Itching (Pruritus): Therapy

General measures

  • Avoiding factors that promote skin dryness.
    • Frequent washing, showering, or bathing (bath time maximum 20 minutes/in chronic pruritus: full bath maximum 5 minutes; bathe in cool or lukewarm water rather than hot)Note: After water contact, dab skin.
    • Climate / room temperature (see also under “Avoiding environmental pollution”).
      • Dry, hot or very cold climate.
      • Strong sun exposure
      • Cool room temperatures at night
      • In winter with heating air to ensure adequate humidity
  • Skin cleansing incl. skin care
    • Use greasy washing syndets or spreading shower and bath oils (eg kerosene soybean oil bath).
    • Mild pH neutral skin cleansers use (avoid alcohol-containing cleaning agents!).
    • Immediately after showering or bathing apply moisturizer to retain moisture from showering or bathing in the skin.
    • Use moisturizing preparations.
  • Clothing
    • Cotton instead of wool clothing
    • Avoid tight-fitting clothing (e.g. leggings)
    • Wear light clothing
    • Do not wear synthetic clothing
  • Avoid scratching in case of itching
    • Cut nails short
    • Wear cotton gloves at night
    • When itching rub the spots and do not scratch them
  • Checking the food, especially food additives, for allergenic or pseudoallergenic effect (see under pseudoallergy).
  • Review of permanent medication due topossible effect on the existing diseaseNote: Also drugs and their ingredients (eg hydroxyethyl starch, HES) can release, among other things, the messenger substance histamine, which triggers the itching.
  • Avoidance of psychosocial stress:
    • Psychosomatic stress
    • Stress
  • Avoidance of environmental stress:
    • Irritants (chemicals, solvents)
    • Air conditioning (dry air)
    • Overheated rooms (maximum 21 ° C)
    • Dry room climate → use air humidifiers
    • Sun (frequent sunbathing) → sunscreen!
    • Winter (cold) – cold-dry climates; dry heating air (→ reduction of sebaceous gland secretion); in addition, the following recommendations:
      • Air space humidifier
      • Wear gloves from < 10 °C outdoor temperature

Regular checkups

  • Regular medical checkups

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grain products).
  • Observance of the following special dietary recommendations:
    • Sufficient fluid intake (1.5-2.0 l/day).
    • Avoid hot or spicy food (eg, chili).
    • Diet rich in the omega-6 fatty acid gamma-linolenic acid (GLA). GLA-rich foods are fats and oils such as evening primrose, black currant seed and borage seed oil.
  • Selection of appropriate foods based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Physical therapy (including physiotherapy)

  • UVB 311-nm light therapy (synonym: narrow-spectrum UVB; 311-nm UVB; UV (ultraviolet)-B phototherapy) – Irradiation therapy with UV-B significantly reduced pruritus in 9 of 10 patients with uremic pruritus.

Psychotherapy

Complementary treatment methods

  • Purgation: Purgation (from Latin purgare “to cleanse”) is the emptying of the intestines in the sense of a “purgative therapy“.This is to contribute to the rehabilitation of the intestinal flora. Excretory procedures are treatment methods of complementary medicine, which are presumably intended to detoxify the bodily fluids. The terms humoral therapy (from Latin humores “juices”) or Aschner procedure (after the physician Bernhard Aschner, 1883-1960) are also used as synonyms. Notice.
  • In case of dysbiosis (disturbance of the intestinal flora), therapy with probiotics (microbiological therapy; symbiosis control; food supplements with probiotic cultures) is indicated.