Photo: Ann H

Where do you itch with liver problems?

Symptoms of itching with liver disease Itching associated with liver disease tends to be worse in the late evening and during the night. Some people may itch in one area, such as a limb, the soles of their feet, or the palms of their hands, while others experience an all-over itch.

healthline.com - Liver Disease and Itching: Causes, Treatment, When to See a Doctor

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Share on Pinterest We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process. How we vet brands and products Healthline only shows you brands and products that we stand behind. Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we: Evaluate ingredients and composition: Do they have the potential to cause harm?

Do they have the potential to cause harm? Fact-check all health claims: Do they align with the current body of scientific evidence?

Do they align with the current body of scientific evidence? Assess the brand: Does it operate with integrity and adhere to industry best practices? We do the research so you can find trusted products for your health and wellness. Read more about our vetting process. Itching (pruritus) is one symptom of chronic liver disease, though not everyone with liver disease develops it. You might have a localized itch, such as on your lower arm, or it might be an all-over itch. Either way, it can lead to a distracting, often overwhelming, desire to scratch. A little itch now and then is no cause for concern. But continual itching can interfere with sleep and lead to a host of other problems. When that happens, it becomes a serious health concern. In this article, we’ll explore the causes of itching in liver disease, why you should see your doctor, and how to find relief. How to treat itching associated with liver disease Itching caused by liver disease probably won’t improve on its own, but it can be treated. Because the causes aren’t totally understood, it’s hard to say which treatment might work for you. It may take a combination of therapies along with a certain amount of trial and error. Avoid scratching It’s important to avoid scratching that itch because it can make matters much worse. Keep your fingernails short so that if you do scratch, you’re less likely to break the skin and open the door to infection. If you find yourself scratching too much, try to avoid temptation by keeping your skin covered. If you tend to scratch a lot during the night, wear gloves to bed. Here are some other things you can do to prevent skin irritation and ease itching: Use warm or cool water rather than hot water for showers and baths. Try not to spend too much time in hot environments or in the sun.

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Choose mild soaps that don’t contain added fragrances.

Use gentle, fragrance-free moisturizers to combat dryness.

Apply a cold, wet cloth to the itchy area until the urge to scratch eases up.

Avoid substances or materials that irritate your skin.

Wear gloves when using harsh products.

Wear loose-fitting, breathable clothing.

Use a humidifier during the dry winter months. Shop for a humidifier online. Apply anti-itch topicals If you have a mild, localized itch, you can try aqueous cream with 1 percent menthol. Other over-the-counter (OTC) topicals, such as corticosteroids and calcineurin inhibitors, may also improve itching. Follow label directions and be sure to tell your doctor you’re using them. Find corticosteroid creams online. Take prescription oral medications Your physician may recommend oral treatments, such as: Cholestyramine (Prevalite). This oral medication helps remove bile salts from circulation. This oral medication helps remove bile salts from circulation. Rifampicin (Rifadin). This medication inhibits bile acids. Taken daily, it requires regular monitoring due to the potential for serious side effects such as hepatitis or renal impairment. This medication inhibits bile acids. Taken daily, it requires regular monitoring due to the potential for serious side effects such as hepatitis or renal impairment. Naltrexone (Vivitrol). Taken daily, this medication blocks the effects of opioids. It requires regular monitoring. Taken daily, this medication blocks the effects of opioids. It requires regular monitoring. Sertraline (Zoloft). This SSRI is also taken daily. It’s usually prescribed as an antidepressant. Other antidepressants, such as fluoxetine (Prozac), may also be used to treat chronic itch. Try antihistamines (for sleep) Antihistamines haven’t been shown to be effective in treating itch caused by liver disease, though they may help you fall asleep despite the itch. Consider light therapy Another option is light therapy, also known as phototherapy. This treatment exposes the skin to specific types of light to promote healing. It can take several sessions to start working. Discuss a liver transplant with your doctor When treatment doesn’t work and quality of life is severely affected, your doctor may want to discuss the possibility of a liver transplant. This may be an option even if your liver is still functioning. Symptoms of itching with liver disease Itching associated with liver disease tends to be worse in the late evening and during the night. Some people may itch in one area, such as a limb, the soles of their feet, or the palms of their hands, while others experience an all-over itch. Itching linked to liver disease doesn’t generally involve rash or skin lesions. However, you can develop visible irritation, redness, and infection due to excessive scratching. The problem can be exacerbated by: exposure to heat

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When to see a doctor If you have liver disease, see your doctor whenever you have new or worsening symptoms. That includes itching. While it may not mean anything as far as disease progression or prognosis are concerned, you won’t know that for certain without a thorough examination. It’s especially important to tell your doctor if you’re having trouble sleeping and if the itching is affecting your quality of life.

healthline.com - Liver Disease and Itching: Causes, Treatment, When to See a Doctor

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