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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Itching In The Anus And Vagina Be Treated?

I m having an itching problem with my anus and vaginal lips. In the past month I ve noticed my anus has been really itchy, and swollen. When I try to defecate it feels like I m tearing my anus in half and then I may bleed. On the other hand I ve have small, itchy, white, bumpy rash spreading from my vaginal lips for a couple months. I went to a doctor and was prescribed betamethasone cream but it didn t work.
Tue, 30 Jan 2018
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Anesthesiologist 's  Response
Hi Madam! From your history details, I understand that you are suffering from 2 different problems. At the anus, it’s mostly anal fissure. Its a very painful condition associated with bleeding. Causes of anal fissure are constipation, straining at stools, dehydration and hard stools. Main stay of treatment for fissure in anus is as follows :

1) Diet modifications with more fibre and fruits especially banana, water melon, oranges.
2) Lactulose syrup 5-10ml is recommended 1 hour before sleep is recommended.
3) Most important thing is avoiding straining at stools and chronic cough, obesity.
4) Anovate cream can be applied intra-anally at least twice daily with an applicator that is provided along with cream. Coming to vaginal rash, following are some possibilities :

1) Vaginal candidiasis
2) Bacterial vaginitis
3) Any sexually transmitted diseases like trichomoniasis, genital herpes, chlamydia infections.
4) In post menopausal women, due to dryness, vaginal and vulval itching and rash may occur. Only with examination in detail by an expert gynecologist, specific diagnosis can be made and an appropriate treatment be initiated. Hope my answer clarifies your doubts. Further queries if any, please do write to us. I’m always here to address your concerns.

Take care
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How Can Itching In The Anus And Vagina Be Treated?

Hi Madam! From your history details, I understand that you are suffering from 2 different problems. At the anus, it’s mostly anal fissure. Its a very painful condition associated with bleeding. Causes of anal fissure are constipation, straining at stools, dehydration and hard stools. Main stay of treatment for fissure in anus is as follows : 1) Diet modifications with more fibre and fruits especially banana, water melon, oranges. 2) Lactulose syrup 5-10ml is recommended 1 hour before sleep is recommended. 3) Most important thing is avoiding straining at stools and chronic cough, obesity. 4) Anovate cream can be applied intra-anally at least twice daily with an applicator that is provided along with cream. Coming to vaginal rash, following are some possibilities : 1) Vaginal candidiasis 2) Bacterial vaginitis 3) Any sexually transmitted diseases like trichomoniasis, genital herpes, chlamydia infections. 4) In post menopausal women, due to dryness, vaginal and vulval itching and rash may occur. Only with examination in detail by an expert gynecologist, specific diagnosis can be made and an appropriate treatment be initiated. Hope my answer clarifies your doubts. Further queries if any, please do write to us. I’m always here to address your concerns. Take care