Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does An Itchy White Patch Inside Anus Indicate?
Question: Hi I notice a few weeks after showering a white itchy patch just inside the anus. Over a few days I felt bumps growing in. Then for a week it itched like crazy. Right now it doesn't itch as much but it looks like a greyish patch of bumps around the anal rim. I'm worried it's warts. I'm XXXXXXX and I had anal intercourse. I'm also dealing with hemorrhoids and had a major hemorrhoid problem that took place about one to two weeks after I discovered white patch. I had a bowel movement and it hurt and swelled the hemrroids and the area where the patch is felt like my skin was ripping. Now theres bumps
Brief Answer:
Possibilities discussed
Detailed Answer:
hi, welcome to HCM.
You need to rule out syphilis. It is still not uncommon in homosexuals. It presents as painless, firm, non itchy papule which leads to ulceration and bleeding.
As you have mentioned initial white patch which were itchy, there may be possibility of tinea cruris (a fungal infection), if you can send clinical photograph to us, then it will be better for diagnosis.
There is a feature to upload the image by yourself on the right side of this query page. You may utilize that. Alternatively, you can mail it to YYYY@YYYY with subject line as "Attention to Dr. Shahid Hassan".
Wart is a small, rough, cauliflower like growth called condyloma accuminata.
Since you are applying nystatin, fungal infection will subside and not lead to bumps.
Hemorrhoids and warts will take time to develop and not just in one or two week time.
serum VDRL and serum TPHA will rule out or confirm syphilis.
For how many weeks before you noticed white patch?
Thank you
Possibilities discussed
Detailed Answer:
hi, welcome to HCM.
You need to rule out syphilis. It is still not uncommon in homosexuals. It presents as painless, firm, non itchy papule which leads to ulceration and bleeding.
As you have mentioned initial white patch which were itchy, there may be possibility of tinea cruris (a fungal infection), if you can send clinical photograph to us, then it will be better for diagnosis.
There is a feature to upload the image by yourself on the right side of this query page. You may utilize that. Alternatively, you can mail it to YYYY@YYYY with subject line as "Attention to Dr. Shahid Hassan".
Wart is a small, rough, cauliflower like growth called condyloma accuminata.
Since you are applying nystatin, fungal infection will subside and not lead to bumps.
Hemorrhoids and warts will take time to develop and not just in one or two week time.
serum VDRL and serum TPHA will rule out or confirm syphilis.
For how many weeks before you noticed white patch?
Thank you
Above answer was peer-reviewed by :
Dr. Shanthi.E
I just uploaded some pictures. It is the grey spot on the bottom rim. Last time I had sex before I noticed the patch was maybe around 1 and a half to two weeks. I think it irrated it and that's when I started feeling an irritation. I checked after a shower and saw a white spot. I thought it was just iratation so I thought it would go away by itself. Then it started to itch and I felt three bumps start to grow in. Like I said around two weeks or so for those to grow in. Can a fungal infection lead to the bumps in or near the anus?
Brief Answer:
both candidal infection and sentinel pile,no bumps due to fungal infection
Detailed Answer:
You have got two diseases as clearly shown in the picture.
First one (the bump) is sentinel pile, it is a circumscribed thickening of mucous membrane at the lower end of fissure of anus. it generally occurs after long stool, constipation, rectal examination or anal intercourse. This started with anal intercourse. Was this painful at the start?
Initially this presents with stinging and burning pain during bowel movements, itching and bleeding.
Ointments which contains anesthetics, steroids, nitroglycerin, and calcium channel blocking drugs are used to treating this. Before this stool softener and high fiber diet should be taken which helps in healing.
Second one is (White patch) is Candidal Intertrigo.
It needs sertaconazole cream for local application and cap Isotretinoin 100 mg twice daily for seven days for healing. sertaconazole may be available over the counter for you but Isotretinoin is a prescription drug. Please discuss with your doctor before taking the medicine.
Keep the area clean and dry for proper healing and prevent recurrence.
Hope this is helpful.
You can ask further queries.
Thanks
both candidal infection and sentinel pile,no bumps due to fungal infection
Detailed Answer:
You have got two diseases as clearly shown in the picture.
First one (the bump) is sentinel pile, it is a circumscribed thickening of mucous membrane at the lower end of fissure of anus. it generally occurs after long stool, constipation, rectal examination or anal intercourse. This started with anal intercourse. Was this painful at the start?
Initially this presents with stinging and burning pain during bowel movements, itching and bleeding.
Ointments which contains anesthetics, steroids, nitroglycerin, and calcium channel blocking drugs are used to treating this. Before this stool softener and high fiber diet should be taken which helps in healing.
Second one is (White patch) is Candidal Intertrigo.
It needs sertaconazole cream for local application and cap Isotretinoin 100 mg twice daily for seven days for healing. sertaconazole may be available over the counter for you but Isotretinoin is a prescription drug. Please discuss with your doctor before taking the medicine.
Keep the area clean and dry for proper healing and prevent recurrence.
Hope this is helpful.
You can ask further queries.
Thanks
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
