Primary Biliary Cholangitis

Tips to manage pruritus

Pruritus, or persistent itching, is one of the most common symptoms of PBC. In fact, up to 70% of people with PBC may experience pruritus at some point over the course of the disease.1 Itching can occur anywhere on the body and for some may be worse at night.1

What you should try
  • Use skin moisturizer and oatmeal extract to improve dry and inflamed skin
  • Use mild, hypoallergenic, dye-free, fragrance-free nonalkaline soaps and lukewarm water
  • Hydrate your skin immediately after a bath or shower
  • Cut your nails short to reduce scratching lesions
  • Train yourself to stop the cycle of itch – try to find a distraction to forget about the itching
What you should avoid
  • Heat, including hot showers and baths which may dry out your skin
  • Excessive washing/bathing
  • Rubbing your skin
  • Products that irritate the skin such as alcohol-based products
  • Deodorant soaps - if too strong, they can irritate the skin and aggravate itching
What you should try
  • Wear gloves when cleaning and doing housework to protect your hands from bleach, dish soap and other cleaning products
  • Wear loose clothing made of natural fibres to avoid irritation from friction
    (Cotton is the softest and coolest fabric to wear)
What you should avoid
  • Clothing that rubs the skin
  • Overly scented detergents
  • Wearing woolen or tight clothing
What you should try
  • Ensuring you have adequate water intake
What you should avoid
  • Spicy food and stimulants (tobacco, alcohol, coffee, etc.)
What you should try
  • Use wet, cold, or moist wraps or a compress and apply to the area of the skin that is irritated
  • Use a humidifier in the house if the air is dry
What you should avoid
  • Dry air
What you should try
  • Use relaxation techniques
What you should avoid
  • Stress and anxiety
    (If you suffer from chronic stress or anxiety, talk to your doctor for strategies to help you)

REFERENCES:

  1. Canadian Liver Foundation. Primary Biliary Cholangitis. Available at:
    https://www.liver.ca/patients-caregivers/liver-diseases/primary-biliary-cholangitis/ Last Accessed: November 2024