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.

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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 coagulans. 

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 a month ago 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? 

 

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

 

Can any corticosteroid treat my chronic itch?

 

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 

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Thank you and regards, Thom