Patient's Query
Hi doctor,
I am a 35-year-old male who is 5.8 feet tall and weighs about 108 pounds. I have had constant burning in the anal region for the past 20 days, though I do not have a fissure, as checked by the doctor. Current medications are Lox 2% (Lignocaine hydrochloride) jelly gel and Sitcom forte tablet for seven days.
But it is not getting cured in spite of drinking four litres of water a day and a high fibre diet. After taking this, I feel that burning sensation came down. Now one week is over, and again the burning sensation has started. It is agony since this is recurring and often does not get out permanently.
This happened ten years back, then five years, and again now. Previously, it got cured, but treatments took place every time for more than eight months to feel normal. In the past, I used to take Sitcom ointment (Euphorbia Prostrata), Sitcom forte (Flavonoids and Tannins) tablet, Sucralcoat Ano (Sucralfate Lignocaine Hydrochloride) ointment, Rutin (Rutoside) tablet, and Sitzbath.
Please help.
Thank you.
Hi,
Welcome to icliniq.com.
Your complaint is a constant burning in the anus. It is recurrent. It occurred twice in the past ten years. Your age is 35 years, and your weight is 108 pounds, which is slightly less than normal. There are various causes, like local skin lesions, anorectal disorders, and systemic lesions involving the anus.
To come to a diagnosis, there is still a need for detailed clinical history (complaints, history of any illness, etc.), general and local examination, and specific investigations.
Burning sensation in the anal region may be due to pinworm, skin diseases like psoriasis, chronic discharge due to local and systemic involvement, etc.
Burning is a symptom of some illness that may be a simple skin disorder, worm infestations, local anal or rectal diseases, or some systemic disorder like inflammatory bowel disorders, etc., and it is recurrent. It would help if you had a thorough consultation and worked out. So please discuss in detail to come to a diagnosis and management.
I hope this helps.
Kindly revert in case of further queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I did not have any illness except this. I always feel healthy. Five years back, I checked with three laparoscopic surgeons for this burning sensation, and all three had the opinion that they did not see any issue in me. They just suggested that I take plenty of water and a high fiber diet along with medicines.
It got cured, but it took almost six months for a complete cure. Now again, it is back. Can you please suggest to me how to solve this issue permanently?
Thank you.
Hi,
Welcome back to icliniq.com.
Yes, that is why I am looking for some reasonable cause for the underlying complaint. See earlier; you were diagnosed with fissure four years back. The only somatic sensation having a part in the anal canal is the terminal half. So the burning sensation could be in this area and the perianal area; we have to decide it first.
I hope this helps.
Kindly revert in case of further queries.
Thank you.
Treatment plan
Patient's Query
Hi doctor,
Thank you for your reply.
I did not have a fissure for four years. But the name given was fissure-related. After many medications, it got cured, and it took four to six months. Even the treating doctor was confused since it is back now. He told me that if I have a fissure, piles, or a fistula, he can advise medicine and tell me how long it will take to get a cure. But my case is entirely different from other issues.
Because of his checking, no problems are seen from outside as well as inside. Can you please elaborate on medicines? How many minutes' gap should be there for applying ointment Xylocaine and Nifedipine, and concerning Xylocaine, whether it is Xylocaine 2% jelly or Xylocaine 5% ointment. What does Cetirizine 10 mean? Liquid lactulose is nothing but a Duphalac oral solution. Can you please confirm that I have attached the images?
Thank you.
Hi,
Welcome back to icliniq.com.
I hope this helps.
Kindly revert in case of further queries.
Thank you.
Was this conversation helpful?
Answered byDr. Vinod Kumar Atreya
Medically reviewed byDr. Preetha. J
Same symptoms don't mean you have the same problem. Consult a doctor now!
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