History continues

History

My itching starts over 5 years ago. First as sharp needle prickling, then a constant itch-simmering in the last year. It escalates since April 2024. 
I exhausted all perennial approaches including high dosage of holy basil (tulsi), become vegan again for 6 months, fasting for 4 days/nights in Sept2025. I had fasted 5 days before and it gave good results, especially from debilitating allergies. 20 years ago I had an allergy attack that rendered my skin frog-like everywhere. Prednisolone was used to subside it.

I had a history of allergies from 20-45yr until using Bliss K12 probiotics, and irritable bowel symptoms that stops 3 years ago when I start using bacillus coagulan.

I went to urgent care in Portland OR and asked for prednisone for the itching. It helps enough for me to sleep for a week. But hydroxyzine prescribed at Urgent care Garden Grove was the first med that help significantly. I am able to function partially now.

CONCERNS
My biggest concern is my voice. The lack of sleep before starting taking hydroxyzine has weakened me. I lost strength then my voice became hoarse. I'm a singer and voice teacher. I had to give up an offer to be a faculty at the International Voice Symposium in 2024 because of gout flares. I hope to go in 2026 when I regain my health. This song was recorded 4 months ago, before I lost my voice: https://youtu.be/BuLFQzRS6FE?t=32

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My 2nd concern is how to manage the pain in order to travel, especially when I need to be in southeast asia in January 2026 for a month. I found 2 ways to subside the itch: peppermint oil (effective for 15 min)and hot water(effective for an hour after 15 min in hot bath). I found drinking beer/wine/tequila help numbing the pain, but stopped since Dec 2024 due to gout. I also stop vaping cannabis since July 2025, but the last 2 weeks itching pain drove me back to vaping a couple times a day. 

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Can Pain Management department at Kaiser help with pain management ideas and hacks?

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Can Doxepin reduce itching more, despite higher risks on brain and heart? 

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Do I have mast cell activation syndrome (MCAS), immune disorders, and histamine intolerance?

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Can any corticosteroid treat my chronic itch?

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Can Cromolyn Sodium or Tritoqualine Histidine Decarboxylase be of help, to block the HDC enzyme to stop the production of histamine?

Will supplemental Diamine Oxidase (DAO) help?

Will Quercetin & Luteolin (Bioflavonoids) as natural mast cell stabilizers help?

OUTLOOK
I have a desire to be healthy again. I have been helping to raise a baby girl since birth since she has no father around. She woke up one day and called me 'daddy' when i come to pick her up, yet we never taught her to call anyone 'daddy'. It breaks my heart also that I cannot help my aging parents in their 80s and 90s.

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I continue a positive outlook using positive affirmation, subliminal, hypnosis, and binaural soundtracks for sleep aids; and maintain a low histamine diet with organic produce/chicken