### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had a total thyroidectomy, medullary cancer. Even before the procedure. I had red palms, and itching skin that drives me crazy at night. I also still have these symptoms. plus found out I have a fatty liver, and pre diabetes. I have never been heavy until, these symptoms appeared in the last two years before my surgery. I have lost eleven pounds so far. But, I was told I had a fatty liver years ago, by my doctor and he did not think anything of it. I still get very hot at night sometimes, and sometimes I am very cold. They are still trying to get my levels accurate. I had this surgery done three months ago. Plus I also get bowel obstructions every 4 to 6 months. On the button. I have already had one bowel resection in 2003. I am to young for all of this. And really it started when I was in my thirty s. I have a lot of issues, that my parents have. But there s did not start until they where in there 70s . I am so confused.

### output:

Hi, Thanks for writing in. It is important to evaluate your liver function tests. Itching might be due to elevated bilirubin levels and your liver test will show this if present. Since you have a history of bowel resection in 2003, it is possible that there are small developing adhesions in the bowel that is causing sub acute obstruction. This is responsible for the bowel obstructions you experience every 4 to 6 months. It is suggested that you consult your surgeon and get a small bowel enterocolitis examination done or a CT scan abdomen and pelvis with bowel preparation. This test will tell if there is any post-operative cause for you regular bowel obstruction. Please do not worry.