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What Causes Itching Sensation Around Anus?
Question: Hi I am perpetually annoyed by an extremely itchy anus and back passage. it doesnt matter what cream, i put on it the itch makes me feel sick especially when i get a little bit warm. the dr. calls it pruitus but that does not make it better.
i am 57, have diabetes type 2 am well and do heaps of physical exercise and my HBA1c was 5.9 2 weeks ago and i am not overweight drink or smoke. is there something to relieve this condition.
i am 57, have diabetes type 2 am well and do heaps of physical exercise and my HBA1c was 5.9 2 weeks ago and i am not overweight drink or smoke. is there something to relieve this condition.
Brief Answer:
HEllo
Detailed Answer:
Hello.
Good day.
Noted your history. I realize that it can be very distressing. There are number of reasons for this itch.
1. Fungal infection
2. Pin Worm infestation: rare in Australia unless you have travelled to tropical countries recently.
3. Uncontrolled diabetes ( but your diabetes is well controlled, so this is unlikely)
4. Eczema
Since you have used several creams prescribed by GP, it is better to consult a dermatologist. Visual inspection of the area is required. You may also require a course of anti worm treatment if nothing else is seen on examination.
Any of your family members affected ? Does your partner think that area is red or swollen? Any dry skin in that area?
I would appreciate a reply
Regards
Binu
HEllo
Detailed Answer:
Hello.
Good day.
Noted your history. I realize that it can be very distressing. There are number of reasons for this itch.
1. Fungal infection
2. Pin Worm infestation: rare in Australia unless you have travelled to tropical countries recently.
3. Uncontrolled diabetes ( but your diabetes is well controlled, so this is unlikely)
4. Eczema
Since you have used several creams prescribed by GP, it is better to consult a dermatologist. Visual inspection of the area is required. You may also require a course of anti worm treatment if nothing else is seen on examination.
Any of your family members affected ? Does your partner think that area is red or swollen? Any dry skin in that area?
I would appreciate a reply
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
no it is not worms, went down that road months ago with heaps of worm tabs and cream, no my partner is fine. it is purely an annoying embarrassing itch that is worse if you wear tights and get the slightest bit warm. no it is not exzema as i have had bad skin in years gone by and quartazone cream doesn't touch it neither does cannesten cream for fungal infections,. I wonder if it is linked to hormone imbalance, as i am on natural progesterone and estrogen and struggle to keep them normal so that i do not have hot flushes constantly.
Brief Answer:
Hello
Detailed Answer:
Hi,
Thank you for the reply. Noted the points. In that case, there is a remote possibility of localized neuropathy causing it. I have seen few patients with itch and pain in localized areas due to focal neuropathies.
Typically, diabetic neuropathy affects feet, however, there is an entity called as mono neuritis which can affect a single site or patchy sites. This is very rare, but possible.
A course of Duloxetine tablet may help. A gentle emollient cream application also may help. Another thing to try is 1% hydrocortisone cream application twice daily for few weeks.
Regards
Binu
Hello
Detailed Answer:
Hi,
Thank you for the reply. Noted the points. In that case, there is a remote possibility of localized neuropathy causing it. I have seen few patients with itch and pain in localized areas due to focal neuropathies.
Typically, diabetic neuropathy affects feet, however, there is an entity called as mono neuritis which can affect a single site or patchy sites. This is very rare, but possible.
A course of Duloxetine tablet may help. A gentle emollient cream application also may help. Another thing to try is 1% hydrocortisone cream application twice daily for few weeks.
Regards
Binu
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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