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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itching And Irritation In Buttocks?

I have a very itchy buttocks in the middle but I have no spots or blemishes. It is a little red and irritated. I can only sit in certain positions because if I sit flat on my buttocks it will cause some extreme pain to my but. What could this be and what sort of cream or medicine should I take? Am I sitting on my buttocks to much?
Mon, 20 Apr 2020
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General Surgeon,  's  Response
Hello,

As per my surgical experience, the issue of itching and irritation in buttocks may be in relation with fissure between buttocks around anal verge opening. My guidelines at present till you consult your primary care:
- Sitz bath (sitting in tub filled with lukewarm water) twice a day
- Consume more liquids
- High fiber diet with plenty of green leafy veg, cereals, pulses, fresh yogurt
- Avoid all spices
- Try to get smooth bowel evacuations, if needed use Psyllium husk
- Regular walking, aerobics
- Local application of Xylocaine (5%) jelly 3-4 times a day, particularly after sitz bath and passing stool
- Analgesic tablet as diclofenac after meals, anti-histamine as cetrizine for itching relief
- Avoid smoking if consuming

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

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Itching And Irritation In Buttocks?

Hello, As per my surgical experience, the issue of itching and irritation in buttocks may be in relation with fissure between buttocks around anal verge opening. My guidelines at present till you consult your primary care: - Sitz bath (sitting in tub filled with lukewarm water) twice a day - Consume more liquids - High fiber diet with plenty of green leafy veg, cereals, pulses, fresh yogurt - Avoid all spices - Try to get smooth bowel evacuations, if needed use Psyllium husk - Regular walking, aerobics - Local application of Xylocaine (5%) jelly 3-4 times a day, particularly after sitz bath and passing stool - Analgesic tablet as diclofenac after meals, anti-histamine as cetrizine for itching relief - Avoid smoking if consuming Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon