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Friends~

Please help! Marco has been complaining a little bit of being itchy the past few weeks. It seemed to be relieved with lotion and I was really hoping it was due to dry skin and not PSC. Last night he woke me up at 3:00 am and said he couldn't sleep because he was so itchy. "It is driving me insane," he told me. Sound like the terrible itchiness I have heard of from some of the members of this group. I plan to talk to his Dr. tomorrow but does anyone have any ideas of things he could do/take to be comfortable today? Thank you.

I am so sad. It is easy to be in denial about this darn disease when he has no symptoms...........but this is a reality check for me. I try to live in the present and not worry about the future but nights like last night make my worst fears jump to the forefront.

Thanks for your help.

Beth~Marco's Mom

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Dear ,

It sounds like your red bumps and violent itch are a different thing that the PSC itch. To know for sure you might want to run it by your doc. It's funny you should mention the itch in the winter thing though. Two or three years before I was dx with UC/PSC I always noticed that I itched significantly in the winter. I put it down to dry skin, the christmas tree(no joke), whatever. My skin does get dry in the winter as does most peoples. I now use this Aveeno or Eckard brand oatmeal bath oil when I get out of the bath. It helps alot. As you can see, we all have various itch remedies. I am like Deb, I can't stand anything but really soft sheets. You will also find that we all have different areas on our body that itch more than others. When I am working in the studio, I used to push my sleeves up to my elbows. Not any more because it drives me crazy with the itching. Sound neurotic? Oh well. Probably. only I know it helps not to do this and to wear short sleeves when I am working.

As I said in an earlier email today I do take Rifampina and it really helps alot with only a little break through itching, usually in the evening. I am going to look at the fat thing in my food to see if this makes a difference.

It is my understanding that the PSC itching is not an inflammatory thing so you won't see any redness or hives. Maybe you have two things going on simultaneously.

Go luck with your surgery tomorrow.

Ali

 

 

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Beth

The itching maybe a sign of bile accumulation.....talk to his doctor......some medication may quickly ease the problem (worked for me)..... it usually occurs at night and particularly the feet and hands. And Yes.....it can cause great distress because scratching etc wont relieve it.

Take care

Re: Itching

Friends~

Please help! Marco has been complaining a little bit of being itchy the past few weeks. It seemed to be relieved with lotion and I was really hoping it was due to dry skin and not PSC. Last night he woke me up at 3:00 am and said he couldn't sleep because he was so itchy. "It is driving me insane," he told me. Sound like the terrible itchiness I have heard of from some of the members of this group. I plan to talk to his Dr. tomorrow but does anyone have any ideas of things he could do/take to be comfortable today? Thank you.

I am so sad. It is easy to be in denial about this darn disease when he has no symptoms...........but this is a reality check for me. I try to live in the present and not worry about the future but nights like last night make my worst fears jump to the forefront.

Thanks for your help.

Beth~Marco's Mom

To visit your group on the web, go to:http://groups.yahoo.com/group//

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Beth,

I'm one of those sufferers of extreme itching and I sympathize with

Marco's situation. In the long term, Dave has made an excellent

suggestion regarding rifampin. I have not been able to try it but

many people both in this group and that I know offline have had good

success with it. I've had minimal success with hydroxyzine (an

industrial strength antihistamine) and better success with

cholesteramine (a bile thinner). Discuss all those options with your doc.

In the short term, I have the best luck with ice packs. I'd steer

clear of general immersion in cool water (it feels good, but it

further dries the skin), but make up some ice packs he can apply to

the areas that itch the worst. It will help keep him sane until you

can get some pharmacological relief.

Best to you and Marco,

Bill

PSC '00, Listed Tx 11/04

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  • 1 month later...

Dear Bill E.,

No, you're not imagining things AT ALL. I, too, have connected

certain dietary habits to how much I itch - fats and citrus make me

insane. My feet and back are often my worst spots, but my arms are

also terrible. There are some at-home tricks that help - high thread

count sheets or flannel sheets that are soft. I also try to make sure

that my skin isn't touching other skin while I try to fall asleep -

sweating makes it that much worse. I, too, have dry skin - have had

all my life. I make sure that I put on lotion earlier in the day -

not right before bed. With the approval of my heptologist (please get

approval for yourself if you consider doing this), I take Benedryl at

night to help me fall asleep. It helps knock me out so the itching

lessens.

Additionally, last week, I was prescribed Naltrexone. I haven't tried

it, yet, because I was also prescribed lactulose. I only try one new

drug at a time so that I can isolate the side effects, so Naltrexone

will begin next week. Questran (generic name: cholestyramine) is

usually the first line of defense for itching, but I'm not sure how

it would interact with lactulose. It tends to cause constipation as

it binds with the bile acids in your intestines. There is also the

antibiotic Rifampin, but others will have to tell you about that one.

My docs said it wasn't for me. I started a tiny amount of lactulose,

and I'm working up. I believe I'm feeling the fog lift, too. I'll be

taking 3 1/2 teaspoons tonight. (Being fearful, I started with just 1

1/2 even though the doctor said six.)

I hope this helps. It isn't all in your head, and there are things

that can help.

Take care and congrats on getting the lactulose to help!

Deb in VA

PSC 1998, UC 1999, Listed Ltx 2001, MELD 18

>

> For others who feel the urge, where do you itch? >

> Also, last night I splurged and ate hash and eggs for dinner.

Later,

> I itched like crazy. Do others find that dietary indulgences

effect

> your itching? Am I thinking too hard?

>

> Thanks again,

> Bill E

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Deb,

Thanks for the quick response. It is wonderful to have others to

talk to. I started out with 3 tsp of lactulose three times a day and

moved up to 4 tsp 3 times a day. I mix it with sugar free lemonade

or orange juice to cut it a bit. With your warning, I may try

something else. After the initial " royal flush " the bathroom-related

lifestyle impact has been minimal. I hope it helps you as much as it

seems to have helped me.

Concerning my mental issues- my work requires that I analyze complex

cardiac hemodynamic graphs. I was a little slower and got tired

quickly but could still do it. On the other hand, lists of data

looked like a foreign language. I still prefer pictures to words

(always have) but I am confident that the next time sends me

out with a grocery list I won't dissapoint her. It's hard to draw a

head of lettuce.

Strange world, strange disease. I have told a few people about my

PSC. You start listing the symptoms and most people get fatigue and

bile backups but you start talking about taking laxitives so you can

read lists and about itching and they look at you like you're making

it up. No wonder diagnosis can be difficult.

Thanks again and I hope you feel better,

Bill

" Deb " <delena1990@y...> wrote:

>

> Dear Bill E.,

> No, you're not imagining things AT ALL. I, too, have connected

> certain dietary habits to how much I itch -

>I was also prescribed lactulose. > and I'm working up.

>I believe I'm feeling the fog lift, too. I'll be

> taking 3 1/2 teaspoons tonight. (Being fearful, I started with just

>1 1/2 even though the doctor said six.)

>

> I hope this helps. It isn't all in your head, and there are things

> that can help.

>

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Dear Bill,

There is one thing I have found that helps a little. I try to keep something in

my stomach. I know that when I get hungry the itching seems to get worse. I

have tried every medication you mentioned and you are right - they are marginal

in the help they give. I have not tried the ice pack idea. I have enough of a

problem keep warm as I have lost so much weight. Good luck in your battle with

the PSC itch.

Sincerely, Mr. Itch (Rob)

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