[46F] With severe itching and tingling sensation

Patient Description

A 46-year-old female presents with severe, unexplainable, painful itching all over her body for the past five days. The itching is described as a tingling, prickling pain, similar to tiny bubbles popping on the surface of the skin, but without any visible bubbles, rash, bites, or broken skin. The itching is constant throughout the day but worsens in the evening and at night. The patient reports extreme stress, anxiety, sleeplessness, and paranoia due to the itching. She has not been around anyone with similar symptoms and has experienced this type of itching only a few times before. There are no specific triggers, changes in the skin, or numbness associated with the itching. The patient has not experienced any fever or unintentional weight loss. Her medical history includes breast cancer diagnosed six years ago, treated with chemotherapy, bilateral mastectomy, and total hysterectomy. She also had a ruptured spleen approximately 30 years ago. The patient is allergic to morphine and is currently taking Benadryl (2 tablets every 6-8 hours) but no other medications.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves and can cause tingling, pain, and itching. It can be a side effect of chemotherapy, which you have undergone in the past.

    • Treatment typically involves managing the underlying cause, pain relief medications, and sometimes physical therapy.
  • Chemotherapy-Induced Itch: Some chemotherapy drugs can cause persistent itching as a side effect, even long after treatment has ended.

    • Treatment may include antihistamines, topical steroids, or other medications to manage symptoms.
  • Psychogenic Itch: Severe stress and anxiety can sometimes manifest as physical symptoms, including itching.

    • Treatment often involves managing stress and anxiety through counseling, medications, or relaxation techniques.
  • Systemic Conditions: Conditions such as liver or kidney disease can cause generalized itching without a rash.

    • Treatment would involve addressing the underlying systemic condition.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Continue Taking Benadryl: Antihistamines like Benadryl can help manage itching. Ensure you are taking it as directed.
  2. Moisturize Your Skin: Use a fragrance-free moisturizer to keep your skin hydrated, which can help reduce itching.
  3. Cool Compresses: Applying cool compresses to the affected areas may provide temporary relief.
  4. Stress Management: Practice stress-reducing techniques such as deep breathing, meditation, or yoga to help manage anxiety.
  5. Avoid Irritants: Wear loose, breathable clothing and avoid harsh soaps or detergents that might irritate your skin.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Symptoms: If your itching becomes unbearable or significantly worsens.
  • Signs of Infection: If you notice any signs of infection such as redness, swelling, or warmth in the itchy areas.
  • New Symptoms: If you develop new symptoms such as jaundice (yellowing of the skin or eyes), dark urine, or unexplained weight loss.
  • Emotional Distress: If your anxiety and stress become overwhelming or unmanageable.

Remember, it's crucial to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

7 mo ago

People Also Ask


What could be causing severe itching without a rash or visible skin changes?

Severe itching without a rash or visible skin changes can be caused by conditions such as peripheral neuropathy, systemic conditions like liver or kidney disease, or psychogenic factors related to stress and anxiety.


Can chemotherapy cause long-term side effects like itching?

Yes, chemotherapy can cause long-term side effects, including persistent itching, even after treatment has ended. This is known as chemotherapy-induced itch.


How can stress and anxiety contribute to physical symptoms like itching?

Stress and anxiety can manifest as physical symptoms, including itching, due to the body's response to psychological stressors. This is sometimes referred to as psychogenic itch.


What are some effective ways to manage severe itching at home?

To manage severe itching at home, you can continue taking antihistamines like Benadryl, use fragrance-free moisturizers, apply cool compresses, practice stress-reducing techniques, and avoid skin irritants such as harsh soaps or tight clothing.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback