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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itching In The Anal Area

Hello, I am a 19 year old, 140-lb, 6 0, male. I have had this condition for about a year now. At night time, particularly before I go to bed, I get this itch in the area between the anus and the testicles (so this would be the perineum). This results in a strong urge to stratch the area, and it s quite difficult to resist. I went to a doctor and told him of my condition and he gave it a look, and said that he does not believe it is a yeast infection. He recommended something to me, but I can t exactly remember what it is he recommended me. I never get this itch during the day, it is only at night. I have also noticed that the skin in the perineum is dry as a result of the scratching. I see some small dead skin flakes when I go to change underwear. There is no blood. I consider myself very hygienic, as I wash my hands before meals, I shower daily, and I wash after using the bathroom. However, my diet isn t exactly great, as it is low in fiber. I did some research, and found that pinworms was a possible cause of this. If I could get some over the counter treatment, that would be great. I would prefer not to go to the doctor, because this is an embarrassing issue. But if I ultimately have to in order to solve this, then I will.
Tue, 4 Apr 2023
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General & Family Physician 's  Response
Hi,

Itching in the anal area can be caused by several different conditions, including fungal infections, hemorrhoids, anal fissures, and pinworms. Pinworms are a type of parasite that can infect the intestine and cause itching around the anus. Over-the-counter treatments for pinworms include mebendazole and pyrantel pamoate.

However, it is important to note that self-diagnosis and self-treatment can be risky, and it is always best to consult a doctor to get a proper diagnosis and treatment plan. If you are uncomfortable discussing this with your regular doctor, you may consider seeing a specialist, such as a gastroenterologist or a proctologist.

In the meantime, you can try some measures to alleviate the itching, such as keeping the area clean and dry, avoiding tight clothing, using a non-irritating moisturizer, and taking warm baths with Epsom salts. You may also consider adding more fiber to your diet to prevent constipation, which can exacerbate itching in the anal area.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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Suggest Treatment For Itching In The Anal Area

Hi, Itching in the anal area can be caused by several different conditions, including fungal infections, hemorrhoids, anal fissures, and pinworms. Pinworms are a type of parasite that can infect the intestine and cause itching around the anus. Over-the-counter treatments for pinworms include mebendazole and pyrantel pamoate. However, it is important to note that self-diagnosis and self-treatment can be risky, and it is always best to consult a doctor to get a proper diagnosis and treatment plan. If you are uncomfortable discussing this with your regular doctor, you may consider seeing a specialist, such as a gastroenterologist or a proctologist. In the meantime, you can try some measures to alleviate the itching, such as keeping the area clean and dry, avoiding tight clothing, using a non-irritating moisturizer, and taking warm baths with Epsom salts. You may also consider adding more fiber to your diet to prevent constipation, which can exacerbate itching in the anal area. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician