I have recurrent itching. What is its treatment?

Question

Hi doctor,

I have itching problem in the whole body for the last six months. When I take the Cetirizine tablet, it resolves for four to five days, after that it again occurs.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on your query, it seems like 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 the body, thyroid problems, or diabetes.

I suggest you get the following tests done.

CBC (complete blood count).
ESR (erythrocyte sedimentation rate).
S.TSH (serum thyroid-stimulating hormone), S.T3 (serum triiodothyronine), and S.T4 (serum thyroxine).

Also, please make a note if itching gets precipitated due to some stimuli such as sweat, exercise, cold, and so on.

Follow up with the above reports.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

You are welcome.

Answer 3

Hello,

Welcome back to icliniq.com.

Your lipid profile is deranged. You should see a 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 the tablet Desloratadine (Dazit) once daily for six weeks. After six weeks, you can try to stop it and see if the problem has resolved.

I hope this helps you.

Take care.

Thank you.