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Suggest Treatment For Chronic Anal Itching

Posted on Tue, 11 Apr 2017

Question: I have a Major itching with my anal to the point that is not tolerable I have seen many Dr for it and no one can say what is going on I am in so much agony it's a constant itch

can I get a phone call

Answered by Dr. V. N. S. Parinam (17 minutes later)

Brief Answer:
See both Colorectal surgeon and Dermatologist

Detailed Answer:
Hi,

You seem to have chronic anal itching.
As per the medications tried, yo uwere given steroid creams anti fungal medicine and treatment for vaginal candidiasis.
The problem could be a skin issue than a vaginal issue since you were completely treated for it. So a dermatologist opinion is needed with examination.
The other reason could be a rectal issue which a colon surgeon can handle it well.
Sometimes parasite infections can cause chronic itch.

So I suggest you to get appointment with both Colorectal surgeon and Dermatologist as well. This problem may require better examination with swab culture to understand the cause. TIll now it was treated with no documentary diagnosis.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (17 minutes later)

I have seen Colon Dr and he even examen me and gave me some diresction how to not use toilet paper and what cream to use but no sucsses I also seen Dermatologist and he gave me some steroid cream but it did not work. Do you think it might be parasite I usually eat very healthy how do i tread Parasite and how do i find out I have parasite? Thank you for your answer
XXXX

Answered by Dr. V. N. S. Parinam (6 minutes later)

Brief Answer:
Antihelminths

Detailed Answer:
Hi,

Thanks for giving more info. Was colonoscopy done at all? Do you have any other symptoms except itching?
Parasites like Pin work, hook worm cause itches the skin around.
You can ask for stool microscopy for ova and eggs of the parasite... This helps to know if it is parasite.
If confirms then antihelminths like Albendazole and Mebendazole are available.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. V. N. S. Parinam (18 minutes later)

I have had Colonoscopy done every thing was a OK I have no other symptoms except this Excruciating itching for the most part start at night and it goes on all night I have not had any good night sleep for good year and I mean it. In the beganing of symptoms I want to my primary Dr and she thouthg it was pen worn and she prescribed serious amount of antibiotic and that did not help at all another Dr said I never had pen worm the colon specialist could not find anything except the skin around was very aggravated due to the sever itching he suggested to not itch but thats not possible. I thank you for suggesting stool test I might of done it last year I difinitlly look in to it but any suggestion how to come it in the mean time .
Thank you
XXXX

sorry for misspelled pin worm :)

Regarding my last question do you have any suggestion for cooling and coming the area??
Thanks waiting for the answer
XXXX

Answered by Dr. V. N. S. Parinam (3 days later)

Brief Answer:
Using Aloe vera gel over the itch area, cut the nails

Detailed Answer:
Hi,
Aloe vera gel would definitely help soothen and heal the area.
Cut the nails as it helps break the itch scratch cycle.
Wear tight clothes at night so that you cannot scratch or reach the area to scratch.

THese are few tips that can help.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy