Conversation: The conversation between human and AI assistant.
[|Human|] I have recently been tested for liver enzymes. They were very high at first. Tested me again in 4 days and they had gone down some, but ALT was still high. They gave me an sonogram of the stomach, gallbladder, liver, pancreas and kidneys. Saw nothing. Later they called and stated I had "sludge" in my gallbladder. This has caused my billirubin count to rocket to 10. I am itching constantly. I had this problem approx. 25 yrs. ago and I was given a very, very small (red in color) pill RX. Itching stopped w/in 10 minutes. I cannot remember the name of the pill. Can you be of any help or familiar w/this pill?
[|AI|]  Hi and thanks for the query, continues itching could imply accumulation of bilirubin in the tissues, especially the skin causing irritation and characterized with itching. Such pills causing such immediate and temporary cessation of the itching could certainly be a steroids or Ant histamine Chat Doctor.  A careful consideration has to be taken, and appropriate treatment options proposed by your gastroenterologist to offer a somewhat permanent solution to this problem. Phototherapy, Bile sequestrating agents and endoscopic surgical options, depending on the case could be very useful and helpful. Best regards, Bain LE, MD.