Vinegar: your account is parallel to that of my sweet friend. She has a MELD of about 14. Yesterday morning she messaged that she was miserable with itching.
1) washed bedding in no-fragrance detergent (she previously used perfumed-up detergent, and she uses too much)
2) went on vitamin D3 solar walk, about 25 minutes, with skin exposure. At this point still itching, with scratching marks
3) epsom salt bath. Did a little good, but still itching
4) rubbed a "solution" of 2/1 water/vinegar (regular 5% house vinegar) on her.....fanned it with a notebook to reduce burning sensation......it worked ! For about 3 hours or so. She repeated one more time. Seems it did the trick
* * I looked up " cirrhosis itching vinegar " , but only little result, mostly about INGESTING, orally, apple cider vinegar, but only a small handful related to itching. As far as being beneficial or toxic to liver the results were on both sides, seems more pro than con.
I tentatively "conclude" (again, tentatively) that the risk is small (could actually be good for her) if taken orally, THUS if applied to skin would be (I assume) little absorption, that * the benefits outweight any risk * *****
I am bringing her on a solar vitamin D3 walk (again, with skin exposure) again today.
She also popped a vit D pill (50% daily value). Maybe should have popped a couple of more?
God have mercy, best wishes to all.