FAQ - pruritus vulvae
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Side-effects of marijuana...?

in comparison, here's a list of possible marijuana side-effects I found online, along with possible side-effects of a variety of popular pharmaceuticals

four questions follow:

without looking at the answers, which side-effects do you think are attributable to marijuana?

which side-effects do you think sound worst?


serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal, increased risk of serious gastrointestinal adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at greater risk for serious gastrointestinal events. Abdominal pain, Diarrhea, Dispepsia, Flatulence, Nausea, Back pain, Peripheral, edema, Injury-accidental, Dizziness, Headache, Insomnia, Respiratory Pharyngitis, Rhinitis, Sinusitis, Upper respiratory tract infection, Rash.

anaphylactic reaction (including laryngeal edema), asthenia, face edema, pain
AUDITORY: sudden decrease or loss of hearing, tinnitus
CARDIOVASCULAR: angina pectoris, chest pain, hypertension, hypotension, myocardial ischemia, myocardial infarction, palpitation, postural hypotension, syncope, tachycardia
DIGESTIVE: abdominal pain, abnormal liver function tests, diarrhea, dry mouth, dysphagia, esophagitis, gastritis, gastroesophageal reflux, GGTP increased, vomiting
MUSCULOSKELETAL: arthralgia, back pain, myalgia, neck pain
NERVOUS: hypertonia, hypesthesia, insomnia, paresthesia, somnolence, vertigo
RESPIRATORY: dyspnea, epistaxis, pharyngitis
SKIN AND APPENDAGES:photosensitivity reaction, pruritus, rash, sweating
OPHTHALMOLOGIC: abnormal vision, blurred vision, chromatopsia, changes in color vision, conjunctivitis (increased redness of the eye), dim vision, eye pain, glaucoma, photophobia, watery eyes
UROGENITAL: abnormal ejaculation, priapism (including prolonged or painful erections)

Trouble remembering things, Sleepiness, Anxiety, Paranoia, Altered time perception, Dry mouth, Nausea, Headache, Tremor, Decreased coordination, Increased heart rate, Altered pulmonary status, Altered body temperature, Reduced muscle strength, Decreased cerebral blood flow, Increased food consumption, Anxiety and panic, Paranoia, Confusion, Aggressiveness, Hallucinations, Sedation, Altered libido, Possible suicidal ideation, Depersonalization, Derealization, Poor sense of time, Worsened short-term memory, Addictive behaviors, Amotivational syndrome

arrhythmias, sinus tachycardia, prolongation of the conduction time leading to myocardial infarction and stroke, drowsiness, dry mouth, fatigue, headache, abdominal pain, acid regurgitation, constipation, diarrhea, dizziness, nausea, irritability, mental acuity decreased, nervousness, upper respiratory infection, and pharyngitis. Syncope; malaise.

Cardiovascular: Tachycardia; arrhythmia; vasodilatation; palpitation; hypotension.

Digestive: Vomiting; anorexia; diarrhea; gastrointestinal pain; gastritis; thirst; flatulence; edema of the tongue; abnormal liver function and rare reports of hepatitis, jaundice and cholestasis.

Hypersensitivity: Anaphylaxis; angioedema; pruritus; facial edema; urticaria; rash.

Musculoskeletal: Local weakness.

Nervous System and Psychiatric: Seizures, ataxia; vertigo; dysarthria; tremors; hypertonia; convulsions; muscle twitching; disorientation; insomnia; depressed mood; abnormal sensations; anxiety; agitation; psychosis, abnormal thinking and dreaming; hallucinations; excitement; paresthesia; diplopia. Sweating, ageusia; tinnitus, urinary frequency and/or retention. Chest pain; edema. Hypertension; myocardial infarction; heart block; stroke. Paralytic ileus, tongue discoloration; stomatitis; parotid swelling. Inappropriate ADH syndrome. Purpura; bone marrow depression; leukopenia; eosinophilia; thrombocytopenia. Elevation and lowering of blood sugar levels; weight gain or loss. Myalgia. Decreased or increased libido; abnormal gait; delusions; aggressive behavior; paranoia; peripheral neuropathy; Bell's palsy; alteration in EEG patterns; extrapyramidal symptoms. Dyspnea. Photosensitization; alopecia. Impaired urination; dilatation of urinary tract; impotence; testicular swelling; gynecomastia; breast enlargement; galactorrhea.

Drowsiness; dry mouth; stomach pain ; tiredness; trouble sleeping. Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); dark urine; fainting; fast or irregular heartbeat; mental or mood changes; persistent fatigue; seizures; severe dizziness; unusual bruising or bleeding; yellowing of eyes or skin. headache, fatigue, and somnolence. dry mouth and nausea or vomiting. Pharyngitis, dyspepsia, and increased appetite. liver function abnormalities, acute hepatitis. wheezing, coughing, bronchitis, sinusitis

1) C

2) A  (+ info)

Has anyone suffered from bad side effects from hydrocortizone?

I have been suffering from severe pruritus for years and cannot find a remedy for relieving the itchiness in my (forgive me) rear end.
That is, until three years ago my doctor recommended Nystatin or Nystaform. This is a low dose hydrocortizone cream. It has relieved the itching and I have been taking it sparingly everyday. Great!
The only trouble since then, is that I have been having terrible vertigo attacks or severe dizzy spells.
It is similar to being severely drunk, when the world is going round and round and you don't know which way is up or down. It lasts for half an hour and weakens you for a day after.
I have never had them before and now, as an experiment I have stopped using the cream for two months. I have not had a dizzy spell yet and wonder if the hydrocortizone could be entering my bloodstream/nervous system and having an adverse effect.

My doctor of course disregards this notion, but on the package it clearly says "Do not use for more than 7 days"
I have been using it for three years.
Other than this, I am and have been in perfect health.
But of course, now I am back to the terrible itching.
For those that don't know, it is like sitting on hot broken glass, yeaowch!

My question is, has anyone else suffered side effects from taking hydrocortizone?
It seems crazy that the thing that can cure, can also make you more ill.

Pure Nystatin doesn't have any cortisone in it. However, often it is mixed with hydrocortisone, in products such as Vioform HC and Nystaform. The percentage of hydrocortisone is generally 1%, which is low; and the hydrocortisone molecule itself is a fairly weak one. Couple that with the location that you're using it (a small body surface area), and I would doubt that the cortisone in the product is affecting your adrenal glands at all, and certainly not to the level of affecting your blood pressure, which would be the only way I could figure out any correlation between the cream and the dizziness. I suspect that you're having some other cause for the dizziness. The reason that the package says not to use it for a prolonged time is that over time, it can thin out the skin (esp in that area that you're using it) and lead to skin ulcerations.  (+ info)

Help with extremely itchy butt?

I started to have an itchy butt several days ago, at first paid no attention to it, but then it got annoying enough that i started to do some research. I have found information on both pinworms and pruritus ani, but i am not sure if one of these is the problem or what. It seems to me like the itchyness started after i washed more vigorously with soap then i have in the past, but that could just be faulty memory or coincidence. I have looked for pinworms, and have no found any in either stool or on my person. The itchyness is pretty much constant, day and night. I am going to try vaseline tonight and see if that helps, but i was wondering what else it could be and what other things i could look for to self diagnose and treat...i don't have a gp at the moment, and don't want to spend the money if i don't have to. I will probably give it a week or so, and if it is still a problem, go buy some over the counter pinworm stuff. If you have any suggestions, please share.


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Are you getting your child the swine flu shot?

Here are possible child effects of the swine flu shot.
*Local injection site reactions (including pain, pain limiting limb movement, redness, swelling, warmth, ecchymosis, induration)
*Hot flashes/flushes
*Facial edema.
*Immune system disorders
*Hypersensitivity reactions (including throat and/or mouth edema)
*In rare cases, hypersensitivity reactions have lead to anaphylactic shock and death
*Cardiovascular disorders
*Vasculitis (in rare cases with transient renal involvement)
*Syncope shortly after vaccination
*Digestive disorders
*Abdominal pain.
*Blood and lymphatic disorders
*Local lymphadenopathy
*Transient thrombocytopenia.
*Metabolic and nutritional disorders
*Loss of appetite.
*Nervous system disorders
*Febrile convulsions
*Guillain-Barré Syndrome
*Myelitis (including encephalomyelitis and transverse myelitis)
*Neuropathy (including neuritis)
*Paralysis (including Bell’s Palsy)
*Respiratory disorders
*Chest pain
*Stevens-Johnson syndrome
*Rash (including non-specific, maculopapular, and vesiculobulbous

  (+ info)

my anal itches Alot like HELL!!?

