{"id":2526,"date":"2025-11-04T07:54:50","date_gmt":"2025-11-04T07:54:50","guid":{"rendered":"https:\/\/drsevalkarasati.com\/?page_id=2526"},"modified":"2026-03-12T13:33:09","modified_gmt":"2026-03-12T13:33:09","slug":"itching-treatment","status":"publish","type":"page","link":"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/","title":{"rendered":"Itching Treatment"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_94671465\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-1602855156\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-larger flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Itching Treatment in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n       <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_94671465 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #8a817c;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1820561220\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1646428169\">\n\n\t<div id=\"col-456837693\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Itching treatment is a multifaceted approach aimed at determining the underlying cause and relieving symptoms. Skin irritation, allergic reactions, or systemic diseases are among the main causes of pruritus. The treatment plan is arranged individually in accordance with the etiology.<\/p>\n<p>Topical treatments are the first step in the local control of itching. Creams containing menthol, calamine, pramoxine, or low-potency corticosteroids provide symptomatic relief. The use of moisturizers helps restore the skin barrier, especially in itching associated with xerosis.<\/p>\n<p>In systemic treatments, antihistamines are effective, especially in histamine-mediated itching. In chronic cases, sedative antihistamines may relieve nighttime symptoms. Antidepressants or gabapentinoids may be considered as alternative treatment options in neuropathic itching.<\/p>\n<p>In resistant or unexplained itching cases, advanced investigations may be required. Laboratory evaluations such as liver, kidney, and thyroid function tests are performed. Along with the treatment of the underlying disease, hygiene, stress control, and avoiding irritating substances support symptom control.<\/p>\n<table>\n<tbody>\n<tr>\n<td>What You Need to Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>What is itching (pruritus)?<\/td>\n<td>Itching is a condition that creates an uncomfortable sensation in the skin and causes the urge to scratch. It may be a symptom on its own, or it may be a sign of many dermatological or systemic diseases.<\/td>\n<\/tr>\n<tr>\n<td>Causes<\/td>\n<td>\u2022 Dry skin\u2022 Skin diseases such as eczema, dermatitis, and psoriasis\u2022 Infections such as fungal infections and scabies\u2022 Allergic reactions\u2022 Systemic diseases such as liver, kidney, and thyroid disorders\u2022 Psychological factors (anxiety, stress, etc.)\u2022 Side effects of some medications<\/td>\n<\/tr>\n<tr>\n<td>Course with symptoms<\/td>\n<td>Itching may sometimes be accompanied by rash, bumps, scaling, thickening of the skin, bleeding, or crusting. Constant scratching may irritate the skin or cause it to become infected.<\/td>\n<\/tr>\n<tr>\n<td>Diagnosis process<\/td>\n<td>Treatment should not be started before the cause of the itching is understood. Along with a dermatological examination, additional tests such as blood tests, allergy tests, parasite screenings, or biopsy may be performed if necessary.<\/td>\n<\/tr>\n<tr>\n<td>Treatment methods<\/td>\n<td>\u2022 Supporting the skin with moisturizing products\u2022 Topical corticosteroid or anti-inflammatory creams\u2022 Antihistamine medications\u2022 Treatment of the underlying systemic disease\u2022 Cold compress applications\u2022 Avoiding factors that trigger itching<\/td>\n<\/tr>\n<tr>\n<td>Lifestyle and preventive measures<\/td>\n<td>Lukewarm showers should be preferred, irritating soaps and detergents should be avoided, cotton and loose clothes should be worn, stress management should be practiced, and allergens should be avoided. The skin should be moisturized regularly.<\/td>\n<\/tr>\n<tr>\n<td>When should a doctor be consulted?<\/td>\n<td>If itching has been continuing for a long time, is spreading throughout the body, increases at night, creates visible lesions on the skin, or impairs daily quality of life, dermatological evaluation is necessary.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-456837693 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1820561220 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_894767798\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1224596200\">\r\n\r\n\n\t<div id=\"col-1478410703\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#8a817c;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-385336455\">\r\n\r\n\n\t<div id=\"col-596633325\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover x md-x lg-x y md-y lg-y\" id=\"image_1700754627\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"782\" height=\"800\" src=\"https:\/\/drsevalkarasati.com\/wp-content\/uploads\/2025\/11\/bt0qauqqvf2c9eyqvf2e-e1763480905624-782x800.webp\" class=\"attachment-large size-large\" alt=\"ankara dermatoloji doktoru seval karasat\u0131\" srcset=\"https:\/\/drsevalkarasati.com\/wp-content\/uploads\/2025\/11\/bt0qauqqvf2c9eyqvf2e-e1763480905624-782x800.webp 782w, https:\/\/drsevalkarasati.com\/wp-content\/uploads\/2025\/11\/bt0qauqqvf2c9eyqvf2e-e1763480905624-391x400.webp 391w, https:\/\/drsevalkarasati.com\/wp-content\/uploads\/2025\/11\/bt0qauqqvf2c9eyqvf2e-e1763480905624-768x785.webp 768w, https:\/\/drsevalkarasati.com\/wp-content\/uploads\/2025\/11\/bt0qauqqvf2c9eyqvf2e-e1763480905624.webp 882w\" sizes=\"(max-width: 782px) 100vw, 782px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1700754627 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-596633325 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-596633325 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-704146235\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-4242464616\" class=\"text\">\n\t\t\r\n<div><strong>Specialist Dr. Seval Karasat\u0131<\/strong><\/div>\r\n\t\t\n<style>\n#text-4242464616 {\n  font-size: 1.85rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-4242464616 {\n    font-size: 2.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-3376211830\" class=\"text\">\n\t\t\r\n\r\n<span style=\"font-weight: 400;\">Dr. Seval Karasat\u0131 is a dermatology (skin diseases) specialist in Ankara specializing in skin health, hair and nail diseases, aesthetic dermatology, and laser applications. With her scientifically based approach and aesthetic perspective, she offers personalized treatment plans for each of her patients.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">In the field of dermatology, Dr. Seval Karasat\u0131 specializes not only in common skin problems such as acne, rosacea, eczema, allergic skin diseases, and hair loss, but also in mole monitoring and the early diagnosis of skin cancers. She provides effective solutions to her patients with modern devices and up-to-date treatment methods.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Serving as a dermatology specialist in Ankara, Dr. Seval Karasat\u0131 is also experienced in aesthetic dermatology procedures. She applies holistic treatments aimed at skin renewal and rejuvenation with procedures such as fillers, PRP, mesotherapy, gold needle, and laser treatments.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Dr. Seval Karasat\u0131 conducts a comprehensive evaluation for each patient and shapes the treatment process according to personal needs. Her goal is not only to treat diseases but also to help achieve a healthy, vibrant, and aesthetically balanced skin appearance.<\/span>\r\n\r\n\t\t\n<style>\n#text-3376211830 {\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-3376211830 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905323677805\" class=\"button primary expand show-for-small\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Create an Appointment<\/span>\n\t<\/a>\n\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905323677805\" class=\"button primary hide-for-small\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Create an Appointment<\/span>\n\t<\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-704146235 > .col-inner {\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-704146235 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1478410703 > .col-inner {\n  padding: 20px 30px 10px 30px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_894767798 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1584260145\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1502790000\">\n\n\t<div id=\"col-232644704\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#What_Is_Itching_and_When_Is_It_Called_%E2%80%9CChronic_Itching%E2%80%9D\" >What Is Itching and When Is It Called &#8220;Chronic Itching&#8221;?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Why_Should_Chronic_Itching_Not_Be_Seen_Only_as_a_Skin_Problem\" >Why Should Chronic Itching Not Be Seen Only as a Skin Problem?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Does_Your_Doctor_Classify_Your_Itching_Complaint\" >How Does Your Doctor Classify Your Itching Complaint?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Does_the_Constant_Sensation_of_Itching_Affect_Our_Nervous_System\" >How Does the Constant Sensation of Itching Affect Our Nervous System?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#What_Information_Should_You_Give_Your_Doctor_for_the_Correct_Diagnosis_of_Itching\" >What Information Should You Give Your Doctor for the Correct Diagnosis of Itching?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Are_the_Causes_of_Itching_Investigated_in_Physical_Examination\" >How Are the Causes of Itching Investigated in Physical Examination?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#If_There_Is_No_Cause_on_the_Skin_Which_Blood_Tests_Are_Requested_for_the_Underlying_Cause_of_Itching\" >If There Is No Cause on the Skin, Which Blood Tests Are Requested for the Underlying Cause of Itching?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#When_Is_Skin_Biopsy_Taking_a_Sample_Necessary_for_Itching\" >When Is Skin Biopsy (Taking a Sample) Necessary for Itching?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#What_Is_the_First_and_Fundamental_Step_in_Itching_Treatment\" >What Is the First and Fundamental Step in Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Do_Moisturizers_Really_Work_in_Itching_Treatment\" >Do Moisturizers Really Work in Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Which_Creams_Are_Used_for_Inflammatory_Itching_Such_as_Eczema\" >Which Creams Are Used for Inflammatory Itching Such as Eczema?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Are_There_Special_Creams_for_Nervous_Neuropathic_Itching\" >Are There Special Creams for Nervous (Neuropathic) Itching?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Why_Are_Allergy_Medications_Antihistamines_Usually_Ineffective_for_Chronic_Itching\" >Why Are Allergy Medications (Antihistamines) Usually Ineffective for Chronic Itching?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Why_Are_%E2%80%98Neuromodulator_Medications_Nervous_System_Medications_Used_in_Itching_Treatment\" >Why Are &#8216;Neuromodulator&#8217; Medications (Nervous System Medications) Used in Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Is_Itching_Related_to_Kidney_Disease_CKD-aP_Managed\" >How Is Itching Related to Kidney Disease (CKD-aP) Managed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Is_Itching_Related_to_Liver_and_Bile_Duct_Disease_Cholestatic_Itching_Treated\" >How Is Itching Related to Liver and Bile Duct Disease (Cholestatic Itching) Treated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#What_Role_Does_Phototherapy_Light_Therapy_Play_in_Itching_Treatment\" >What Role Does Phototherapy (Light Therapy) Play in Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Which_Treatments_Are_Applied_in_Very_Severe_and_Resistant_Itching_Conditions_Such_as_Prurigo_Nodularis\" >Which Treatments Are Applied in Very Severe and Resistant Itching Conditions Such as Prurigo Nodularis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Have_Biological_Agents_Injections_Created_a_Revolution_in_Itching_Treatment\" >How Have Biological Agents (Injections) Created a Revolution in Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#How_Do_JAK_Inhibitors_Small_Molecule_Pills_Accelerate_Itching_Treatment\" >How Do JAK Inhibitors (Small Molecule Pills) Accelerate Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Why_Is_the_%E2%80%9CStepwise_Approach%E2%80%9D_So_Important_in_Chronic_Itching_Treatment\" >Why Is the &#8220;Stepwise Approach&#8221; So Important in Chronic Itching Treatment?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/drsevalkarasati.com\/en\/dermatological-diseases\/itching-treatment\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Itching_and_When_Is_It_Called_%E2%80%9CChronic_Itching%E2%80%9D\"><\/span>What Is Itching and When Is It Called &#8220;Chronic Itching&#8221;?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Itching (pruritus, by its Latin name) is an uncomfortable sensation we all know, which creates the urge to scratch or rub the skin. In fact, it is a defense mechanism of the skin. However, when this sensation lasts for six weeks or longer, it is no longer a temporary symptom and turns into a medical condition in itself called &#8220;chronic itching.&#8221; Chronic itching is a health problem that affects a significant part of society and can seriously reduce quality of life. It may lead to insomnia, anxiety, and impaired concentration in daily life.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Should_Chronic_Itching_Not_Be_Seen_Only_as_a_Skin_Problem\"><\/span>Why Should Chronic Itching Not Be Seen Only as a Skin Problem?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Many people think of itching only as a problem that is &#8220;on the skin.&#8221; However, the roots of chronic itching are often much deeper. Although it may sometimes result from a visible skin problem such as eczema, psoriasis, or dry skin, it can often also occur without any underlying visible skin findings.<\/p>\n<p>In these cases, that is, when the skin appears normal, itching may be the sign of a completely different health problem. Underlying causes may include internal organ diseases such as kidney, liver, or thyroid disorders, diabetes, some blood diseases, nervous system disorders (neuropathic), and even some types of cancer (especially lymphoma). Therefore, chronic itching requires a broad perspective involving dermatology, internal medicine, neurology, and sometimes psychiatry.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_Your_Doctor_Classify_Your_Itching_Complaint\"><\/span>How Does Your Doctor Classify Your Itching Complaint?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>For an effective treatment plan, it is essential to determine the type of itching correctly. Doctors use a classification based on clinical appearance established by the International Forum for the Study of Itch (IFSI). This classification consists of three main groups:<\/p>\n<ul>\n<li>Group I: Itching on diseased skin (such as eczema, psoriasis, urticaria)<\/li>\n<li>Group II: Itching on normal-appearing skin (an underlying systemic cause is investigated)<\/li>\n<li>Group III: Itching accompanied by severe scratching marks (such as Prurigo Nodularis)<\/li>\n<\/ul>\n<p>In this classification, especially Group II, that is, &#8220;itching on normal-appearing skin,&#8221; requires a comprehensive investigation to exclude situations such as an underlying internal organ disease, a neurological problem, or a drug reaction.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_Constant_Sensation_of_Itching_Affect_Our_Nervous_System\"><\/span>How Does the Constant Sensation of Itching Affect Our Nervous System?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>One of the most important characteristics of chronic itching is that over time it causes permanent changes in both the skin\u2019s (peripheral) and the brain and spinal cord\u2019s (central) nervous system. This situation can be explained as &#8220;the nervous system learning itching&#8221; or &#8220;pruriplasticity.&#8221;<\/p>\n<p>Constant itch signals make nerve fibers excessively sensitive. The nerve pathways in the brain and spinal cord &#8220;get used to&#8221; this continuous itch signal. This is called &#8220;central sensitization.&#8221; Over time, the natural braking mechanisms of the nervous system that inhibit itching weaken. The brain may begin to produce itch signals even when there is actually no external stimulus. This explains why chronic itching has mechanisms similar to chronic pain and why medications that act on the nervous system (neuromodulators) are sometimes used in its treatment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Information_Should_You_Give_Your_Doctor_for_the_Correct_Diagnosis_of_Itching\"><\/span>What Information Should You Give Your Doctor for the Correct Diagnosis of Itching?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The basis of diagnosis is the detailed medical history taken from the patient. Some key questions asked during this interview are:<\/p>\n<ul>\n<li>The time the itching started<\/li>\n<li>The hours during the day when it increases (especially at night)<\/li>\n<li>The areas of the body where it is concentrated<\/li>\n<li>Accompanying fever, sweating, or weight loss<\/li>\n<li>Whether there is a seasonal change<\/li>\n<li>Medications used and known triggers<\/li>\n<li>Whether there are similar complaints in the family<\/li>\n<\/ul>\n<p>For example, itching that increases at night and is also seen in family members suggests the possibility of scabies, while itching accompanied by weight loss and night sweats may be a warning sign for more serious underlying systemic diseases.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Are_the_Causes_of_Itching_Investigated_in_Physical_Examination\"><\/span>How Are the Causes of Itching Investigated in Physical Examination?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A comprehensive dermatological examination is essential. In this examination, &#8220;primary lesions&#8221; that existed before the itching (such as an eczema rash) and &#8220;secondary lesions&#8221; that develop due to scratching (scratches, crusting, thickening of the skin) are carefully distinguished.<\/p>\n<p>There are some specific anatomical areas that should be paid particular attention to during the examination:<\/p>\n<ul>\n<li>Between the fingers<\/li>\n<li>Wrists and ankles<\/li>\n<li>The anogenital (anal and genital) area<\/li>\n<li>Nails<\/li>\n<li>Scalp<\/li>\n<\/ul>\n<p>For example, seeing tunnel-like structures between the fingers is very typical for the diagnosis of scabies. In addition, a general systemic examination (e.g. abdominal and lymph node examination) may also be performed to determine whether there is enlargement in the liver, spleen, or lymph glands.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"If_There_Is_No_Cause_on_the_Skin_Which_Blood_Tests_Are_Requested_for_the_Underlying_Cause_of_Itching\"><\/span>If There Is No Cause on the Skin, Which Blood Tests Are Requested for the Underlying Cause of Itching?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Especially in Group II itching (where there is no visible cause on the skin), comprehensive laboratory tests are requested to investigate an underlying systemic cause. The standard initial screening panel usually includes the following:<\/p>\n<ul>\n<li>Complete Blood Count (Hemogram)<\/li>\n<li>Liver Function Tests (ALT, AST, ALP, Bilirubin)<\/li>\n<li>Kidney Function Tests (Creatinine, BUN)<\/li>\n<li>Thyroid Function Tests (TSH)<\/li>\n<li>Fasting Blood Glucose \/ HbA1c<\/li>\n<li>Iron Panel and Ferritin<\/li>\n<li>Erythrocyte Sedimentation Rate (ESR) and CRP<\/li>\n<\/ul>\n<p>These tests help screen for common causes of itching such as anemia, blood diseases, liver or bile duct problems (cholestasis), chronic kidney disease, thyroid disorders, or diabetes. If the initial tests are normal, more advanced tests (hepatitis panel, HIV, protein electrophoresis, etc.) may be requested according to suspicion.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_Skin_Biopsy_Taking_a_Sample_Necessary_for_Itching\"><\/span>When Is Skin Biopsy (Taking a Sample) Necessary for Itching?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In itching with no visible finding on the skin (Group II), biopsy is generally not necessary because the results usually show non-specific changes related to scratching. However, biopsy is critically important in certain situations.<\/p>\n<p>For example, when the clinical features suggest more than one disease, when a difficult diagnosis needs to be confirmed (e.g. autoimmune bullous diseases), or when conditions such as an &#8220;invisible&#8221; cutaneous lymphoma are suspected, biopsy becomes guiding. Biopsy is a strategic tool for the pathologist to interpret the tissue sample and for the dermatologist to combine this information with the patient\u2019s examination findings in order to reach the correct diagnosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_the_First_and_Fundamental_Step_in_Itching_Treatment\"><\/span>What Is the First and Fundamental Step in Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The basis of chronic itching management is to stabilize the skin barrier and avoid known triggers before moving to systemic medications. This &#8220;basic care&#8221; process includes:<\/p>\n<ul>\n<li>Avoiding wool clothing<\/li>\n<li>Not taking showers with excessively hot water<\/li>\n<li>Stopping harsh soaps and chemical irritants<\/li>\n<li>Using fragrance-free, hypoallergenic cleansers<\/li>\n<li>Taking lukewarm and short showers<\/li>\n<li>If there is a parasite such as scabies or lice, treating it first<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-232644704 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1584260145 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1547169003\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-648456084\">\r\n\r\n\n\t<div id=\"col-1031609787\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-3\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(196, 135, 135);border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-789211588\">\r\n\r\n\n\t<div id=\"col-1757193968\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-908980213\" class=\"text\">\n\t\t\r\n<div><strong>Contact Us for Anything You Wonder About Skin Health!<\/strong><\/div>\r\n\t\t\n<style>\n#text-908980213 {\n  font-size: 2.25rem;\n  text-align: center;\n  color: #c48787;\n}\n#text-908980213 > * {\n  color: #c48787;\n}\n@media (min-width:550px) {\n  #text-908980213 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1757193968 > .col-inner {\n  padding: 10px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1757193968 > .col-inner {\n    padding: 0px 0px 0px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-396551926\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a class=\"button success expand\" >\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-396551926 > .col-inner {\n  padding: 30px 30px 10px 30px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-396551926 > .col-inner {\n    padding: 30px 30px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1031609787 > .col-inner {\n  padding: 20px 0px 20px 0px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1031609787 > .col-inner {\n    padding: 20px 20px 20px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1547169003 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_261123611\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1352144240\">\n\n\t<div id=\"col-31203323\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Do_Moisturizers_Really_Work_in_Itching_Treatment\"><\/span>Do Moisturizers Really Work in Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Absolutely yes. Moisturizers (emollients) are the first and most important non-pharmacological step in the treatment of chronic itching. They play a critical role especially in itching related to dry skin (xerosis) or chronic kidney disease.<\/p>\n<p>Moisturizers do more than just hydrate the skin; they also repair the skin\u2019s natural protective lipid layer, improve the skin barrier function, and directly reduce itching. Special formulations containing urea, ceramides, or lactic acid increase the skin\u2019s ability to retain water in the upper layer and strengthen the skin\u2019s defense against external factors. Applying them immediately after a shower, while the skin is still moist, increases their effectiveness.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Creams_Are_Used_for_Inflammatory_Itching_Such_as_Eczema\"><\/span>Which Creams Are Used for Inflammatory Itching Such as Eczema?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>If itching is caused by an inflammatory skin disease (Group I) such as eczema or psoriasis, anti-inflammatory creams are used to suppress this inflammation.<\/p>\n<ul>\n<li>Topical Corticosteroids (Cortisone Creams): They are very effective in reducing inflammation in the skin and the itching related to it. They are available in different strengths (potencies), and it is important that they are used in the strength and duration recommended by the dermatologist.<\/li>\n<li>Topical Calcineurin Inhibitors (TCI): These creams (Tacrolimus, Pimecrolimus) do not contain cortisone. They are especially ideal for areas where the skin is thin and sensitive, such as the face, neck, eyelids, or genital area. These agents do not cause side effects such as skin thinning that cortisone may cause with long-term use.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Are_There_Special_Creams_for_Nervous_Neuropathic_Itching\"><\/span>Are There Special Creams for Nervous (Neuropathic) Itching?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Yes, when the cause of the itching is nerve damage or hypersensitivity of the nerves (neuropathic itching), standard anti-inflammatory creams generally do not work. In these cases, special topical agents that target nerve endings are used:<\/p>\n<ul>\n<li>Capsaicin: It is a substance found in hot peppers. It works by depleting &#8220;substance P,&#8221; which carries the itch signal in the nerve endings. It may cause a strong burning sensation when first used, but with regular use this effect decreases and relief in itching is achieved.<\/li>\n<li>Local Anesthetics and Menthol: Creams containing menthol or pramoxine provide immediate relief by temporarily &#8220;numbing&#8221; or cooling the skin.<\/li>\n<li>Topical Gabapentin: Compounded formulations of gabapentin, which is normally an oral neuromodulatory medication, may be used in some types of localized neuropathic itching when prepared as a cream.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Why_Are_Allergy_Medications_Antihistamines_Usually_Ineffective_for_Chronic_Itching\"><\/span>Why Are Allergy Medications (Antihistamines) Usually Ineffective for Chronic Itching?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is one of the issues patients ask about most frequently and find the most confusing. Acute (suddenly developing) allergic itching or hives (urticaria) result from the release of a chemical called &#8220;histamine.&#8221; Standard antihistamines work by blocking this histamine and are very effective in these situations.<\/p>\n<p>However, chronic itching (eczema, kidney disease, neuropathic itching, etc.) is generally not caused by histamine. Its pathophysiology is much more complex; it involves different pathways and molecules in the nervous system (opioid receptors, interleukins, nerve growth factors, etc.). Therefore, antihistamines do not stop itching in most chronic itching cases. Only first-generation (sedating, sleep-inducing) antihistamines may indirectly relieve nighttime itching by calming the patient and helping them sleep, but they generally do not have a marked effect on daytime itching.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Are_%E2%80%98Neuromodulator_Medications_Nervous_System_Medications_Used_in_Itching_Treatment\"><\/span>Why Are &#8216;Neuromodulator&#8217; Medications (Nervous System Medications) Used in Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Since it has been understood that chronic itching is caused by the hypersensitization of the nervous system (central sensitization), the focus of treatment has shifted to medications that &#8220;calm&#8221; this sensitivity. These medications are called &#8220;neuromodulators.&#8221;<\/p>\n<p>The main groups of drugs used for this purpose are:<\/p>\n<ul>\n<li>Gabapentinoids (Gabapentin and Pregabalin)<\/li>\n<li>SSRI Group Antidepressants (Paroxetine, Sertraline)<\/li>\n<li>Tricyclic Antidepressants (Doxepin)<\/li>\n<li>Neurokinin-1 Receptor Antagonists (Aprepitant)<\/li>\n<\/ul>\n<p>In particular, Gabapentin and Pregabalin are actually drugs developed for epilepsy or neuropathic pain. However, over time it has been realized that they also have an excellent effect on chronic itching by slowing itch signals in the spinal cord and changing the way the brain perceives itching. They are frequently preferred as first-line systemic treatment in itching related to chronic kidney disease, neuropathic itching, and chronic itching of unknown cause.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Itching_Related_to_Kidney_Disease_CKD-aP_Managed\"><\/span>How Is Itching Related to Kidney Disease (CKD-aP) Managed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Itching seen in patients with chronic kidney disease, especially those on dialysis, can be very severe and resistant. Management is multifaceted and includes:<\/p>\n<ul>\n<li>Optimizing dialysis adequacy<\/li>\n<li>Phosphorus and parathyroid hormone control<\/li>\n<li>Continuously moisturizing the skin as basic treatment<\/li>\n<li>Gabapentinoids as the first pharmacological option<\/li>\n<li>Kappa-Opioid Receptor (KOR) Agonists in resistant cases<\/li>\n<\/ul>\n<p>Especially KOR agonists (such as Difelikefalin) are new-generation treatments developed for these patients. They target the imbalance of the opioid system thought to play a role in chronic itching and can provide very effective results.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-31203323 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_261123611 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1863412920\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-820564561\">\r\n\r\n\n\t<div id=\"col-1750688154\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-3\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(138, 129, 124);border-width:3px 3px 3px 3px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1945026476\">\r\n\r\n\n\t<div id=\"col-883479722\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2506314162\" class=\"text\">\n\t\t\r\n<div><strong>Contact Us for Anything You Wonder About Skin Health!<\/strong><\/div>\r\n\t\t\n<style>\n#text-2506314162 {\n  font-size: 2.25rem;\n  text-align: center;\n  color: #8a817c;\n}\n#text-2506314162 > * {\n  color: #8a817c;\n}\n@media (min-width:550px) {\n  #text-2506314162 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-883479722 > .col-inner {\n  padding: 10px 30px 0px 30px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-883479722 > .col-inner {\n    padding: 0px 0px 0px 30px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-2146223237\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a class=\"button success expand\" >\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2146223237 > .col-inner {\n  padding: 30px 30px 10px 30px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-2146223237 > .col-inner {\n    padding: 30px 30px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1750688154 > .col-inner {\n  padding: 20px 0px 20px 0px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1750688154 > .col-inner {\n    padding: 20px 20px 20px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1863412920 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1873169840\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1278782479\">\n\n\t<div id=\"col-1961814499\" class=\"col large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"How_Is_Itching_Related_to_Liver_and_Bile_Duct_Disease_Cholestatic_Itching_Treated\"><\/span>How Is Itching Related to Liver and Bile Duct Disease (Cholestatic Itching) Treated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Impaired bile flow (cholestasis) due to liver disease or gallstones causes bile acids to accumulate in the blood and leads to very severe, persistent itching. Treatment requires a special stepwise approach:<\/p>\n<ul>\n<li>Step: Cholestyramine (binds bile acids in the intestine)<\/li>\n<li>Step: Rifampin (accelerates the metabolism of bile acids)<\/li>\n<li>Step: Naltrexone (reduces the perception of itching by blocking the opioid system)<\/li>\n<li>Step: Sertraline (an SSRI antidepressant)<\/li>\n<\/ul>\n<p>These treatments must be managed in close cooperation with the relevant specialist (gastroenterologist), because medications such as Rifampin and Naltrexone may cause side effects on the liver.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Role_Does_Phototherapy_Light_Therapy_Play_in_Itching_Treatment\"><\/span>What Role Does Phototherapy (Light Therapy) Play in Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Phototherapy, especially Narrowband UVB (NB-UVB), is a very effective and safe option in the treatment of generalized itching, atopic dermatitis, and prurigo nodularis. Patients enter a special cabin 2-3 times a week and receive controlled ultraviolet light under the supervision of a dermatologist for short periods measured in seconds.<\/p>\n<p>Although the mechanism by which phototherapy reduces itching has not been fully clarified, it is thought to work not only by suppressing inflammatory cells in the skin but also, like systemic medications, by modulating (affecting) the nervous system and nerve endings in the skin. This makes it a valuable treatment option in systemic itching such as kidney or liver failure as well.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Which_Treatments_Are_Applied_in_Very_Severe_and_Resistant_Itching_Conditions_Such_as_Prurigo_Nodularis\"><\/span>Which Treatments Are Applied in Very Severe and Resistant Itching Conditions Such as Prurigo Nodularis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Some patients, especially in cases where firm, raised, wound-like nodules called &#8220;Prurigo Nodularis&#8221; (PN) develop as a result of intense scratching of the skin, may not respond to any of the above treatments. In these &#8220;resistant&#8221; cases, stronger treatments targeting the immune system and the specific inflammatory pathways that cause itching are used.<\/p>\n<p>In the past, medications that generally suppress the immune system (immunosuppressants) such as Cyclosporine and Methotrexate were used in these cases. Cyclosporine may still be used as a short-term &#8220;bridge treatment&#8221; to provide rapid relief in severe cases. However, their long-term use is not preferred because of their potential for serious side effects.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Have_Biological_Agents_Injections_Created_a_Revolution_in_Itching_Treatment\"><\/span>How Have Biological Agents (Injections) Created a Revolution in Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Targeted biological treatments developed in recent years have created a real revolution in the management of chronic itching. Instead of generally suppressing the immune system, these drugs block only the specific molecules (cytokines) responsible for itching and inflammation. The main ones are:<\/p>\n<ul>\n<li>IL-4 and IL-13 Inhibition (Dupilumab)<\/li>\n<li>IL-31 Inhibition (Nemolizumab)<\/li>\n<li>OSM Receptor Inhibition (Vixarelimab)<\/li>\n<\/ul>\n<p>For example, Dupilumab blocks two important signaling molecules that play a key role in atopic dermatitis and prurigo nodularis. Nemolizumab, on the other hand, targets IL-31, known as the &#8220;itch cytokine,&#8221; which directly carries the itch signal between nerves and immune cells. These targeted agents provide much stronger and more specific itch control with fewer side effects.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Do_JAK_Inhibitors_Small_Molecule_Pills_Accelerate_Itching_Treatment\"><\/span>How Do JAK Inhibitors (Small Molecule Pills) Accelerate Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>JAK Inhibitors (e.g. Abrocitinib, Upadacitinib, Baricitinib) are &#8220;small molecule&#8221; drugs. Like biological agents, they do not interrupt signals outside the cell but rather the inflammatory signaling pathways inside the cell (JAK enzymes).<\/p>\n<p>The greatest advantage of these drugs is that they are taken orally and act very quickly. Especially in severe atopic dermatitis or prurigo nodularis, JAK inhibitors may provide a dramatic reduction in itching within a few days after treatment is started. This rapid effect makes them an excellent option for urgently stabilizing severe symptoms.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Is_the_%E2%80%9CStepwise_Approach%E2%80%9D_So_Important_in_Chronic_Itching_Treatment\"><\/span>Why Is the &#8220;Stepwise Approach&#8221; So Important in Chronic Itching Treatment?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Chronic itching is not a single disease but a complex symptom that may have dozens of different causes. The &#8220;step by step&#8221; (stepwise) model ensures that treatment is planned in a patient-specific, safe, and effective way. No patient starts treatment directly with the strongest immunosuppressive drug. Treatment is like a pyramid:<\/p>\n<p>This pyramid works as follows:<\/p>\n<ul>\n<li>Basic Stage (0 and 1): Barrier repair, moisturizers, avoiding triggers, local creams.<\/li>\n<li>Second Stage (2): If basic care is not enough, systemic neuromodulators (such as Gabapentin) or phototherapy.<\/li>\n<li>Third Stage (3): Treatment is customized with more targeted drugs (such as KOR agonists) directed at the specific underlying cause (e.g. kidney failure).<\/li>\n<li>Top Stage (4): In severe and inflammatory conditions resistant to all other steps (such as Prurigo Nodularis), biological agents and JAK inhibitors come into play.<\/li>\n<\/ul>\n<p>The success of treatment is measured not only by the stopping of itching but also by improvement in the patient\u2019s sleep quality and the objective reduction of scratching-related skin lesions (scratches, crusting) on examination.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1961814499 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1873169840 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1102391220\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1421368702\">\n\n\t<div id=\"col-1676708750\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\t<div id=\"text-3285909271\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-3285909271 {\n  font-size: 1.5rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-2417343418\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2417343418-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-the-underlying-cause-determined-in-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-2417343418-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is the underlying cause determined in itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2417343418-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2417343418-label\">\n\t\t\t\n<p>The first step in the treatment of itching is to identify causes such as skin diseases, allergies, or systemic disorders. Blood tests, allergy tests, and dermatological examination form the basis of this process.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1859928299\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1859928299-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-diseases-can-chronic-itching-be-a-symptom-of?\" aria-expanded=\"false\" aria-controls=\"accordion-1859928299-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which diseases can chronic itching be a symptom of?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1859928299-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1859928299-label\">\n\t\t\t\n<p>Chronic itching may be a sign of eczema, psoriasis, liver diseases, kidney failure, or thyroid problems. In such cases, it is necessary to treat not only the symptom but also the underlying cause.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1219586993\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1219586993-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-do-creams-used-in-itching-treatment-work?\" aria-expanded=\"false\" aria-controls=\"accordion-1219586993-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How do creams used in itching treatment work?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1219586993-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1219586993-label\">\n\t\t\t\n<p>Itching creams generally contain corticosteroids that reduce inflammation or moisturizing barrier-repairing ingredients. These products provide relief by reducing skin irritation and breaking the itch-scratch cycle.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3350866935\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3350866935-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-do-seasonal-changes-increase-itching?\" aria-expanded=\"false\" aria-controls=\"accordion-3350866935-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why do seasonal changes increase itching?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3350866935-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3350866935-label\">\n\t\t\t\n<p>Cold weather, low humidity, and sudden temperature changes cause the skin to dry out. This may lead to worsening itching, especially in people with a tendency toward atopic dermatitis.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2652322226\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2652322226-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-are-antihistamines-used-in-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-2652322226-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When are antihistamines used in itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2652322226-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2652322226-label\">\n\t\t\t\n<p>Antihistamines may be effective in itching of allergic origin. These medications relieve itching by blocking histamine release, but they may not be sufficient alone in itching related to skin diseases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3211108360\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3211108360-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-itching-treated-during-pregnancy?\" aria-expanded=\"false\" aria-controls=\"accordion-3211108360-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is itching treated during pregnancy?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3211108360-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3211108360-label\">\n\t\t\t\n<p>During pregnancy, hormonal changes and skin stretching may cause itching. In treatment, safe, low-risk moisturizers and limited medications under physician supervision should be preferred.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1915302418\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1915302418-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-do-psychological-factors-affect-itching?\" aria-expanded=\"false\" aria-controls=\"accordion-1915302418-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How do psychological factors affect itching?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1915302418-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1915302418-label\">\n\t\t\t\n<p>Stress, anxiety, and depression may trigger itching by increasing the sensitivity of nerve endings in the skin. Therefore, psychological support or relaxation techniques may be included in the treatment plan.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2903623967\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2903623967-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-natural-methods-can-be-used-at-home-in-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-2903623967-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What natural methods can be used at home in itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2903623967-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2903623967-label\">\n\t\t\t\n<p>Moisturizing oils, oatmeal baths, and cool compress applications may relieve itching. However, it should not be forgotten that herbal products carry the risk of allergic reactions.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1147580355\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1147580355-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-does-phototherapy-do-in-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-1147580355-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What does phototherapy do in itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1147580355-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1147580355-label\">\n\t\t\t\n<p>Ultraviolet light treatment (phototherapy) may be applied in chronic or resistant itching. This method balances the sensitivity of nerve endings by reducing inflammation in the skin.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2508174547\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2508174547-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-are-wounds-that-occur-on-the-skin-after-itching-healed?\" aria-expanded=\"false\" aria-controls=\"accordion-2508174547-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How are wounds that occur on the skin after itching healed?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2508174547-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2508174547-label\">\n\t\t\t\n<p>Wounds caused by constant scratching may become infected. In this case, antiseptic solutions and wound-repairing creams should be used, and if necessary, antibiotic treatment should be applied under physician supervision.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-678795715\" class=\"accordion-item\">\n\t\t<a id=\"accordion-678795715-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-itching-treatment-take?\" aria-expanded=\"false\" aria-controls=\"accordion-678795715-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How Long Does Itching Treatment Take?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-678795715-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-678795715-label\">\n\t\t\t\n<p>The duration of itching treatment varies depending on the underlying cause and the treatment method applied. While treatment may be effective within a few days in short-term conditions such as allergic reactions, the treatment process may take weeks or even months in chronic conditions such as eczema or psoriasis.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-178992333\" class=\"accordion-item\">\n\t\t<a id=\"accordion-178992333-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-itching?\" aria-expanded=\"false\" aria-controls=\"accordion-178992333-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Itching?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-178992333-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-178992333-label\">\n\t\t\t\n<p>Since itching is primarily a skin-related condition, the dermatology department should be consulted first.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-285296553\" class=\"accordion-item\">\n\t\t<a id=\"accordion-285296553-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-285296553-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-285296553-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-285296553-label\">\n\t\t\t\n<p>Itching treatment is planned according to the underlying cause. In itching related to allergies, infection, dry skin, or systemic diseases, symptoms may be reduced with appropriate medications, moisturizers, and avoiding triggers.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1899997239\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1899997239-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-herbal-itching-treatment-done?\" aria-expanded=\"false\" aria-controls=\"accordion-1899997239-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is herbal itching treatment done?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1899997239-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1899997239-label\">\n\t\t\t\n<p>Herbal methods may be supportive. Natural ingredients such as aloe vera, oatmeal baths, and chamomile may soothe the skin, but they are not sufficient alone in persistent or severe itching.