Dermatology

Dermatology questions? Ask an online dermatologist.

Ask a Doctor,
Get an Answer ASAP!

I've been suffering from nocturnal pruritus for many years.

Customer Question
Hello...I've been suffering from...

Hello...I've been suffering from nocturnal pruritus for many years. My primary doctors don't take the problem seriously. A dermatologist I saw had no interest in helping me. Psychologically and physically this is literally killing me. I need help to diagnose this and figure out a solution. There appears to be so many causes I don't know where to start.

Doctor's Assistant: Can you tell me about all the symptoms you've noticed (e.g. itching, rash, new birthmarks or moles)?

Thanks for the reply. I have no obvious skin rash or lesions. Skin appears normal. Intense itching all over at night right before bedtime and lasting until 3 am or so when it finally subsides. Because I'm so sleep deprived, even when I nap during the day, the itching flares up. It is so insane and embarrassing. Prior to bed I use a stiff brush for 20 to 30 minutes to brush my skin which very marginally helps, but is no cure.

Doctor's Assistant: How long have you been dealing with the skin issue? Have you noticed any major changes in your overall skin or nails recently?

It has been a long time. 8 years maybe, but as time goes by it gets worse and lately it is off the charts. No major changes in nails. Skin on face and ears seems more oily, while shins and forearms are very dry. At first it was a seasonal thing only during the winter and at night. Now it is all year long night and day. If I am busy it is not a problem. But when I start to relax, it flares up.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Idiopathic Hypersomnia, but this was diagnosed before the pruritus. Generally speaking I need to improve my sleep but that is not going to happen with the pruritus. Hormone levels are absolutely trashed.

Submitted: 7 months ago.Category: Dermatology
Show More
Show Less
Ask Your Own Dermatology Question
Answered in 43 minutes by:
12/19/2017
Dermatologist: DocPhilMD, Doctor replied 7 months ago
DocPhilMD
DocPhilMD, Doctor
Category: Dermatology
Satisfied Customers: 59,719
Experience: Internal Medicine Physician
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Ask Your Own Dermatology Question
Dermatologist: DocPhilMD, Doctor replied 7 months ago

still need help?

Ask Your Own Dermatology Question
Customer reply replied 7 months ago
for $40.00 all I get is a silly question? I don't expect the moon but this is it? O.K. I'll play along. What would $400.00 or even $4,000.00 buy me for a LEGITIMATE response? Two or three short cryptic questions?
Customer reply replied 7 months ago
NOPE! Just another internet land mine that I just stepped on. What a crock of shit! Thanks for NOTHING!!!!!!!!!!!!!
Dermatologist: DocPhilMD, Doctor replied 7 months ago

ok

Ask Your Own Dermatology Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dermatologistLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask dermdoc19 Your Own Question
dermdoc19
dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4,069
4,069 Satisfied Customers
Experience: 30 years practice in general and cosmetic dermatology

dermdoc19 is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

dermdoc19

dermdoc19

Dermatologist

4,069 satisfied customers

30 years practice in general and cosmetic dermatology

Dr. Nair

Dr. Nair

Dermatologist

9,189 satisfied customers

MBBS, MD (Dermatology, Venereology & Leprology)

Dr. Shahz

Dr. Shahz

Dermatologist

243 satisfied customers

MBBS, MCPS, MD

Dr. Skinner

Dr. Skinner

Dermatologist

1,548 satisfied customers

MD , DNB ( D &V), FAAD

Dr. Hanish Babu, MD

Dr. Hanish Babu, MD

Dermatologist

261 satisfied customers

MBBS; MD 26 years Experience.

Dr. S. Attili

Dr. S. Attili

Dermatologist & Dermatopathologist

5,170 satisfied customers

MRCP (Dermatology), Int. Board Certification in Dermatopathology

Dr. Pravin

Dr. Pravin

Dermatologist

1,705 satisfied customers

Senior Consultant MBBS DNB (DVD)

< Previous | Next >

Related Dermatology Questions
I have had this raised bumpy skin rash on my skin for almost
I have had this raised bumpy skin rash on my skin for almost 3 years now. I have tried cortisone creams & even oils, nothing is helping. Tried going to Dr & no luck. They just said to use cortisone.… read more
drn.iqtidar
drn.iqtidar
MD
234 satisfied customers
I have had the worst insanely itchy shins for going on a
I have had the worst insanely itchy shins for going on a year now, I tried oral steroid, steroid cream, antibiotic, everything!!! It's so bad I itch at night till I bleed! … read more
Dr. Abid
Dr. Abid
PGR (Internal Medicine)
Doctoral Degree
5,444 satisfied customers
Itching hands, including the palms. All the time. I have
Itching hands, including the palms. All the time. I have lots of allergies. Last night, I stopped using soap and just used baking soda to wash. The itching stopped for a couple hours, but I just woke … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
975 satisfied customers
I have been having itching all over my body. Sometimes, it
I have been having itching all over my body. Sometimes, it is very intense and irritating. I wake up with scabs because i scratch myself while sleeping. This has been going on for a while. I was readi… read more
dermdoc19
dermdoc19
Dermatologist
Doctoral Degree
4,069 satisfied customers
I have a burning rash on my shins. It started some years ago
I have a burning rash on my shins. It started some years ago but was only during the winter months, I thought it was due to over shaving. It is bad all year round now. It isn't eczema. Until recently … read more
Dr. S. Attili
Dr. S. Attili
Dermatologist & Dermatopathologist
MRCP (Dermatology), Dip. Dermatopathology
5,170 satisfied customers
Caucasian female 73 years old develops skin rash beginning
Caucasian female 73 years old develops skin rash beginning around the eyes with severe itch. This occurs 3 to 4 times each year. Patch tests, skin punch and all eliminations of drugs, soap, cosmetics … read more
Dr. Nair
Dr. Nair
Dermatologist
MD (Dermatology, Venereology, Lepro
9,189 satisfied customers
My Mom 94 ,osteoarthritis, no medicaments related. problem:
my Mom 94 ,osteoarthritis, no medicaments related. problem: itchy all over her body specially at night. type going to severe… read more
dermdoc19
dermdoc19
Dermatologist
Doctoral Degree
4,069 satisfied customers
I have small spots on my forearms. My dermatologist says
I have small white spots on my forearms. My dermatologist says they are caused by loss of pigment from sun damage (I have olive skin tone). He says there is nothing that can be done. Do you know of an… read more
Dr. Nair
Dr. Nair
Dermatologist
MD (Dermatology, Venereology, Lepro
9,189 satisfied customers
I have had a few infected hairs of the past 6 weeks on my
I have had a few infected hairs of the past 6 weeks on my chest and right forearm. I'm not having multiple infected hair follicles at one time. Typically I'll have one at a time, sometimes on the fore… read more
dermdoc19
dermdoc19
Dermatologist
Doctoral Degree
4,069 satisfied customers
I have relatively small almost perfectly circular red
I have relatively small almost perfectly circular red lesions on both legs located only on the shins. These lesions are almost flat and have tiny centers that become sores if rubbed or scratched. Inte… read more
Dermadoc
Dermadoc
Consultant Dermatologist
Post-Doctoral Degree
308 satisfied customers
I have an ongoing problem with my skin, during the warmer
I have an ongoing problem with my skin, during the warmer months (in winter it doesnt bother me) I am constantly itching it is a sharp prickling itch that is worse after a bath for about 20 min and wh… read more
Dermadoc
Dermadoc
Consultant Dermatologist
Post-Doctoral Degree
308 satisfied customers
My dermatitis has flared up on my hands really bad!!!!
My dermatitis has flared up on my hands really bad!!!! should I keep using the diprisone?? It seems to be burning my skin and its driving me INSANE!!! What can you reccomend I do?? I cant get in to se… read more
The Physician
The Physician
Emergency Room Physician
MSc. Pediatric Emergency Medicine, MD.
1,067 satisfied customers
I have one place on each of my arm, about the size of a
I have one place on each of my arm, about the size of a nickel. It is not red, but darker in like a tan brown spots within this area in the size of a nickel. Neither are bumpy or itchy in any way. But… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,832 satisfied customers
For at least 10 years I have got unexplained itching on my
For at least 10 years I have got unexplained itching on my (mostlyupper) arms back of neck and shoulders. It will suddenly prick- there is nothing to see, but as soon as I touch it - and I have to or … read more
Dr. Sophie :: Medicine &amp; Neurology
Dr. Sophie :: Medicine & Neurology
Neurologist
Post-Doctoral Degree
1,832 satisfied customers
I've had intense itching for about 2 and 1/2 years now. It
I've had intense itching for about 2 and 1/2 years now. It stared at work and I just thought it was stress. But after about a year of this It started happending at night and the itching is mostly on m… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
34,141 satisfied customers
For a time now i have very rough hands im 31 year old lady
hi there for a long time now i have very rough hands im 31 year old lady but when its winter and i use hand cream any type my hands really smell especially when ive just woken up is there anything i c… read more
Dr. Cameron
Dr. Cameron
10,475 satisfied customers
For about 6 months now my right shin started to itch a lot i
for about 6 months now my right shin started to itch a lot i scratched it to the point of it bleeding but after using betnovate cream it seemed to clear up.however once i stopped using it it reappeare… read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
I have had this problem for probably 10 years or more now.
I have had this problem for probably 10 years or more now. Can you tell me what it is. My arms and shoulders itch, seems to be seasonal. The itching starts in August and lasts 4-5 months. The itching … read more
Dr. Sophie :: Medicine &amp; Neurology
Dr. Sophie :: Medicine & Neurology
Neurologist
Post-Doctoral Degree
1,832 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x