Dr. Dhepe Snehal Madhav
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have had anal itching for three years, mostly during the night. Even after many consultations and treatments, I still feel itchy but without blood during bowel movements.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern. I suggest the following.
1. Apply Mupirocin ointment twice daily for 15 days.
2. Use Cetrimide soap for one month.
Do you have any history of scabies? Do you follow proper genital hygiene? Answer the questions for more details.
Patient's Query
Hello doctor,
I am concerned about my genital health and follow hygiene measures. I do not have any history of scabies.
Thank you.
Hello,
Welcome back to icliniq.com.
It is a parasitic infestation with a secondary bacterial infection. I suggest the following. Consult your specialist doctor, talk with them, and take medications with their consent.
1. Apply 5 percent Permethrin cream at night on day one and day seven and wash off the next morning.
2. Apply Fucibet (Fusidic Acid and Betamethasone Valerate) cream twice daily for seven days.
3. Apply Mupirocin ointment at night for 15 days.
4. Maintain proper genital hygiene.
5. Avoid scratching and rubbing of lesions.
6. Avoid chronic friction.
7. Wear loose, comfortable thin cotton inners.
8. Avoid injury.
9. Tablet Zentel (Albendazole) 400 mg once immediately (only once).
10. Tablet Teczine-M (Montelukast Sodium and Levocetirizine Hydrochloride) once at night after food for seven days.
Follow up after two weeks.
Thank you.
Patient's Query
Hello doctor,
Should I apply ointments one upon another?
Thank you.
Hello,
Welcome back to icliniq.com.
You can apply Mupirocin in the evening and Permethrin cream at night. Use Fucibet in the morning and at noon.
Thank you.
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Venereology
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