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Suggest Treatment For Irritation In Genital, Anal And Back Of Leg Region

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Posted on Fri, 17 Jun 2016
Question: Dr. Kakkar, we spoke months ago, i started having an irritation in my genital, anal and back of leg region starting the first month of this year. i ran std tests many times only to test positive for HSV-1. i have never had any visible problems, you had me take cetirizine, which i received a cold shortly after. vitamin B and anti-fungal cream and powder i have been using for months. my feelings have subsided, thank you, but not resolved, local doctors do not know what to tell me. still have such an irritation in my perineum and surrounding areas constantly every day. this is driving me insane. it almost feels as if the area is swollen it is hard to describe. this has been 5 months now of this feeling, i must resolve this problem it is ruining me. could this be a parasite? the only problem i have been having is the perineum irritation and frequently it can be felt in the genitals. the problem does seem worse when the skin touches its self or other objects like sitting down. you have helped me so far please help me be rid of this feeling for good.
doctor
Answered by Dr. Dr. Kakkar (20 hours later)
Brief Answer:
I would suggest a symptomatic treatment for above symptoms

Detailed Answer:
Hi. Thank you for writingt back to me

I have reviewed my previous discussions with you.

I am of the view that your symptoms could be nerve related Or psychological and I would imagine that they would improve with a gabapentin+ methylcobalamine combination, twice daily for a few days
They are certianly not due to an STD Or a parasite.
I would suggest that you talk to your primary care physician if he/ she can write a prescription for you for a gabapentin+methylcobalamine combination. Follow up with me after a few days (2-3 weeks) of this treatment.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (3 hours later)
Dr Kakkar, thank you i will try to make a doctors appointment soon. thank you for all your help so far. So i should take the medicine for a couple days or a couple weeks? What would the recommended mg be for these? thank you.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Pregabalin/gabapentin+methylcobalamine

Detailed Answer:
Hi.

The dose should be twice daily. Either Pregabalin (75mg) or Gabapentin(300mg) in combination with methycobalamine (500-750mcg).

Regards
Note: For further follow up on related General & Family Physician Click here.

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

Dermatologist

Practicing since :2002

Answered : 9610 Questions

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Suggest Treatment For Irritation In Genital, Anal And Back Of Leg Region

Brief Answer: I would suggest a symptomatic treatment for above symptoms Detailed Answer: Hi. Thank you for writingt back to me I have reviewed my previous discussions with you. I am of the view that your symptoms could be nerve related Or psychological and I would imagine that they would improve with a gabapentin+ methylcobalamine combination, twice daily for a few days They are certianly not due to an STD Or a parasite. I would suggest that you talk to your primary care physician if he/ she can write a prescription for you for a gabapentin+methylcobalamine combination. Follow up with me after a few days (2-3 weeks) of this treatment. Regards