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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Whole Body Itching With High ALT And ALP Be Treated?

Hi Mam

This is Tarik From Dhaka,Bangladesh . My Wife is pregnent for 6 months . She is 31 years old. She is sufferin.g from serious itching all over body. Our doctor given test of ALT( SGPT) and Alkaline Phosphatase(ALP). We have gone through the test and just got the result ALT 98 and ALP 131.Both are in higher side. Need your valued suggestion to get these fixed asap. Should we have to gone through any further test ? Pls advise.
Mon, 15 Feb 2016
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OBGYN,  's  Response
Hello dear,
I understand your concern.
In my opinion the itching during pregnancy can be physiological or abnormal.
Usually itching is present in pregnancy in 3rd trimester ie between 29-40 weeks.
But it might not be associated with raised serum bilirubin and liver enzymes.

Other condition called obstertric cholestasis of pregnancy (OCP) where there is severe itching and jaundice associated with raised liver enzymes and serum bilirubin.

I suggest you to get serum bilirubin done to check for any OCP.
OCP might be associated with preterm labor .

Don't worry.
With good monitoring the complications can be prevented.

Antihistamines might give you relief.
If raised bilirubin is present other medicines to decrease the bilirubin might be prescribed.

Avoid stress.

Hope this helps.
Best regards...Dr.Srilatha


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How Can Whole Body Itching With High ALT And ALP Be Treated?

Hello dear, I understand your concern. In my opinion the itching during pregnancy can be physiological or abnormal. Usually itching is present in pregnancy in 3rd trimester ie between 29-40 weeks. But it might not be associated with raised serum bilirubin and liver enzymes. Other condition called obstertric cholestasis of pregnancy (OCP) where there is severe itching and jaundice associated with raised liver enzymes and serum bilirubin. I suggest you to get serum bilirubin done to check for any OCP. OCP might be associated with preterm labor . Don t worry. With good monitoring the complications can be prevented. Antihistamines might give you relief. If raised bilirubin is present other medicines to decrease the bilirubin might be prescribed. Avoid stress. Hope this helps. Best regards...Dr.Srilatha