4tunebest: @ Lagusta & Lomaxx, in summary we should do the following tests:

Liver functuin tests (LFTs)
urinalysis
e/u/cr
serum bile salt
serum bilirubin estimation
Abdominopelvic scan

Then we should see a gastroenterologist & an endocrinologist.

Any addition or subtraction? Thanks

bilirubin is part of the liver function tests...

Bile salts cannot be isolated from serum, dont worry about that...

If not that doctors are fighting with the govt, it would've been better to just go to a teaching hospital...

But dont worry, just go to a reputable diagnostic centre, do the tests and scans, then we can go from there...



Wait, lasuth is not on strike, maybe you can try there...

All da best!!!

Lagusta:

bilirubin is part of the liver function tests...

Bile salts cannot be isolated from serum, dont worry about that...

If not that doctors are fighting with the govt, it would've been better to just go to a teaching hospital...

But dont worry, just go to a reputable diagnostic centre, do the tests and scans, then we can go from there...



Wait, lasuth is not on strike, maybe you can try there...

All da best!!!

Thank you so much. We will carry out the liver function tests and I'll post the result here. God bless you

4tunebest:

Thank you so much. We will carry out the liver function tests and I'll post the result here. God bless you

please dont forget to do the e/u/cr and urinalysis, with the abdominopelvic scan....

Lagusta:

please dont forget to do the e/u/cr and urinalysis, with the abdominopelvic scan....

Okay.
Liver function tests, e/u/cr, urinalysis and abdominopelvic scan.

Please what is the full spelling for e/u/cr. I guess the lab already knows what it means. Thanks

Who is mentioning my name here?

4tunebest:

Okay.
Liver function tests, e/u/cr, urinalysis and abdominopelvic scan.

Please what is the full spelling for e/u/cr. I guess the lab already knows what it means. Thanks

e/u/cr: electrolytes, urea and creatinine...

Electrolytes: sodium, potassium, bicarbonate and chloride

sometimes, we docs also call them "kidney function tests"

goodluck!!!

alutacontinua: Who is mentioning my name here?

i dont know....

Also try blending fresh moringa leaves and giving her to drink, she might just be lacking some minerals or nutrients in the body.
She should also eat natural sea or Himalayan salt, it contents lots of minerals to. Some people apply moringa on their bodies for skin diseases, i have never try that one

Elijah78: Also try blending fresh moringa leaves and giving her to drink, she might just be lacking some minerals or nutrients in the body.
She should also eat natural sea or Himalayan salt, it contents lots of minerals to. Some people apply moringa on their bodies for skin diseases, i have never try that one

Thank you

Lagusta:

e/u/cr: electrolytes, urea and creatinine...

Electrolytes: sodium, potassium, bicarbonate and chloride

sometimes, we docs also call them "kidney function tests"

goodluck!!!

Okay. Thank you

lomaxx:
Lagusta isnt the diagnosis clear?
Nephrotic syndrome secondary to uncontrolled diabetes mellitus complicated by Uraemia.
Medicine is beautiful.
Lagusta what do you think? An endocrinologist should suffice. The cholestasis should be kept in mind though. Labs would confirm.

Good morning. We've carried out the tests. I need your e-mail address in order to scan the results to you. I already have Lagusta's. Thanks

Lagusta:
e/u/cr: electrolytes, urea and creatinine...
Electrolytes: sodium, potassium, bicarbonate and chloride
sometimes, we docs also call them "kidney function tests"
goodluck!!!

The tests have been done. The results will be scanned to you later in the day. Thanks

4tunebest:

Good morning. We've carried out the tests. I need your e-mail address in order to scan the results to you. I already have Lagusta's. Thanks



The tests have been done. The results will be scanned to you later in the day. Thanks

medicalmatata@gmail.com

lomaxx:

medicalmatata@gmail.com

Hello bro.,pls after assessing the result,letz know your mind about it.Thanks.

I took time to read through the comments from others before replying. High blood sugar I.e uncontrolled diabetes can cause itching. However in my opinion carrying out lab tests before seeing a doctor is like putting the cart before the horse. My own humble advice is this; go to a teaching hospital and see a doctor who will refer you to an endocrinologist to fully evaluate her blood sugar control and possible complications. A full blood count and ESR seems to have been omitted from your tests. I wonder why? A condition called polycythemia rubra Vera can cause itching and a full blood count will reveal this easily.
Sometimes making a diagnosis is a long and tortous journey so you have to be patient. In the meantime let her use moisturing soap like Dove and cream without additives such as Vaseline while you await a definite diagnosis. I wish her speedy recovery.

ohzee: I took time to read through the comments from others before replying. High blood sugar I.e uncontrolled diabetes can cause itching. However in my opinion carrying out lab tests before seeing a doctor is like putting the cart before the horse. My own humble advice is this; go to a teaching hospital and see a doctor who will refer you to an endocrinologist to fully evaluate her blood sugar control and possible complications. A full blood count and ESR seems to have been omitted from your tests. I wonder why? A condition called polycythemia rubra Vera can cause itching and a full blood count will reveal this easily.
Sometimes making a diagnosis is a long and tortous journey so you have to be patient. In the meantime let her use moisturing soap like Dove and cream without additives such as Vaseline while you await a definite diagnosis. I wish her speedy recovery.

