
Itchy Anus, No Pain. Neither Zinc Cream Nor Hemorrhoid Cream Worked. Any Ideas?

Thanks
Thanks for posting your query.
The history provided to me is very brief to think of close possibility that would be the cause of his itching. I have few questions which you need to ask your friend to rule out hemorrhoids / parasites or any other possible causes:
1] Is he constipated?
2] Does he bleed while passing stool?
3] Does it pain him while passing stool?
4] Is he passing mucus in stool?
5] What is the quality of his sleep?
6] Is he stressed or under anxiety?
7] Has he got his stool examination done to rule out parasites?
Lung cancer and blood pressure may not be contributing to his present symptoms.
It would be better if your friend (patient) can explain his symptoms and answer the above questions in his own words. So if possible I would wish to hear from your friend. If not, you pass on the details as he would have described it?
I would be able to give you my possibilities and treatment options on receiving answers to the above questions.
Awaiting your reply.
Regards


Regards & Thanks,
Waiting for your reply
Thanks for responding to the queries.
It is clear he is suffering from a condition called pruritis ani.
He needs to continue the antifungal cream (It should not contain steroids), and I would also recommend oral anti-fungal drugs.
He needs to take L-Cetrizine once a day. Please discuss with his treating doctor regarding the same.
Along with it an anxiolytic is always recommended, to relieve anxiety at subconscious level.
Yet considering his age and the duration of symptoms it would be wise if he goes for a biopsy from the affected dry and scaly area of the skin.
Hope I have been able to clarify your doubts, anything else do revert back.
Get Well Soon.

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