How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Shahz Your Own Question

Dr. Shahz
Dr. Shahz, Dermatologist
Category: Dermatology
Satisfied Customers: 243
Experience:  MBBS, MCPS, MD
Type Your Dermatology Question Here...
Dr. Shahz is online now
A new question is answered every 9 seconds

extreme itching sensation, skin crawling, almost needle pricking

Resolved Question:

extreme itching sensation, skin crawling, almost needle pricking from the "inside" nor physical signs on skin, occurs mostly on legs and arms. no common threads to what starts the onset. ruled out anxiety. no common denominators.

diagnosed with mixed connective tissue disorder three months ago. taking plaquenil for it, along with vistaril for anxiety when needed. and ambien to sleep at night.

need direction to help with skin sensation. hot water baths give relief, along with tanning at some times. tanning does not make it worse. taking antihystamines (benadryl and prescription) but seems to offer little relief
Submitted: 3 years ago.
Category: Dermatology
Expert:  Dr. Shahz replied 3 years ago.

Dr.shahz : Your satisfaction is my obligation,please ACCEPT only if you are satisfied,a positive feedback would be highly appreciated.
Dr.shahz : Would you tell are there any hives like lesions or bumps?
Dr.shahz : Generalised itch with no physical signs can be associated with some systemic diseases like Thyroid disorders,Diabetes,kidney disorders and some liver dysfunctions.
Dr.shahz : So I would suggest to do the following blood function tests like thyroid function tests,kidney function trst
Dr.shahz : Liver function test,complete function test,
Dr.shahz : It will be easy to reach to a conclusion after you clear off these condition on the basis of these tests.
Dr.shahz : One possibility would be Urticaria of unknown cause but the lesions would be raised and would be present for atleast 24 hours.
Dr.shahz : So I would suggest to do these blood tests to rule out these conditions.
Dr.shahz : In the mean time I would suggest to use Tablet.Allegan 180 mg once a day for 3 weeks each morning
Dr.shahz : Tablet- Tagamet 300mg once a day for 1 month.
Dr.shahz : Tablet-Zyrtec once a day before going to bed for atleast 2 weeks.
Dr.shahz : If you feel that the conversation was helpful then you can click the green the ACCEPT button to credit your expert.
Customer: We had liver test done. Completely normal. What about the possibility that the body is creating its own opiate. Was looking at the benefit of getting a prescription for Ondansetron,.
Dr.shahz : As I have said earlier that an autoimmune cause can't be exluded
Dr.shahz : And ondansetron is an anti sickness medication do it would not help at all.
Dr.shahz : 0
Dr.shahz : I would be happy to answer any more queries.
Dr.shahz : If you think that the conversation was helpful then please don't forget to click on the green ACCEPT button,a positive feedback would be appreciated,
Dr.shahz : Thanks

only researched the anti sickness medication because it suppresses Serotonin levels. It certainly seems like this is related to paresthesia, but no one seems to be offering any real help, her GP, her Rheumatologists all think it must be nothing of any magnitude, but when it starts she simply goes crazy. itching seems to make it worse. we use benadryl creams, and pills, and have tried calming lotions, cortisone, heat pads, ice pack. She is to the point she takes pain meds along with the benadryl just to "knock her out" so she can rest. And again, no physical signs on the skin,

Dr.shahz : Thanks for your input
Dr.shahz : I would suggest not to use the topical anti allergics as it can aggravate the situation.
Dr.shahz : I would advise to start using Tablet Hydroxzine 25 mg at night and Tablet Allera 180mg in the morning.
Dr.shahz : I advised some of my patients to use Tablet Gabapenten starting from 100mg a day
Dr.shahz : Its an anti epileptic medication but can be used in chronic itch and PRURIGO if the blood tests are negative for any systemic involvement.
Dr.shahz : It's a prescription only medication so you need to see your Family doctor for that matter.
Dr.shahz : I would suggest not to use a very hit water bath or shower and please use a good quality moisturising lotion twice a day and after shower to lock in the moisture.
Dr.shahz : I just want you to do a blood glucose test and thyroid and kidney function tests just to rule out their involvement.
Dr.shahz : And a full blood count to know the blood cells picture,and in the meantime the patient can use these above described medications.
Dr.shahz : Do you have any more questions?
Dr.shahz : I hope this conversation was helpful to you,please don't forget to click on the green ACCEPT button if you are happy with the answers.
Dr.shahz : You can also discuss the use of Tricyclic antidepressants like Amitriptylline with you doctor They can also be of help sometimes.
Dr.shahz : These are the best possible options which are in practice for pruritus especially if all the blood tests are normal. A person should drink plenty of water to keep the ski
Dr.shahz : Skin hydrated.
Dr.shahz : Cold wet dressing and avoiding hit showers can add to the medicinal therapy.
Dr.shahz : I hope this information was of help to you,would be happy to any more queries.
Dr.shahz : All the best.
Dr.shahz : Just a thought,also avoid rough clothings or fabrics,overheating and alcohol spices and caffein.
Dr.shahz : Keep the nails short and clean if there is an intense urge to scratch then rub it with the palm of your hands ci the nails can break the skin and would invite bacteria to cause infections.

Thanks, XXXXX XXXXX try to see if this helps her, we certainly need to find some relief.

Dr. Shahz, Dermatologist
Category: Dermatology
Satisfied Customers: 243
Experience: MBBS, MCPS, MD
Dr. Shahz and other Dermatology Specialists are ready to help you

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ

Meet The Experts:

  • dermdoc19


    Satisfied Customers:

    30 years practice in general and cosmetic dermatology
< Last | Next >
  • dermdoc19's Avatar



    Satisfied Customers:

    30 years practice in general and cosmetic dermatology
  • Dr. Nair's Avatar

    Dr. Nair


    Satisfied Customers:

    MBBS, MD (Dermatology, Venereology & Leprology)
  • Dr. Shahz's Avatar

    Dr. Shahz


    Satisfied Customers:

  • Dr. Skinner's Avatar

    Dr. Skinner


    Satisfied Customers:

    MD , DNB ( D &V), FAAD
  • Dr. Hanish Babu, MD's Avatar

    Dr. Hanish Babu, MD


    Satisfied Customers:

    MBBS; MD 26 years Experience.
  • Dr. S. Attili's Avatar

    Dr. S. Attili

    Dermatologist & Dermatopathologist

    Satisfied Customers:

    MRCP (Dermatology), Int. Board Certification in Dermatopathology
  • Dr. Pravin's Avatar

    Dr. Pravin


    Satisfied Customers:

    Senior Consultant MBBS DNB (DVD)