Conversation: The conversation between human and AI assistant.
[|Human|] I had my gall bladder out on Monday, and I have experienced itching all over my abdomen, and wher my small incisions are. Today I m noticing that the itching is under my arms, on my forearm, my neck, and sides, including my lower back. Is this normal?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. No, this is not normal. You had cholecystectomy done. Sometimes, post cholecystectomy, hepatitis is seen. This hepatitis can cause increase in bilirubin level and this raised bilirubin can cause generalized skin itching. So better to get done 1. Ultrasound examination of abdomen for liver parenchymal. 2. Liver function test including bilirubin, SEPT, GOT etc. If all these are normal then vitamin B12 deficiency and allergy can be the cause. So get done vitamin B12 level and if deficiency then you will need supplements. For allergy, take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.