Dr. Shaikh Sadaf
Endocrinology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My thyroid levels indicate that I have hyperthyroidism and I am so itchy. Itch is my number one complaint. I also have an elevated heart rate, abnormal liver tests, and weight loss. I made an appointment with an endocrinologist. However, I need help now. I am so itchy. Is there a low dose of something that can help?
Hi,
Welcome to icliniq.com.
Yes, please attach your liver function tests for review.
Patient's Query
Hi,
I have attached the reports for your opinion. Thanks.
Hello,
Welcome back to icliniq.com.
I just read your reports (attachment removed to protect patient identity), and only from the report, it appears that you have non-alcoholic steatohepatitis which is likely causing your pruritus. That is my first differential diagnosis. Also, you need further tests like IgM (immunoglobulin M) and antimitochondrial antibodies to rule out other conditions causing your symptoms. You need to take Cholestyramine 0.14 oz once daily mixed with fluids or food. This is mainly for your pruritus. Gradually increase to twice daily over a month. Yes, you do have hyperthyroidism, and you need to do your lipid profile as well. Hope you are not pregnant and on any long term medications. Stop any alcohol consumption or any other recreational drugs if at all. Please let me know how you feel symptomatically.
Patient's Query
Hi doctor,
I am just itchy. Is there anything I can take over-the-counter for itching?
Hi,
Welcome back to icliniq.com.
Cholestyramine should not require a prescription, and that is a definitive treatment. Apart from that you can apply Calamine lotion or use vitamin E supplements orally.
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Endocrinology
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