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Dr. Andrew Rynne

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Anal Itching, Rash Due To Scratching. History Of Constipation. Yeast Infection Or Pinworms?

I've been having problems with anal itching for the past month and I've been making sure to wash around there. However I've been getting worried so I google my symptoms and they all point to either pinworms, anal fissure and psoriasis. I think it may be psoriasis because I have this condition on my scalp however I'm also a person who gets constipated a lot and thought maybe I just got a tear or whatever you call it from being constipated however this was over a month ago and you would think that would be gone by now. The final guess I came up with was pinworms and I really hope it's not but I found I get itchy around the anal and perineum area and now I think I got a rash or a bump from scratching down there. I also heard it could also be a yeast infection causing this but I'm not sure because I have no odor or coloring in the discharge. What do you think this is and what should I do? This is so embarrassing.
Tue, 25 Jun 2013
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Pediatrician 's  Response
Hi,

Thanks for writing to health care magic.
A stool examination will help. A antihelminthic as prescribed by your doctor may be required. Keep the area dry. Some times moisture in the area may also cause such problem. Change your undergarments as frequently as possible. You need not get embarrassed to get a local examination as that will help to arrive at a diagnosis and required for further treatment.
Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatrics
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Pathologist and Microbiologist Dr. Shailja Puri's  Response
Hello and welcome to HCM,

Infection with pin-worms is characterized by scratching in the anal region and perineal region at night.
These worms can be seen in the anal region and the perineal region.
Clinical examination can easily identify the pin-worms.
Very effective treatment is available for this infection.

Psoriasis is also a skin disease which can affect the scalp, perineal and anal skin.
However, diagnosis can only be confirmed by clinical examination and investigations.

Constipation can cause pressure symptoms and can cause anal fissures.
Stool softeners can be used to soften stools and allow easy passage of stools.
Dietary changes like including lot of fruits, vegetables and water can soften the stools.

The discharge should be examined microscopically.
There can presence of micro-organism in the discharge.
Presence of micro-organism should be treated by anti-microbial.

Thanks and take care
Dr Shailja P Wahal

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Anal Itching, Rash Due To Scratching. History Of Constipation. Yeast Infection Or Pinworms?

Hi, Thanks for writing to health care magic. A stool examination will help. A antihelminthic as prescribed by your doctor may be required. Keep the area dry. Some times moisture in the area may also cause such problem. Change your undergarments as frequently as possible. You need not get embarrassed to get a local examination as that will help to arrive at a diagnosis and required for further treatment. Continue to ask further queries as required. Hope this helps. Take care. Dr Y V Siva Sankara Murty M.D.(Pediatrics) Associate Professor of Pediatrics