Basically, your result will bring about anemia type of disease, but anyways in don't think PV will be anyway close what is wrong with her as the sign she talked about is just at night, Symptoms of PV may include headache, epistaxis, ischemic or hemorrhagic stroke, angina, myocardial infarction, or claudication (cramping or pain in leg muscles), and none of this is part of what she stated in her mum's case..... I agree with you in terms of CBC but more detailed Labs needs to be accompanied with it.....

i'm suspecting filariasis

read about microfilariae infection

ohzee: I took time to read through the comments from others before replying. High blood sugar I.e uncontrolled diabetes can cause itching. However in my opinion carrying out lab tests before seeing a doctor is like putting the cart before the horse. My own humble advice is this; go to a teaching hospital and see a doctor who will refer you to an endocrinologist to fully evaluate her blood sugar control and possible complications. A full blood count and ESR seems to have been omitted from your tests. I wonder why? A condition called polycythemia rubra Vera can cause itching and a full blood count will reveal this easily.
Sometimes making a diagnosis is a long and tortous journey so you have to be patient. In the meantime let her use moisturing soap like Dove and cream without additives such as Vaseline while you await a definite diagnosis. I wish her speedy recovery.

i would've ordered for a CBC if need be, from the history...

A CBC may just bring out what we expect... anaemia!!!

So why waste the patient's money??

idyobot: read about microfilariae infection

lololzzzz!!!

If you know the hallmark of filarial infection, you won't even go there!!!

@4tunebest... Please i'm so sorry for not replying your mail, very busy!!! I'll do it today by God's grace...

ohzee: I took time to read through the comments from others before replying. High blood sugar I.e uncontrolled diabetes can cause itching. However in my opinion carrying out lab tests before seeing a doctor is like putting the cart before the horse. My own humble advice is this; go to a teaching hospital and see a doctor who will refer you to an endocrinologist to fully evaluate her blood sugar control and possible complications. A full blood count and ESR seems to have been omitted from your tests. I wonder why? A condition called polycythemia rubra Vera can cause itching and a full blood count will reveal this easily.
Sometimes making a diagnosis is a long and tortous journey so you have to be patient. In the meantime let her use moisturing soap like Dove and cream without additives such as Vaseline while you await a definite diagnosis. I wish her speedy recovery.

Don't contradict yourself.

You can never have polycythemia in someone who has pruritus secondary to Uraemia complicated from uncontrolled diabetes. It will almost always be an anaemia. Because of this, a smart physician would not order a CBC to diagnose the condition, but to know the overall status of the patient.

Why ESR? Tests are done with a basis from what was gotten from the history. The average Nigerian patient has little or no money to spend on tests which may end up not being useful. So why waste their money ?

She's seen a doctor, went to hospital, her mom was even admitted and there was no positive response. She decided to come to Nairaland, to enjoy the brainstorming ability of healthcare providers, who obviously are advising her in their seasoned professional perspective- and have advised her to see a specialist.

I guess she's well directed.

Lagusta:

lololzzzz!!!

If you know the hallmark of filarial infection, you won't even go there!!!

If I was told, I wouldn't have believed it.

What did you find from the labs?

How do her eyes look? Are they white or a little yellowish?

Does she take a lot of water or minimal water?

She may need to do a liver and organ tests it could be a sign of something serious let her go a thorough organ check. Its important

She is suffering from allergy, but she should try this medicine called cenocide with piriton tablet every nite. She should be drinking water well.

Diabetic nephropathy , itching is showing probably that it is more advanced as in end stage kidney disease. These complication usually occurs if the patient has either or both hypertension, hyperlipidaemia, atherosclerosis etc in addition to diabetes.

This is my submission though.

Let her:-----

-avoid low humidity, stress and anxiety, dry skin, irritating fabrics, chemicals, and contact allergens.

-use nonsteroidal topical emollient like ASA to relieve the itch through its cooling effect and topical antipruritus containing------caine preparations eg prilocaine cream.

-proper medical evaluation by a specialist is nnecessary.

Lagusta

lomaxx:

Lagusta isnt the diagnosis clear?

Nephrotic syndrome secondary to uncontrolled diabetes mellitus complicated by Uraemia.

Medicine is beautiful.

Lagusta what do you think? An endocrinologist should suffice. The cholestasis should be kept in mind though. Labs would confirm.

who are those people that run such test?

Lagusta: @4tunebest... Please i'm so sorry for not replying your mail, very busy!!! I'll do it today by God's grace...

Lomaxx and Lagusta please I am still awaiting the reply to my mail. Thanks

4tunebest: I am creating this topic as a last resort, since everything we tried to solve this issue have so far proved abortive.

For over a month, my mum has been itching seriously, mostly @ night and the discomfort prevents her from sleeping throughout the night. During the day, everything is normal but once it is night, stuff like hives start appearing on her skin, which itches until dawn. Then in the morning, the hives disappear & the itching stops until night time when thesame thing repeats itself. We have used drugs prescribed by doctors, yet no improvement.

Please what else can we do?
Thanks in anticipation of your helpful response.

The first thing is to check the bed for bedbugs,if it's negative then she should do liver and kidney function tests as build up of toxins can cause itching,I hope they will come out ok though.
Then one last thing
Some women also complain of strange symptoms including "internal heat", heart beating fast,crawling sensations and itching during menopause,she could be going through menopause.

4tunebest: I am creating this topic as a last resort, since everything we tried to solve this issue have so far proved abortive.

For over a month, my mum has been itching seriously, mostly @ night and the discomfort prevents her from sleeping throughout the night. During the day, everything is normal but once it is night, stuff like hives start appearing on her skin, which itches until dawn. Then in the morning, the hives disappear & the itching stops until night time when thesame thing repeats itself. We have used drugs prescribed by doctors, yet no improvement.

Please what else can we do?
Thanks in anticipation of your helpful response.

How old is your mum? For all there is, this might hopefully be something as common as one of the symptons of MENOPAUSE.
Check out some other symptoms here http://www.34-menopause-symptoms.com/itchy-skin.htm

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