Sabar sis, PUPPP is really torturous, a few of us mama friends went through it and the sleepless nights are legit brutal! Kena check with your doc ASAP especially sebab dah 4 hari, boleh dia recommend anti-itch cream or oral antihistamine yang safe dalam pregnancy stage kamu sekarang, and sometimes steroid cream helps jugak depending on severity. Meanwhile try oatmeal baths (lukewarm, jangan panas), loose cotton clothes, dan hindari trigger foods kalau ada, tapi honestly dengan symptoms kamu yang severe, doctor visit is really important sebab they might want to monitor or try something stronger. Hang in there, dah nak mau habis pregnancy!