Conversation: The conversation between human and AI assistant.
[|Human|] I have ESLD and have unremmiting itching. I am unable to sleep at night and am able to take short naps during the day. I have tried all the known OTC remedies but to no avail. If this is what I have to look forward forward for the rest of my life its not much. My bilirubin levels are very high. I am at my witts end. Do you have any ideas or suggestions? YYYY@YYYY Thank you, Marc
[|AI|]  Hitching in the end stage liver disease can be quite problematic, there are quite a few things tried for it with limited success in some cases. Anti- histamine like cetirizine, defense Chat Doctor. Some local application lotions a like calamine and soothing agents are useful. Then there are medications like rifampicin and ursodeoxycholic acid. Please consult your doctor to see if any of these work for you. Thanks.