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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itching On Palms And Feet With Elevated Liver Enzymes

I have been detected with bilirubin 3.3 and sgpt 1154. I dont have any addiction. I am a frequenter to the gym and take whey supplement. My doctor has prescribed udimarin 300mg and liv 52 ds twice daily and complete bed rest. After continuing this medication for 3 days now I am suffering from excessive itching on my palms and feet intermittently. The doctor has asked me to apply calamine topically but to little relief. Please advise.
posted on Sat, 24 May 2014
Twitter Mon, 27 Apr 2015 Answered on
Twitter Tue, 28 Apr 2015 Last reviewed on
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General & Family Physician,  's  Response
Welcome to HealthCare Magic. Thank you for posting your query.
I can understand your concern.

I have gone through the entire post. I can understand that you are a bit anxious about the high bilirubin and high SGPT levels.
It would have been great had I examined you on my own.

Yes the bilirubin and SGPT values are high but it is important to know the exact cause of this.
It can be due to hepatitis , gallstone disease(cholecystitis) , or a gallstone slipping into the bile duct ( choledocolithiasis) .
It is the conjugated bilirubin which is probably causing itching.

I would suggest you to
-     Drink loads of water
-     Avoid oily,spicy food
-     Have a diet rich in fibres
-     I would start tablet Pantoprazole . Your doctor can guide on the exact dosage
- Get a blood haemoglobin , total count , ESR done
- Get a MRCP (Magnetic resonance cholangiopancreatography)done to look at the biliary tree.

I would also suggest you to visit a gastroenterologist. . He/she can examine you and correlate clinically.


Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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Suggest Treatment For Itching On Palms And Feet With Elevated Liver Enzymes

Welcome to HealthCare Magic. Thank you for posting your query. I can understand your concern. I have gone through the entire post. I can understand that you are a bit anxious about the high bilirubin and high SGPT levels. It would have been great had I examined you on my own. Yes the bilirubin and SGPT values are high but it is important to know the exact cause of this. It can be due to hepatitis , gallstone disease(cholecystitis) , or a gallstone slipping into the bile duct ( choledocolithiasis) . It is the conjugated bilirubin which is probably causing itching. I would suggest you to - Drink loads of water - Avoid oily,spicy food - Have a diet rich in fibres - I would start tablet Pantoprazole . Your doctor can guide on the exact dosage - Get a blood haemoglobin , total count , ESR done - Get a MRCP (Magnetic resonance cholangiopancreatography)done to look at the biliary tree. I would also suggest you to visit a gastroenterologist. . He/she can examine you and correlate clinically. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.