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Thank you Aubrey for taking the time to answer, it helps alot.

> Fatty liver may cause itching if it is significant enough to cause

elevated

> bilirubin levels. Although there is not a direct corelation between

how high

> the bilirubin levels are and the amount of itching, liver

disfunction must

> be present to have related itching. That being said, there were

times when

> my bilirubin was high and I had no itching and times when it was

lower and

> the itching was horrible. For example late in the disease process,

close to

> when I had my tx, my bilirubin was sky high (60+ in the

international units)

> and I had no perceptable itching. Please also see an ealier post

that

> discussed an article by Dr. Bergassa about itching and bilirubin

and her

> findings or belief that they are not related. This veiwpoint may be

> speculative.

> The answer to your second question is somewhat answered in the above

> paragraph. I would think that having normal liver function tests,

unless

> your liver is failing after years of disease, would mean that your

itching

> is unrelated to liver disease and another cause should be looked

for.

> The signs and symptoms you mention could be present if the itching

is liver

> related. Jaundice requires a fair bit of bile duct blockage and may

not be

> present yet. Pale stools can happen but may be intermittent as when

sludge

> blocks the CBD and prevents bile from getting into the intestines.

If this

> happens you would probably experience an episode of RUQ pain, pale

stools

> and dark urine. But this may also come on gradually and occur with

no

> significant pain being present.

>

>

> The mention of the water cure for many ills is a bit disingenuous.

While

> many North Americans don't drink enough water, drinking 8 eight

ounze

> glasses is not really required. Five would be more than enough with

some

> other fluids during the day. The bigger problem is that we tend to

drink

> things that dehydrate us instead of drinking water; coffee, tea,

soft drinks

> and perhaps sugar saturated fruit drinks. Real fruit juices are not

as big

> of a problem. Some of those claims made for water are not true.

>

> Aubrey

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Fatty liver may cause itching if it is significant enough to cause elevated

bilirubin levels. Although there is not a direct corelation between how high

the bilirubin levels are and the amount of itching, liver disfunction must

be present to have related itching. That being said, there were times when

my bilirubin was high and I had no itching and times when it was lower and

the itching was horrible. For example late in the disease process, close to

when I had my tx, my bilirubin was sky high (60+ in the international units)

and I had no perceptable itching. Please also see an ealier post that

discussed an article by Dr. Bergassa about itching and bilirubin and her

findings or belief that they are not related. This veiwpoint may be

speculative.

The answer to your second question is somewhat answered in the above

paragraph. I would think that having normal liver function tests, unless

your liver is failing after years of disease, would mean that your itching

is unrelated to liver disease and another cause should be looked for.

The signs and symptoms you mention could be present if the itching is liver

related. Jaundice requires a fair bit of bile duct blockage and may not be

present yet. Pale stools can happen but may be intermittent as when sludge

blocks the CBD and prevents bile from getting into the intestines. If this

happens you would probably experience an episode of RUQ pain, pale stools

and dark urine. But this may also come on gradually and occur with no

significant pain being present.

The mention of the water cure for many ills is a bit disingenuous. While

many North Americans don't drink enough water, drinking 8 eight ounze

glasses is not really required. Five would be more than enough with some

other fluids during the day. The bigger problem is that we tend to drink

things that dehydrate us instead of drinking water; coffee, tea, soft drinks

and perhaps sugar saturated fruit drinks. Real fruit juices are not as big

of a problem. Some of those claims made for water are not true.

Aubrey

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