Dr. Shalini Patodiya
Dermatology
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,
I have itching problem in the whole body since last six months. When I take the Cetirizine tablet for this then it is fine for 4 to 5 days after that it again occurs.
Hello,
Welcome to icliniq.com.
It seems you have chronic urticaria. In more than 50 % of cases, the cause is unknown. The rest of the patients it can be due to any infection anywhere in body or thyroid problems or diabetes, etc. I suggest you get the following tests done. CBC with ESR, S.TSH, S.T3, S.T4. Also, please note if it gets precipitated due to some stimuli such as sweat, exercise, cold, etc. Follow up with the above reports.
Patient's Query
Hi doctor,
Thank you so much.
Hi,
Welcome back to icliniq.com.
You are welcome.
Patient's Query
Thank you doctor,
I have done all the test complete health package two months back. More details about the presenting complaint include itching problem in the whole body on a regular basis when I take Cetirizine. It will be fine for 3 to 4 days and after that itching problem is the same. Itching is there in legs, arms, neck, shoulder, and hands. Previous history of the same issue. I am also tired, I have dry mouth, sore throat and cough on a regular basis. Current medications include only Cetirizine tablet two times in the week. I have not taken any medications in the past for the same issue.
Hello,
Welcome back to icliniq.com.
Your lipid profile is deranged. you should see an MD medicine specialist for the same (attachment removed to protect patient identity). Your vitamin D levels are low. For this, you can start the following treatment, capsule Dvion 60,000 units, one capsule every week for four weeks. This will take care of your vitamin D levels. This should also improve your weakness. As far as your urticaria is concerned, I cannot find any reason in the reports. As I said earlier 50 % of the chronic urticaria cases are idiopathic. That is, no cause can be found. In such cases, regular medication is advised for a long period of time. I suggest you take tablet Desloratadine (Dazit) once daily for six weeks. After six weeks, you can try to stop it and see if the problem has resolved.
Take care.
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Dermatology
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