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2279292404\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2279292404-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-anal-itching-treated?\" aria-expanded=\"false\" aria-controls=\"accordion-2279292404-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is anal itching treated?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2279292404-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2279292404-label\">\n\t\t\t\n<p>In anal itching, hygiene and treatment of underlying causes such as infection or hemorrhoids are important. If necessary, itching may be controlled with corticosteroid or antifungal creams.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-591940067\" class=\"accordion-item\">\n\t\t<a id=\"accordion-591940067-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-itching-in-diabetes-treated?\" aria-expanded=\"false\" aria-controls=\"accordion-591940067-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is itching in diabetes treated?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-591940067-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-591940067-label\">\n\t\t\t\n<p>Itching related to diabetes is generally caused by dry skin and fungal infections. Symptoms decrease with blood sugar control, regular moisturizing, and medical treatments when necessary.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1062002696\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1062002696-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-uremic-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-1062002696-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is uremic itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1062002696-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1062002696-label\">\n\t\t\t\n<p>Uremic itching develops due to kidney failure. In treatment, control of the underlying kidney disease, moisturizers, antihistamines, and some special medications may be used.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2370682703\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2370682703-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-vaginal-itching-treated?\" aria-expanded=\"false\" aria-controls=\"accordion-2370682703-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is vaginal itching treated?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2370682703-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2370682703-label\">\n\t\t\t\n<p>Vaginal itching is generally caused by fungal infections, bacteria, or hormonal changes. It is treated with vaginal creams, suppositories, or medications directed at the cause, and unconscious product use should be avoided.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1334720291\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1334720291-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-nervous-itching-treatment?\" aria-expanded=\"false\" aria-controls=\"accordion-1334720291-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is nervous itching treatment?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1334720291-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1334720291-label\">\n\t\t\t\n<p>Nervous itching is associated with stress and anxiety. In treatment, in addition to medications that reduce itching, stress management, psychological support, and lifestyle adjustments are important.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3782978084\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3782978084-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-fastest-way-for-itching-to-go-away?\" aria-expanded=\"false\" aria-controls=\"accordion-3782978084-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the fastest way for itching to go away?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3782978084-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3782978084-label\">\n\t\t\t\n<p>To calm itching quickly, the skin should be protected from irritants, cold applications should be used, and medications recommended by the doctor should be used regularly. Scratching may worsen the complaint.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2174340052\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2174340052-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-can-severe-itching-be-a-sign-of?\" aria-expanded=\"false\" aria-controls=\"accordion-2174340052-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What can severe itching be a sign of?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2174340052-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2174340052-label\">\n\t\t\t\n<p>Severe itching may be a sign of allergic diseases, liver and kidney diseases, thyroid disorders, or some blood diseases. Long-lasting itching must definitely be evaluated.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3691285206\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3691285206-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-helps-itching-in-children?\" aria-expanded=\"false\" aria-controls=\"accordion-3691285206-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What helps itching in children?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3691285206-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3691285206-label\">\n\t\t\t\n<p>In children, moisturizing the skin, giving short and lukewarm baths, and avoiding irritating products are beneficial for itching. In severe cases, treatment should be planned by a pediatric dermatologist.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-149611373\" class=\"accordion-item\">\n\t\t<a id=\"accordion-149611373-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-deficiency-causes-itching-in-the-body?\" aria-expanded=\"false\" aria-controls=\"accordion-149611373-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which deficiency causes itching in the body?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-149611373-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-149611373-label\">\n\t\t\t\n<p>Deficiencies of iron and vitamin B12 may cause itching in the body. When these deficiencies are corrected, the complaint of itching often decreases.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1102391220 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2525,"parent":2101,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2526","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/pages\/2526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/comments?post=2526"}],"version-history":[{"count":3,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/pages\/2526\/revisions"}],"predecessor-version":[{"id":2578,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/pages\/2526\/revisions\/2578"}],"up":[{"embeddable":true,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/pages\/2101"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/media\/2525"}],"wp:attachment":[{"href":"https:\/\/drsevalkarasati.com\/en\/wp-json\/wp\/v2\/media?parent=2526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}