Q. Is there something to help itching with a history of hyperthyroidism and abnormal liver test?

Answered by
Dr. Shaikh Sadaf
and medically reviewed by Dr. Hemalatha
Published on Mar 18, 2019

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?

Dr. Shaikh Sadaf

Diabetology Endocrinology
#

Hi,

Welcome to icliniq.com.

Yes, please attach your liver function tests for review.

Hi,

I have attached the reports for your opinion. Thanks.

Dr. Shaikh Sadaf

Diabetology Endocrinology
#

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 4 g 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.

Hi doctor,

I am just itchy. Would there anything I can take over-the-counter for itching?

Dr. Shaikh Sadaf

Diabetology Endocrinology
#

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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