It started with just pain when i try to wipe my buttocks after using the toilet and the same thing happened the next day.On the third day my anus started itching and i found a small amount of blood coming out and i don't think its Pinworms because i don't think a bug will come out of that O.o.I tried and nothing came out but i didn't try that hard because of the pain inside,mostly happens when i stand up and i think it might be Pruritus Ani because i eat lots of spicy things and i also put soap in my buttocks O.o.and I sit all day playing the computer mostly.

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Week 4 itchy bumps, no rash or redness wtf?

week 4 starts of my crazy, all over, up a night, wakes me up in the the morning, scratched raw, only relieved by ice and ice water, bumpy, no redness rash.

i hav no food allerigies, ive tried bendyrl which helped for a bit, but made me tired and my immune system blocked it after 3 days
im not taking any medication, so its not a side effect
my skin isnt dry
my mum has eczema, but ive tried her perscription cream, it didnt help
ive tried oatmeal baths
washing my sheets, used vinager in case it was the detergent
we even got a plastic sheet for under my sheets and got a new pillow
ive tried sleeping in a different room, on different beds with different sheets
the bumps arent ALLLLLLLLL OVER but they are spread over my body, theyres maybe, 30 sumthing sores total, but my WHOLE body itches. they itch so bad, they rip open and its a long nasty story..........
my legs stomach and hands, and worst in the morning, and everywhere is worst at night
personally, i thinks its Brachioradial pruritus, but its only on my arms and doesnt explain the rest of my itching........i hav no insurence so my mum refuses to take me to the doctor, but instead is threatening to take me to a mental hospital, and i know....im not crazy.......i know im not.........the itch is there.....im not trying to get anything out, it just itches. she WONT take me to the doctors, though SHE has an appointment on monday. lucky fucky ducky her. wonder if this counts as neglect cuz i havnt been to the doctor in 3 years, though my siblings and her go to the doctor on a normal basis............anyways...........HELP ME!!!!!!!
picture of my arms after the first (not the worst) itch fit monday, then theres was another on tuesday, and another last night, all 3 waking me up at 4:30am


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Would Dr Frank or anyone answer my fatty liver disease question?

I had been to many doctors until I self-taught myself to identify the various nutritional triggers to the pruritus Urticaria I was being troubled with for over a year. I am doing much better but my nutritional triggers are so miniscule that I think I either have very severe non-alcoholic fatty liver disease or possibly PSC or PBC.

MY QUESTION IS: what therapies are there for PBC or PSC besides (1) ursodiol bear bile, and (2) also better and better micro-nutritional ‘adjustments,’ or (3) a whole liver transplant?

Thanks so much for any answers or ideas.

AI – a self taught nutritionIsT ><+>[(-:]
My symptoms are many many triggers that cause blistering pruritus with a fever in my thighs which occurs within minutes or hours after I eat or apply a trigger to my skin.

My worst trigger is organic olive oil which begins to itch in 5 to 20 minutes after application.

Another is when I eat over 150 calories of almonds or sesame seeds which will cause blisters and pruritus and a thigh fever in three hours.

A high carb 800 calorie meal will trigger blisters and pruritus and a thigh fever in 3 to 4 hours.

These are very consistent trigger responses which I have read is very similar to those with fatty liver disease. Obesity is oftentimes associated with both alcoholic and non alcoholic liver disease, but many people who have this liver disease are not obese, since I apparently have it in spades.

It is a most miserable condition.

I sincerely thank those who are like Dr. Frank and would respond intelligently with your insights.

My best to all.
AI – self nutritionIsT ><+>[(-:]
Thank you Renata for your response.

I hope a good specialist will eventually answer my question(s) since I am looking for more hope from my continual sufferings with pruritus/rash flareups. There are very few specialists in this area unless one's insurance is very very good.

Sooo MY QUESTION IS: what therapies are there for PBC or PSC besides (1) ursodiol bear bile or (2) a whole liver transplant or (3) better and better micro-nutritional ‘adjustments’ to minimize the triggers whenever they show up and to 'perhaps' heal the root problem(s) of a weakened liver?

