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What Causes Constant Itching In The Anal Region?
Question: I have a constant itching in my anal area. Don't believe it's hemorrhoids. Most relief is when I take an Epson salt sith bath. Have tried anti-itching creams but they don't seem to work.
Brief Answer:
Please give details and post actual photographs if possible.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/63 - constant itching in anal area - Epsom sitz bath gives maximum most relief - anti-itching creams so not seem to work - you do not believe this to be hemorrhoids ...
The most probable causes can be:
Peri-anal skin condition akin to dermatitis. The causes can be varied like local skin changes, secondary infection if the per
Intestinal infection causing the itching.
Anal fissure
Rarely, malignancy is considered.
For the proper diagnosis I would advise you the following:
Clinical evaluation and examination by a General Surgeon : local examination, Per-rectal examination, ano-proctoscopy.
Colonoscopy, considering your age.
Further investigations as per the clinical findings and reports of investigations.
Tests of stool, blood and urine.
If there is an evidence of infection, go for an appropriate antibiotic coverage, Metronidazole, supportive treatment with probiotics.
There may be positive results.
Continue Sitz bath.
Local cleaning with liquid povidone, helps in making the area sterile.
If we get the specific cause, it will be treated accordingly.
I hope, this answers your query. Please feel free to ask for further relevant queries if you feel that there is a gap of communication .
Please give details and post actual photographs if possible.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/63 - constant itching in anal area - Epsom sitz bath gives maximum most relief - anti-itching creams so not seem to work - you do not believe this to be hemorrhoids ...
The most probable causes can be:
Peri-anal skin condition akin to dermatitis. The causes can be varied like local skin changes, secondary infection if the per
Intestinal infection causing the itching.
Anal fissure
Rarely, malignancy is considered.
For the proper diagnosis I would advise you the following:
Clinical evaluation and examination by a General Surgeon : local examination, Per-rectal examination, ano-proctoscopy.
Colonoscopy, considering your age.
Further investigations as per the clinical findings and reports of investigations.
Tests of stool, blood and urine.
If there is an evidence of infection, go for an appropriate antibiotic coverage, Metronidazole, supportive treatment with probiotics.
There may be positive results.
Continue Sitz bath.
Local cleaning with liquid povidone, helps in making the area sterile.
If we get the specific cause, it will be treated accordingly.
I hope, this answers your query. Please feel free to ask for further relevant queries if you feel that there is a gap of communication .
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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