5) Sleep problems and scratch marks
Patients may experience severe pruritus, a feeling of intense itching in the skin. When bile acids reach five times the reference range, the symptoms can be incredibly debilitating, leading to sleep problems and scratch marks caused by the patient’s attempts to relieve the itching.
In severe cases, the itching can be accompanied by other symptoms such as fatigue and abdominal pain. However, seeking attention as soon as possible is important to avoid complications.