
Suggest Treatment For Itchy Skin And Redness On Some Parts Of Body

This is likely chronic idiopathic urticaria
Detailed Answer:
Dear XXXXXXX,
Welcome to Healthcare Magic and thank you for writing to us.
The condition you have is likely chronic (idiopathic) urticaria, and the gastritis due to the infection with Helicobacter pylori worsens urticaria in some people.
In that sense, the word idiopathic is put in brackets.
Also, it appears that you have tried several medications in the past, but do not know in what combinations. Whatever the case, you have to slowly taper and stop taking steroids as you have now become dependent on steroids.
Chronic steroid usage does not help with the gastritis.
You will need the following checks and tests:
1. Blood pressure
2. Complete blood picture, LFTs, Antinuclear antibody, Uric acid, fasting glucose and lipid profile, Vit D levels, Urea Creatinine, Na and K, calcium levels
TSH, fT4 including anti-TPO and TG; mast cell tryptase (if locally available)
Treatment:
Taper Defcort by 4mg every week and stop
Start Zinetac 300mg before breakfast
Allegra 180mg after breakfast
Cetzine 10mg at 2PM
Atatrax 50mg at 10PM
Use Dermocalm lotion as required
After the blood results are ready, I will consider starting Ciclosporin if there is no change in the condition.
You will need to also upload a picture of the rash when it is at its worst.
Best Wishes.


Need to consider alternatives
Detailed Answer:
The reason you are not getting relief is because the steroids are being withdrawn, so it will take some time
Mast Cell Tryptase is available at Apollo Hospital XXXXXXX and is important to know if this is normal or abnormal.
This test along with Complement C3 and C4 can be done here
Please make an appointment after 30th October if you wish to see me in person.
Best Wishes.


From last 10 days my both hips are too much itching I am using Dermocalm lothion but not so much working.skin is slightly looking fat.After itching many places skin erased. Another problem is My memory is very week from past three four years what the reason please say some also about it.
Reports encouraging - UGI endosopy likely reqd
Detailed Answer:
Hello,
Many thanks for uploading the reports.
Apart from raised mean platelet volume - that is now an indicator of uncontrolled urticaria, and significant Vit D deficiency, slightly high total cholesterol values; the rest of the results are normal.
I did not see C3 C4 values.
Given your history of severe acid peptic disease, relative lymphocytosis on blood counts, it would be worthwhile to get an upper GI endoscopy done after consulting a Gastroenterologist.
H pylori infection can cause difficult urticaria, and I do not want to consider this treatment option unless we are sure you do not have this bacteria.
Continue on the antihistamines, you can take extra cetirizine as and when required.
Best Wishes.


Before 18 months my endoscopy done and detected H-pylori infection.I am sending report and prescription.Can I do endoscopy again.
You need to visit your own doctor
Detailed Answer:
Hello,
Treatments such as ciclosporin are immunosuppressive agents and you need to be informed of all risks and benefits before starting this therapy.
This is not the portal to start treatment but only to provide you with a sense of direction.
Secondly, there is a significant proportion of patients who fail 1st treatment for H Pylori and may need to get a 2nd clearance therapy, hence the reason to consider a 2nd UGI Endoscopy.
Please get in touch with the site Webmanager if you are not happy with the reasons provided for not starting treatment outlined above.
Best Wishes.

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