Any symptoms or change in how you feel can only be addressed if the clinician asks about them or you bring them up in the conversation. It has been almost 40 years since I was originally diagnosed with PBC. I can count on one hand the times the subject of my itching or the fatigue has been brought up by him.
We have to come to our appointment ready with any questions or concerns we have. Write them down. Take the paper with you. Speak up! if you feel the end of the visit is coming and you haven't been asked about the itch or the fatigue ( and it's a problem for you) start that conversation. If you feel the itch is severe enough have a discussion about possible medication that ARE available.
We are responsible for what can sometimes be part of our many visits with our doctors. Don't be intimidated by them... there was a time that whatever they said was gospel. Now we have to have respectful discussions on subjects we might feel they are not addressing.