<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, im 25 weeks pregnant with my first baby girl, and for th past month or two i have experienced severe itching. This so bothers me more during thr night time. It looks like small insect bites although im not aound any bugs or animals and it only appears after i itch and i itch so much it keeps me awake and its the most uncomfortable pain i have ever experiencee. Ive tried calamine lotion cortizone oitment avveno sensative skin lotion jeregins ultra heal lotion with aloe and so much more, what should i do?  <response>: Hallow Dear, Seems that you are having some mites or scabies, please follow the instructions:1. Clip the hair flush to the skin.2. Clip the nails short.3. Use panty liners.4. Boil underwear daily.5. Apply Permethrin locally which will take care of scabies or mites.6. If you find dark discoloration, it could be ring worm which can be managed by Whitfield ointment. It is a good option to take a skin VD specialists opinion. Hope this helps you. 