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What Causes Itching Around Face, Loss Of Urination And Improper Bowel Movement?

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Posted on Sat, 14 Mar 2015
Question: I have numerous problems that started within last two weeks. itching around face, loss of urination and bowel movement, loss of energy, muscles feel shakey after mild exertion, and loss of balance. At this time any bowel or urination has to bewith great straining
I have appointment with pain clinic today to check pain pump
doctor
Answered by Dr. Prakash H Muddegowda (57 minutes later)
Brief Answer:
Strongly morphine overdose possibility/ adverse effect

Detailed Answer:
HI,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Based on your query, my opinion is as follows:

1. Excessive muscle relaxation of various systems is the cause.

2. Usually a features of opioids, so your doctor is right in thinking of morphine overdose.

3. Biliary duct slowing has resulted in obstructive jaundice features, which is shown through itching. Other system slowing has resulted in straining for urine or defecation.

4. Need to get dose reduced to, at the earliest.

5. Enlarged prostate, would have caused obstruction and straining only for urine. Its not prostate alone, for all these symptoms. If there is any change in food nutrition, fiber and hydration, then other things can be thought of.
For eg: you are not taking in food adequately, which can explain - loss of energy, affected bowel movement (due to low calorie and weakness), and also shaky muscles on mild exertion. Low hydration can explain - loss of urination. Dryness of skin of face - can result in skin itching.

6. I would think of morphine at present. As you have an appointment with the pain clinic, it will be evaluated. If its normal
a. Look into nutrition and high fiber diet - Bulking laxatives maybe taken.
b. Good hydration - At-least 5-6 liters of water/day
c. Avoid dry skin. Use moisturizers. Use sunscreen to protect skin, particularly on face too.


Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Causes Itching Around Face, Loss Of Urination And Improper Bowel Movement?

Brief Answer: Strongly morphine overdose possibility/ adverse effect Detailed Answer: HI, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. Excessive muscle relaxation of various systems is the cause. 2. Usually a features of opioids, so your doctor is right in thinking of morphine overdose. 3. Biliary duct slowing has resulted in obstructive jaundice features, which is shown through itching. Other system slowing has resulted in straining for urine or defecation. 4. Need to get dose reduced to, at the earliest. 5. Enlarged prostate, would have caused obstruction and straining only for urine. Its not prostate alone, for all these symptoms. If there is any change in food nutrition, fiber and hydration, then other things can be thought of. For eg: you are not taking in food adequately, which can explain - loss of energy, affected bowel movement (due to low calorie and weakness), and also shaky muscles on mild exertion. Low hydration can explain - loss of urination. Dryness of skin of face - can result in skin itching. 6. I would think of morphine at present. As you have an appointment with the pain clinic, it will be evaluated. If its normal a. Look into nutrition and high fiber diet - Bulking laxatives maybe taken. b. Good hydration - At-least 5-6 liters of water/day c. Avoid dry skin. Use moisturizers. Use sunscreen to protect skin, particularly on face too. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM