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What Causes Persistent Itching On Body With Pain In Abdomen?

Posted on Wed, 17 Sep 2014

Question: i am having itching on body for more than a month now.i tried levocetirizine tab for few days.The itching stopped and when i discontinued taking the medicine it again came back.i have tried allegra 120mg with the same result.I consulted a skin specialist who prescribed me desloratadine 5mg tab and albendazole 400 mg for 15 days and also asked for getting some blood tests done.i am attaching test reports for your reference.i am also feeling a little pain in left lower abdomen for the last few days.Please advise further course of action.

Answered by Dr. Praveen (1 hour later)

Brief Answer:
Reports are missing.Kindly upload.Thanks

Detailed Answer:
Hi dear.Thanks for giving me an opportunity to address your query.

I deeply regret to say that the test reports are missing and would request you to kindly upload the same.

Did you ever come across a similar episode in the past?
Do you have any history of allergy?

I would also like to know if you have any other complaints such as fatigue, weight loss, intolerance to fatty food, dypepsia(symptoms of acidity) to rule out disease of liver and biliary tract.

Have you noticed any change in the color of stool or urine(high colored urine or pale stools?Do you notice any worms in your stools?

I would be glad to know you were prescribed Albendazole by your skin doctor?Did he suspect any worm(parasitic) infestation?

Await your reply with the reports to help you better.Thankyou.

Regards
Dr.Praveen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen (11 minutes later)

I am facing dypepsia for last so many years.i frequently take razo-D for two three days together.if i don't take razo-D on and off basis i suffer reflux action in my throat.I generally avoid oily foods like samosa etc. i have again uploaded my report and prescription.

Answered by Dr. Praveen (26 hours later)

Brief Answer:
Your doctor has prescribed the right medicines

Detailed Answer:
Hi,

Thanks for uploading the report and the prescription; I have gone through them. Your reports are normal. Nothing to worry.

I agree with your doctor that he has prescribed the right medicines. Please take them as suggested by your doctor.

Regarding dyspepsia, you can continue to take Razo-D. No harm in it.

Try to eat more curd, and follow bland diet. Drink plenty of cold water.

Wish you good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen (1 hour later)

My tsh is low at .295 and ALP is high at 139.Are they ok?I want to tell you that i took Zanocin 400 and Alfusin 10 for frequent urination problem in the past.I am attaching my u/s abdomen for your notice.Now I have conveyed you everything which i have taken.You are already aware that I take Telma AM and XXXXXXX CR 25 daily.Please see and advise if there is any relation in my medication and abnormal tsh and ALP.

Answered by Dr. Praveen (2 hours later)

Brief Answer:
Suspect allergy or thyroid abnormality

Detailed Answer:
Hi dear.Thanks for sharing the information.

I appreciate your efforts for having attached all the relevant test reports along with the prescription.Deeply regret for the delay in reply.

After going through the reports I were to rule out allergy.I were to do a complete blood count and IgE levels(as suggested by your doctor).If the report is negative then I were to suggest dermatologist's opinion.

Equally important is to correct thyroid abnormality.Low TSH might be one of the causes for itching.Do you have lack of interest to work, constipation, hoarseness of voice, feeling cold/clammy, dry skin?These are few symptoms suggestive of throid disorder.I Would like to know to your TSH, T4 and T3 levels.

In your case I have a made a diagnosis by exclusion-

Biliary/pancreatic cause of itching is ruled out since the ultrasound reports are normal.Prostate findings in the scan are not significant at your age.

LFT reports are normal except for a borderline high value of ALP which is not significant and not clinically relevant.

Drug induced itching is rare with medication that you have been currently using.

You may continue Alfusin 10mg as per your doctor's advice.

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj