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What Could Cause Chronic Itching At The Anus For Over 2 Years Along With Wriggling Sensation?

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Posted on Tue, 19 Apr 2022
Question: itchy anus for 2 years. daily. tried every cream possible. have inteenal hemmoroid non painful . feels like a wriggling feeling in anus but had worming tablets.
doctor
Answered by Dr. Ramesh Kumar (42 minutes later)
Brief Answer:
Proceed for non invasive treatment now.

Detailed Answer:

Hello,

Itchy feeling is not due to worms otherwise would have responded to medicines.
Its time to move on to one of the following Non invasive procedures:

1) Sclerotherapy: This is currently recommended as a treatment option rationale of injecting chemical agents is to create a fixation of mucosa to the underlying muscle by fibrosis.

2) Cryotherapy: Cryotherapy ablates the hemorrhoidal tissue with a freezing cryoprobe. It has been claimed to cause less pain because sensory nerve endings are destroyed at very low temperature.

In case if this is not successful then we have invasive surgical procedures like-.
Stapled hemorrhoidopexy - A circular stapling device is used to excise a ring of redundant rectal mucosa proximal to hemorrhoids.

Hope I was helpful. You should proceed for non invasive treatment now.
Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramesh Kumar (10 hours later)
im not in pain. its internal itching in the anus. coukd it be seriois?
doctor
Answered by Dr. Ramesh Kumar (8 hours later)
Brief Answer:
Seriousness can never be predicted online as a thing as small as pin prick my cause deadly condition like sepsis.

Detailed Answer:

Hello,

Internal hemorrhoids rarely causes pain or bleeding.
Itching not relieved by medications (as told by you) could be indication of some ongoing infection.

Hope I was helpful.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ramesh Kumar (4 minutes later)
i have nad recurrent vertigo for 10 years amd now its debilitating. could there be a connection?
doctor
Answered by Dr. Ramesh Kumar (2 minutes later)
Brief Answer:
Sir, do you ever use your fingers to scratch inside anus to be relieved from itching?

Detailed Answer:

Hi,

No there could not be a connection between vertigo and anal itching.
However recurrent vertigo could be due to inner ear involvement can be Meniere's disease or recurrent labyrinthitis.
Do you have any diagnosis of vertigo?

Waiting for reply!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ramesh Kumar (28 minutes later)
i have been searching for 10 yrs. seen so many drs balance trsts came out normal bit seeing am ent again end of Oct. constant tinnitus but isnt meniere's hearing loss. yes i do scratch with my.finger insode the anus.
doctor
Answered by Dr. Ramesh Kumar (28 minutes later)
Brief Answer:
Follow up answer.

Detailed Answer:

Hello,

Inserting fingers inside the anus may cause many conditions like psoriasis, pinworm or yeast.
What had your primary doctor said after examining you by a proctoscope?
I would suggest you give a stool sample for detection of ova cysts yeast or protozoa.
Accordingly, medications would be started.

Hearing loss is not always seen in Meniere's and is called vestibular Meniere's.
Have you tried a low salt diet with diuretics?
Meniere's can be divided into vestibular and cochlear.
A typical patient presents with the triad of hearing loss vertigo and tinnitus but typical triad is usually seen only in patients having a typical age for this disease that is above 60.
Your age is very atypical of Meniere's (started in the early 20's) so can present with partial symptoms.
If it's debilitating you should give medications a try. I am not an ENT but as an MD I have seen many patients of vertigo etc.

Thanks!
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2913 Questions

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What Could Cause Chronic Itching At The Anus For Over 2 Years Along With Wriggling Sensation?

Brief Answer: Proceed for non invasive treatment now. Detailed Answer: Hello, Itchy feeling is not due to worms otherwise would have responded to medicines. Its time to move on to one of the following Non invasive procedures: 1) Sclerotherapy: This is currently recommended as a treatment option rationale of injecting chemical agents is to create a fixation of mucosa to the underlying muscle by fibrosis. 2) Cryotherapy: Cryotherapy ablates the hemorrhoidal tissue with a freezing cryoprobe. It has been claimed to cause less pain because sensory nerve endings are destroyed at very low temperature. In case if this is not successful then we have invasive surgical procedures like-. Stapled hemorrhoidopexy - A circular stapling device is used to excise a ring of redundant rectal mucosa proximal to hemorrhoids. Hope I was helpful. You should proceed for non invasive treatment now. Regards