Re: pruritus, suppositories and things

[Guest guest]

Dear ,

I have a new patient with severe pruritus ani on top (or, rather, at the bottom

end) of chronic, very long-standing

IBS. I'd be very interested in the full version of your friend's prescription

for p.a. I take it that the Piscidia and

Calendula 90 were used in an internal remedy? Any hints for topical treatment

for symptomatic relief?

Contributions invited from anyone with relevant experience, please.

Ania

[Guest guest]

Dear Alison

As the patient is yellow I would suggest to have tests for blockages of

gall bladder, bile duct first.

Modi, MNIMH

>>> jim_ali47@... 31/01/02 20:07:20 >>>

Dear all,

Can anyone help with the following;

Female patient aged 72, with all-over itching of 8 years duration which

drives her mad. Nothing to see on the skin other than excoriations from

scratching. She is being treated with Losec for oesophageal

inflammation, diagnosed by oesophagoscopy, Thyroxine for hypothyroid,

and Distalgesics for arthritic pain in her legs. The BNF cites pruritus

as a s/e of Losec, and I have been treating her stomach Sx with a view

to helping her to get off it; she now takes one every four days or so.

The onset of itching coincided with the prescribing of Losec. She is

quite yellow (sclera etc) and my initial thought was to treat the liver,

which I have done consistently, but the itching has not improved at all.

Herbs used so far include Carduus (does anyone yet call it Silybum?),

Schisandra, Berb.Vulg. Rumex, Chionanthus, Scutellaria, Chamomilla,

Filipendula, Acorus, Foeniculum, Cynara, Trifolium, Phytolacca (not all

at the same time!) I am looking for a magical herbal cure!!

Interestingly, she had a phone call from her dispensing pharmacist, who

noticed that he had been dispensing both Losec and some cream for

itching, and wondered if she knew about the link with Losec, so she

asked her dermatologist (who has also been unsuccessful in treating her

itching), whose only comment was " No, the itching isn't due to Losec;

it's not that kind of itching!! "

Secondly, does anyone know of a supplier of suppository moulds?

Thirdly, to the person who sent the query about the child who leaves

the table to go to the loo. It sounds very much like the previous

illness may have left the child either with an irritable bowel, which

responds quickly to the load in the stomach, or with an aversion to

large meals, due to the association with feeling ill previously. I would

suggest it may be worth working on regulating bowel function very gently

(Chamomile?) while suggesting to the parents that small frequent meals

may suit their child better. May be best to get the child checked out

first to eliminate any nasties; sorry if this has already been done, I

deleted the email after reading it quickly!

Thanks in anticipation,

Alison Morton. MNIMHGet more from the Web. FREE MSN Explorer download

: http://explorer.msn.com

[Guest guest]

From: Alison Morton

<<Female patient aged 72, with all-over itching of 8 years duration which

drives her mad. Nothing to see on the skin other than excoriations from

scratching. She is being treated with Losec for oesophageal inflammation,

diagnosed by oesophagoscopy, Thyroxine for hypothyroid, and Distalgesics for

arthritic pain in her legs. The BNF cites pruritus as a s/e of Losec... The

onset of itching coincided with the prescribing of Losec. She is quite

yellow (sclera etc) and my initial thought was to treat the liver..>>

Dear Alison,

I am sure you have checked out her diet and drink including alcohol - for

while it may not be the source of the problem, certain foods and drink might

be increasing her reactivity/stressing the liver.

A list of possible underlying associations with itching (not all apply in

this case):

Liver problems/hepatotoxic drugs; kidney failure; glandular

disorders;hypo/hyper thyroid; blood disorder;steroids;contraceptives;

menopause;candida.

I have not tried this one, but supposedly rubbing the inside of banana skin

on itchy places brings relief - especially with anal itching.

All the best

Morag Chacksfield BSc, MNIMH

moragchacksfield@...

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[Guest guest]

Hi Alison

With regard to your itchy lady, I would wholeheartedly agree that LFT's be

done at the earliest opportunity, if they have not been done already. There

are many different proton pump inhibitors available now - perhaps it is time

for a change??

Apparently Acorus calamus and archangelica both have proton pump

inhibition actions at low dosage, ie Acorus - 2.5 in 100ml or 2.5

in 100 ml.

With regard to pruritis generally, a friend of mine successfully treated a

particularly severe case of pruritis ani using a mixture containing Piscidia

10 ml in 100, and Calendula 90% 10 lm in 100. He feels these two herbs are

the key to successful treatment.

Hope this all helps you to scratch your itch

Best wishes

[Guest guest]

Hi Ania

Yes, Calendula & Piscidia were used as internal remedies. I will get back to

you re the other ingredients when I catch up with Ian again, which will be

in the next 2 wks.

Best wishes