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Suggest Treatment For Pruritus
Question: I've been battling pruritus ani for several years now, I've been on Clotrimazole and Dipropionate lotion and I just can't get rid of it. Now they say it's a fissure and put me on Diltiazeam 2% in white pet and I'm still bleeding and sore. This is getting very old and I am going back to the (Colon/Rectal)specialist on Friday. What kind of help can I ask for?
Brief Answer:
You can ask for the following...
Detailed Answer:
Hi,
I am sorry for the situation you are in. You can discuss with the proctologist about the following:
- to examine the anal structures in order to determine why you are having itching problems? Apart physical examination, anoscopy is also advised.
- if fissure will be confirmed, you should discuss about surgical treatment
- if you have been suffering of constipation, proctologist should look for possible hemorrhoids (internal or external) and discuss the best option to get them treated apart avoiding constipation
- examine your stool for ova/parasites; they are often associated with pruritus
- consultation with dermatologist is also needed to exclude dermatological problems like psoriasis, etc.
- diabetes testing are advised to exclude diabetes
- uro-genital issues should be excluded too.
Hope it helped!
Dr.Albana
You can ask for the following...
Detailed Answer:
Hi,
I am sorry for the situation you are in. You can discuss with the proctologist about the following:
- to examine the anal structures in order to determine why you are having itching problems? Apart physical examination, anoscopy is also advised.
- if fissure will be confirmed, you should discuss about surgical treatment
- if you have been suffering of constipation, proctologist should look for possible hemorrhoids (internal or external) and discuss the best option to get them treated apart avoiding constipation
- examine your stool for ova/parasites; they are often associated with pruritus
- consultation with dermatologist is also needed to exclude dermatological problems like psoriasis, etc.
- diabetes testing are advised to exclude diabetes
- uro-genital issues should be excluded too.
Hope it helped!
Dr.Albana
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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