Also, rather than allowing my disease to progress to requiring a full liver transplant, are stints oftentimes uses to open up clogged biliary glands? I have read that is rarely an option for some reason and a liver transplant will be out of the question with my age/income/insurance-provider.

Thanks anyone.

AI – self nutritionIsT ><+>[(-:]
Dr. Frank,

Thank you so much for passing on what you felt was correct for my situation. We are all learning from each other in this struggle for better health and ultimately the struggle for humankind to survive the inadequate information that we are all inundated with on a daily basis.

We both readily agree that my prior poor micro-nutrition was the cause of my present problems; soo I will continue to do my nutritional research and adjust my micro-nutrition absorption since this appears to be the only choice I might ever have.

Thank you again for passing on your insights.

I pray you will continue your good work forever with health and peace.


I am very much afraid your diagnoses,conclusions and proposed managements are all pretty illogical from start to finish.

Food allergies are a bit of a minefield and there influences on symptoms and disease are uncommon and vastly over-reported, fed by a healthy pseudo-scientific industry based on disreputable and facetious allergy testing.

Fatty liver is directly caused by obesity, the body basically running out of places to stuff spare fat, and its management is basically weight loss.

Primary Sclerosing Cholangitis requires specialist investigation to confirm the diagnosis and the majority of patients have a history of chronic ulcerative colitis. Primary Biliary Cirrhosis is an easy diagnosis to confirm or refute as most patients have anti-mitochondrial antibody.

It is said of doctors 'the doctor who treats himself has a fool for a patient.' I am afraid this is doubly true of the amateur.  (+ info)

Why do I itch after contact with liquids?

And yes, I have gone to the doctor and after lots of tests he shrugged, is sending me to a Dermatologist. There are no visible rashes. Its mostly on my face but occurs on my extremities too. Any time I sweat, my nose runs, I take a shower, my eyes water, my baby spits up on me...the list goes on and on. But you get the point. I'm not asking for home remedies since I have tried so many things already. Antihistamines don't help. I'm asking if anyone has ever heard of anything like this. I thought it was Aquatic Pruritus but it doesn't generally occur on the face and isn't caused by your own fluids, just water. Anyone know what this might be?
Kate: Anything is possibile. I'm going to ask for an allergy testing. The only piece of jewelry that i wear is a pure silver medallion necklace. No rings. But I would love for it to be an allergy that I can easily solve.

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I have had a sudden breakout of a rash and spots. Please help (Dr frank if u are around or anyone else)?

I am on antibiotics Trimethoprim for a urinary tract infection, and have had a sudden breakout of really itchy spots all over my body. I checked the BNF and possible side effects listed include pruritus, other allergic reactions, and rashes. I wonder if me being on antibiotics and the sudden onset of this is related. I have two points that I would like clarifying.

- Do you suspect the two are related?
- I have piriton (anti histamine) at home. Should I take it? if so, how much?

I would really really appreciate all answers.


Broadly itchy rashes are statistically most likely to be caused bay an allergic response to something. The fact that you are currently on an antibiotic clearly makes this even more likely and suggests that it is the cause. Either way it is reasonable to try chlorpheniramine (Piriton) for any itchy rash. The standard adult dose is 4mgs three times daily. As always if the rash does not settle or you develop any new or worrying symptoms you need to seek local medical advice.

EDIT retroguts is of course years out of date, Septrin/Bactrim/Cotrimoxazole has been rarely prescribed in the UK at least for 15 years due to its unacceptable risk benefit ratio. This is due to the sulphonamide component, sulfamethaxazole, which has been thought for more than a decade and a half to contribute little or nothing to its efficacy. UK labs no longer do sensitivity patterns to it.  (+ info)

How do i know if i have Pruritus? My legs itch like crazy but there's not rash? Do you think i have it?

SO my legs( thighs and calves), and the creases of my knees itch likt crazy. i'm scratching them SO MUCH AND IT ITCHES LIKE CRAZY...but, there isn't a physical rash. i'm just scratching on my leg really hard, because it's itches SO MUCH!.Do you think i have pruritus? How do i know? I'm in chlorine alot, and everytime i get out of the water, my skins itches more. IDK what to do? what do you tink.

You may wish to rephrase your question.
The definition of pruritis is itching. It is a symptom, not a diagnosis.  (+ info)

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