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Suggest Treatment For Parasitic Infestation In And Around The Anus

Posted on Fri, 9 Oct 2015

Question: my 25 year old daughter was wiping and saw a tiny dark bug (about the size of grain of rice/black)when she wiped her anus. this has happened twice this morning. Her anus is inflamed and she says it itches. I do not see any bites

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Parasitic infestation, likely

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, it appears to be parasitic infestation or an insect bite. She should clean the area with antiseptic like povidone diluted in water. Permethrin cream can be applied externally along the skin. A bath with lukewarm water should preferably be taken and the current clothes should be changed including any undergarments. Local calamine lotion can also be applied to control associated itching and inflammation. Antihistamines like levocetirizine can be taken if the local treatment does not give adequate relief. Stool for routine examination and for ova , parasite should be done. Treatment can be started without waiting for the test results by administering mebendazole single 500 mg oral dose for deworming, in consultation with your doctor.

Let me know if you have any query

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

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