking candesartan), gastrointestinal issues like IBD, GERD, UC?
In addition, newly diagnosed with Dermatomyositis and cheiropompholyx but requires further investigation #empagliflozin #jardiance, metformin
In addition, newly diagnosed with Dermatomyositis and cheiropompholyx but requires further investigation #empagliflozin #jardiance, metformin
I itched too but recently I read a new book titled Liver Cure and it said Turmeric would help. I've been taking it for only a few days and it works. I can not believe the relief.
You said you have fatty liver do you have liver cirrhosis? Itching can be a symptom of advanced liver disease.
But in general your doctor would be in the best position to help you with your symptoms especially as it sounds like your situation is medically complicated
But in general your doctor would be in the best position to help you with your symptoms especially as it sounds like your situation is medically complicated
7 Comments
Hi, Yes. I have very mild cirrhosis. I read about that but only my local pharmacist has mentioned this, not any specialists including dermatologists. I've seen three already.
I'm primarily working with my physician and gastroenterologist. However, I'm in Canada and in particular where I'm located there's quite a bit of issues especially political issues surrounding quality health care and doctors leaving or becoming specialists. Family doctors are hard to come by and they're apprehensive to take a proactive approach. One could argue that for many GPs, they're taking a survival of the fittest approach. This is why I'm looking for some insight anywhere I can. Sadly, I'm a complex case and in reality "nobody has time for me". My GI specialist is retiring in a few weeks and he diagnosed me with Dermatomyositis and he was remorseful how the system has failed me.
Furthermore, I've experienced a lot of gaslighting, dismissiveness, and reluctance by physicians to refer patience to specialists. In fact, it was my GP's temporary sub (who resigned her license as an MD) who referred me to the GI (not my primary care physician).
My GP has already failed to follow the recommendations by my GI and urinary specialist (last year I exhibited urinary tract issues). I can't find another GP. That's almost impossible here. Additionally, I went to a walk-in clinic and the young doctor said my case is complex, don't come back here. Return to your family doctor. The end.
I'm primarily working with my physician and gastroenterologist. However, I'm in Canada and in particular where I'm located there's quite a bit of issues especially political issues surrounding quality health care and doctors leaving or becoming specialists. Family doctors are hard to come by and they're apprehensive to take a proactive approach. One could argue that for many GPs, they're taking a survival of the fittest approach. This is why I'm looking for some insight anywhere I can. Sadly, I'm a complex case and in reality "nobody has time for me". My GI specialist is retiring in a few weeks and he diagnosed me with Dermatomyositis and he was remorseful how the system has failed me.
Furthermore, I've experienced a lot of gaslighting, dismissiveness, and reluctance by physicians to refer patience to specialists. In fact, it was my GP's temporary sub (who resigned her license as an MD) who referred me to the GI (not my primary care physician).
My GP has already failed to follow the recommendations by my GI and urinary specialist (last year I exhibited urinary tract issues). I can't find another GP. That's almost impossible here. Additionally, I went to a walk-in clinic and the young doctor said my case is complex, don't come back here. Return to your family doctor. The end.
I am not a medical worker of any kind I’m simply a patient who live with hepatitis c for many years and while now cured I’m still dealing with being diagnosed with liver cirrhosis since 2008. As such I really can’t speak to anything you are experiencing medically. The best I can do is find articles from respected medical sources like the Mayo Clinic and quote them here
A general practitioner would not be well versed in dealing with liver disease you need to be under the care preferable a hepatologist associated with a liver transplant hospital.
This is an excerpt from an article I found about itching and liver disease
“ While there have been some clinical studies, scientists have yet to identify a reason for itching associated with liver disease. Experts believe it may be a combination of factors that cause it:
Histamine- Some individuals with pruritus have higher than normal histamine levels. In recent clinical trials, antihistamines have not been found effective in treating the itching.
Serotonin- Serotonin may alter itch perception, which may be why selective serotonin reuptake inhibitors (SSRIs) have been found to help manage pruritus in some people.
Bile Salts- Those with liver disease may have higher levels of bile salt building up under the skin, which may cause itching.
Female Sex Hormones- Hormone replacement therapy and pregnancy sometime cause itching to worsen.
Serum Alkaline Phosphatase (ALP)- ALP is an enzyme found in the bloodstream that helps break down proteins in the body. People suffering from itch-related liver diseases may have elevated ALP. A simple blood draw is used to measure the amount of alkaline phosphatase enzyme in the bloodstream.
Because the causes of itching aren’t totally understood, it can be hard to treat and likely won’t improve on its own. It can be difficult to determine what will work best for everyone, but a little trial and error and a combination of therapies can have some positive outcomes.”
https://www.brgeneral.org/news-blog/2021/july/itching-an-unknown-but-not-uncommon-sign-of-live/
A general practitioner would not be well versed in dealing with liver disease you need to be under the care preferable a hepatologist associated with a liver transplant hospital.
This is an excerpt from an article I found about itching and liver disease
“ While there have been some clinical studies, scientists have yet to identify a reason for itching associated with liver disease. Experts believe it may be a combination of factors that cause it:
Histamine- Some individuals with pruritus have higher than normal histamine levels. In recent clinical trials, antihistamines have not been found effective in treating the itching.
Serotonin- Serotonin may alter itch perception, which may be why selective serotonin reuptake inhibitors (SSRIs) have been found to help manage pruritus in some people.
Bile Salts- Those with liver disease may have higher levels of bile salt building up under the skin, which may cause itching.
Female Sex Hormones- Hormone replacement therapy and pregnancy sometime cause itching to worsen.
Serum Alkaline Phosphatase (ALP)- ALP is an enzyme found in the bloodstream that helps break down proteins in the body. People suffering from itch-related liver diseases may have elevated ALP. A simple blood draw is used to measure the amount of alkaline phosphatase enzyme in the bloodstream.
Because the causes of itching aren’t totally understood, it can be hard to treat and likely won’t improve on its own. It can be difficult to determine what will work best for everyone, but a little trial and error and a combination of therapies can have some positive outcomes.”
https://www.brgeneral.org/news-blog/2021/july/itching-an-unknown-but-not-uncommon-sign-of-live/
@ flyinlynn
Hi, thank you for your reply and insight.
It’s interesting about the pruritus I’m experiencing and how you mentioned antihistamines.
When my GP prescribed me Crestor over a year ago, the pruritus would not start right away. It took about a month, around 6 weeks. It got really intense and it was all over my body without any rash. Prescription antihistamine Blexen did not work.
However, within 48 hours of stopping it completely, the pruritus would subside completely or almost completely. When I started Jardiance, I had no pruritus for about a month. Then it hit me really, really hard all over my body. Again, no rash. Jardiance is known to lower LDL levels like Crestor which makes me wonder if the mechanism on the liver is in some way causing me the pruritus.
Complete cessation of the Jardiance would reduce the pruritus after about 24 hours and it would (mostly) disappear after about a week. With both the Crestor and Jardiance, the pruritus was so intense, I couldn’t sleep at night.
Unlike with the Crestor though, the prescription Blexen antihistamine did work. But I can’t be taking it every night.
I experimented with the Jardiance again and sure enough, all over body pruritus returned. I’ve been off Jardiance for about a week now. Overall, the pruritus has improved dramatically. Typically, the pruritus would return whenever I ate anything and several hours later.
However, a few nights ago when I had a vegan non-gluten meal, after I went to bed, I had intense pruritus. I could not determine why. Since then, the pruritus would return each and every time I would digest anything. Even purified or non-purified bottle or tap water. It really made no difference.
It’s been over a year since I had my liver scanned. I have an appointment at the end of December. I can’t see my GP until the end of the month. The ER is a joke and patients are stretched out outside in the hallways and sometimes out the door. Staffing is a serious issue right now as well the number of patients admitted with covid. Resources et al are stretched beyond it’s limits.
It’s prohibited here by the Ministry of Health for citizens to see a specialist such as a hematologist without the referral of a licensed medical physician. I can’t even see one at my own expense. It’s the law.
