At GuideTreatments.com we believe that symptomatic treatments should be reserved only for short term. It is vitally important to diagnose the underlying condition with robust assessment and investigations.
Symptomatic treatments:
- Tab. Montina L (Montelukast 10mg; Levocetrizine 5mg) – one tablet once a day in the evening.
- Talcum powder Candid renew (Calamine; silicone dioxide; menthol) for local application.
Common conditions to consider:
Condition |
Common clinical presentation along with itching |
Skin conditions |
|
| Lice infestation | Itching in scalp, pubis and evidence of lice organisms, irritability and lack of sleep |
| Prickly heat | Itchy red rash on the skin on exposure to hot temperature and no signs of infections |
| Psoriasis | Localised redness of skin, dry and flaky skin with silvery scales |
| Scabies | Intense night-time itching, burrow tracks in web spaces of hands, feet, other skin folds with positive microscopy |
| Tinea (ring worm infestation) | Localised symptoms with red scaly rash, blisters, thick and discoloured nails |
| Superficial skin infection | Swelling, redness and skin warmth. Patients may present with systemic evidence of infection. |
| Eczema | Patchy dry skin, discolouration, localised swelling but no evidence of skin infection. |
| Intertrigo | Reddish skin rash, induced or aggravated by heat, moisture, maceration or friction in skin folds |
| Skin allergy (urticaria) | Red discolouration of skin, skin elevation, blisters and history of contact to sensitive products |
| Bee sting or insect bites | History of bites, localised pain, stinging, raised skin or evidence of secondary infection |
Infective conditions |
|
| Chicken pox | Fever, skin rash with or without blisters, headache and tiredness |
| Filariasis | Dry cough associated with groin pain, leg swellings. This is more common in endemic areas. |
| Measles | Rhinitis, red eyes, small greyish-white spots on the buccal mucosa (Koplik spots) and blotchy maculopapular rash |
| Worm infestations | Generalised abdominal pain, nausea, history of worm in stools and laboratory confirmation from stool samples |
Metabolic conditions |
|
| Hepatitis | Fatigue, nausea, vomiting, abdominal pain, jaundice and deranged liver function tests |
| Addison’s disease | Hypotension, hypoglycaemic episodes, fatigue, nausea and vomiting |
| Hypoparathyroidism | Fatigue, muscle twitching, cramps and low levels of parathyroid hormone |
| Hypothyroidism | Fatigue, weight gain, intolerance to cold, dry skin and abnormal thyroid function test |
| Crohn’s disease | Bloating, flatulence, diarrhoea, evidence of malabsorption but no evidence of infective pathology |
Others |
|
| Eosinophilia | Persistent cough, breathlessness and laboratory confirmation of raised eosinophils |
| Varicose veins | Engorged veins, localised aching, skin discolouration, muscle cramps and evidence of reduced venous drainage |
| Venous thrombosis | Localised swelling, pain, skin discolouration and warm skin |
| Cholecystitis | Localised pain around right upper quadrant with rigid abdomen, fever along with radiological evidence of inflamed gall bladder with or without gall stones |
| Ascites | Distended abdomen with no rigidity, evidence of fluid collection in peritoneum and underlying pathology |
| Vaginitis | Vaginal discharge, dryness, painful intercourse and spotting |
| Gout | Joint swelling, pain in joints, reddish discolouration and localised tenderness along with uric acid crystals in joint aspirate |