9. Itchy Skin: The Agitating Dermatological Distress
One of the more uncomfortable symptoms that those with cirrhosis may encounter is pruritus, more commonly known as itchy skin. This itching can be mild or agonizingly intense, varying from one individual to another. It can affect localized regions of the body or be a generalized sensation, tormenting patients day and night.
While the exact cause of pruritus in cirrhosis isn’t entirely understood, several theories exist. A prevailing notion is that the reduced flow of bile due to liver damage leads to the accumulation of bile salts in the skin, triggering the itch. Additionally, other waste products that a healthy liver would typically filter out might accumulate in the bloodstream, irritating the skin from within.
Beyond mere discomfort, chronic itching can have significant implications. Continuous scratching can damage the skin’s outer layer, making it more susceptible to infections. Over time, this can lead to skin thickening or even the formation of scars. Sleep disturbances are common among those with intense itching, leading to daytime fatigue and reduced quality of life.
Keeping the skin moisturized is a primary recommendation. Regular application of hypoallergenic lotions can form a protective barrier, reducing dryness and irritation. Cool showers, instead of hot ones, and wearing breathable fabrics can also offer some relief. If the itch remains unbearable, medical interventions, including certain medications or ultraviolet light therapy, can be explored under a doctor’s guidance. (9)