I thought about going to another country, say, Germany to get diagnosed and treated. But I wouldn’t know where to start.
I’ve also thought about medically assisted death since the medical system in Canada, the lack of compassionate and caring physicians, and in particular, my province has failed me.
Thanks for reading.
Hi, thank you for your reply and insight.
It’s interesting about the pruritus I’m experiencing and how you mentioned antihistamines.
When my GP prescribed me Crestor over a year ago, the pruritus would not start right away. It took about a month, around 6 weeks. It got really intense and it was all over my body without any rash. Prescription antihistamine Blexen did not work.
However, within 48 hours of stopping it completely, the pruritus would subside completely or almost completely. When I started Jardiance, I had no pruritus for about a month. Then it hit me really, really hard all over my body. Again, no rash. Jardiance is known to lower LDL levels like Crestor which makes me wonder if the mechanism on the liver is in some way causing me the pruritus.
Complete cessation of the Jardiance would reduce the pruritus after about 24 hours and it would (mostly) disappear after about a week. With both the Crestor and Jardiance, the pruritus was so intense, I couldn’t sleep at night.
Unlike with the Crestor though, the prescription Blexen antihistamine did work. But I can’t be taking it every night.
I experimented with the Jardiance again and sure enough, all over body pruritus returned. I’ve been off Jardiance for about a week now. Overall, the pruritus has improved dramatically. Typically, the pruritus would return whenever I ate anything and several hours later.
However, a few nights ago when I had a vegan non-gluten meal, after I went to bed, I had intense pruritus. I could not determine why. Since then, the pruritus would return each and every time I would digest anything. Even purified or non-purified bottle or tap water. It really made no difference.
It’s been over a year since I had my liver scanned. I have an appointment at the end of December. I can’t see my GP until the end of the month. The ER is a joke and patients are stretched out outside in the hallways and sometimes out the door. Staffing is a serious issue right now as well the number of patients admitted with covid. Resources et al are stretched beyond it’s limits.
It’s prohibited here by the Ministry of Health for citizens to see a specialist such as a hematologist without the referral of a licensed medical physician. I can’t even see one at my own expense. It’s the law.
I thought about going to another country, say, Germany to get diagnosed and treated. But I wouldn’t know where to start.
I’ve also thought about medically assisted death since the medical system in Canada, the lack of compassionate and caring physicians, and in particular, my province has failed me.
Thanks for reading.
So an urgent care or an ER is really never the place to seek treatment for a complicated medical situation. They are not set up for urgent or emergent care and not in a position to diagnose or treat chronic complex situations. The best person to treat you would be your primary care who is familiar with your case. And if needed also working with a specialist. But yeah going to a walk in clinic or an ER for your situation would be a wast of time and effort.
If your not satisfied with your primary care doctor are you able to seek out a different physician for your primary care?
If your not satisfied with your primary care doctor are you able to seek out a different physician for your primary care?
Also I didn’t mention antihistamines that was from the Mayo Clinic article I quoted.
Itching is also seen in people with just fatty liver, it says advanced liver disease but thats not always the case.
We have a serious chronic medical problem in our state and country right now. A group of specialists have written the government requesting immediate action in addressing a "crumbling health care system" and contacted the media because the government chooses to remain silent on the issue (survival of the fittest approach). Patients are getting sicker and dying on wait lists.”
The only way to see a physician in most cases is by visiting the ER. This is something those in a first world (wealthy) country outside looking in can't imagine especially since the country is Canada.
As an update, I was told today I have small fiber myopathy which despite my diabetes A1C levels are in check. According to the neurologist, it affects 3 in 10 patients who have their diabetes under control.
The only way to see a physician in most cases is by visiting the ER. This is something those in a first world (wealthy) country outside looking in can't imagine especially since the country is Canada.
As an update, I was told today I have small fiber myopathy which despite my diabetes A1C levels are in check. According to the neurologist, it affects 3 in 10 patients who have their diabetes under control.
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