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Dr. Arun Phophalia
Dr. Arun Phophalia, Cosmetic surgeon
Category: Dermatology
Satisfied Customers: 64133
Experience:  MBBS MS
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What can I take for all over body itching. It happens mainly

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what can I take for all over body itching. It happens mainly at night but other times too. there is no problem with my skin. it seems to come from within
JA: When did the itchiness first appear? Have you used any medication for this?
Customer: many years ago. I have used fexofenadine and Phenergan
JA: Got it. Have you seen a dermatologist about the itchiness?
Customer: I dn;t thinks so. I saw my doctor
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Dermatologist should know?
Customer: MY doctor said I was low in folic acid.and o eat more meat which I do. I also take a folic supplement but it hasn't made any diference

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.

What are your age and gender?

Since when is it happening?

What are the investigations/treatments done?

Customer: replied 12 days ago.
I am 75 and female. the problem has been there or many years, My doctor did a blood test an said I was low in folate and to eat more red meat. I have done and also take a folic acid supplement but has made no differencee


Thanks for the further information.

I am writing the answer for you and will get back to you in 3-5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

The general causes of itching are;

1) Dry skin; happens in the winter months; baby Johnson oil or any moisturizer would help.

2) Skin allergy

3) Kidney, and liver disease (it is termed as pruritus); investigations would be needed to ascertain it. Please read the causes of itching in this authentic resource;

http://www.mayoclinic.com/health/itchy-skin/DS00847/DSECTION=causes


Following investigations are usually advised;

a) Complete blood counts

b) Total eosinophil count

c) Vacuolated eosinophil count

d) Liver function tests especially serum bilirubin

e) kidney function tests (blood urea and serum creatinine)

Now we come to uncommon causes;


A) Hematologic pruritus; thrombocythemia, iron deficiency, polycythemia, hypereosinophilic syndrome.

B) Endocrine pruritus; due to thyroid and parathyroid diseases, diabetes, etc.

C) Malignancies. Carcinoids, Lymphomas, and leukemias.



You may need the following investigations, if not done;


Skin biopsy

Serum protein electrophoresis

Stool for ova and parasites

Stool for occult blood

Peripheral blood film.

Urine for hydroxy indole acetic acid (5-HIAA) and mast cell metabolites.


The treatments which can help are;


Topical cannabinoid agonist creams

Naltrexone,

Ondansetron,

Colestyramine,

Thalidomide,

Corticosteroids,

Mirtazapine

Paroxetine

UV-B light therapy.

So you need investigative work up to get to the root cause of it. You may apply a good moisturizer meanwhile.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need more information.
Thanks for using JustAnswer.

Customer: replied 12 days ago.
As I have said previously I do not believe it is my skin. I have never suffered dried skin but always moisturise my body everday. The itching all over and often in my scalp. As soon as I scratch the itch it disappears and starts somewhere else on my body and just carries on non stop for several hours

Yes, this is the reason I had suggested the investigations and term pruritus.

Which organ is causing it can only be determined by investigations and according to the result treatment can be initiated.

Dr. Arun Phophalia and other Dermatology Specialists are ready to help you