[41F] Experiencing severe nocturnal itching

What might be happening

Based on the information you provided, possible causes of your symptoms include:

• Scabies: This is a skin infestation caused by a mite known as the Sarcoptes scabiei. It can cause intense itching, especially at night. The itching is often worse at night and affects various parts of the body.

  • Treatment typically involves medications that kill scabies mites and their eggs. In some cases, you might need to treat all family members or other close contacts.

• Dermatitis: This is a general term that describes inflammation of the skin. It can cause itching and discomfort. There are several types of dermatitis, including atopic dermatitis (eczema), contact dermatitis, and seborrheic dermatitis.

  • Treatment typically involves identifying and avoiding any triggers that may be causing your symptoms. Medications, such as creams and ointments, can also be used to control itching and inflammation.

• Allergic Reactions: Certain substances, such as foods, medications, or plants, can cause an allergic reaction that leads to itching.

  • Treatment typically involves avoiding the allergen and taking antihistamines to control symptoms.

• Dry Skin: Dry skin (xerosis) can cause itching, especially in older adults and during the winter months.

  • Treatment typically involves moisturizing the skin regularly and avoiding harsh soaps and hot baths.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

1. Try to identify any triggers that may be causing your symptoms. This could include certain foods, medications, or substances you come into contact with.
2. Keep your skin moisturized. Use a moisturizer that is free of additives, fragrances, and perfumes.
3. Avoid scratching as much as possible. Scratching can worsen your symptoms and lead to infection.
4. Over-the-counter antihistamines may help to control itching. However, they should be used with caution as they can cause drowsiness.
5. Consult a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Reasons to see a doctor more urgently:

• If your symptoms worsen or do not improve with home treatment
• If you develop other symptoms, such as fever, weight loss, or fatigue
• If your skin becomes red, swollen, or painful

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.