Q. My skin around the anus is white, rough and itchy. What causes it?
Hi doctor,
I am a 16 years old female. I got my period about a month ago and after my period, the skin around my anus became white, rough, and itchy. I thought it was a fungal infection. As I have PCOD, I use to have frequent yeast infections and so I assumed that it may have caused it. I am not using ointments instead I apply coconut oil as I heard it to be effective. These symptoms got reduced after a week and white color was also reduced. But recently after a week, it came back and my skin is white, extremely rough and it is itchy causing damage. Please suggest me medication.
Hi,
Welcome to icliniq.com.
Please attach the picture of the lesion. Please say whether you have pain, discharge, or anything oozing out, burning sensation, itching and aggravation during night time, and difficulty in passing stools. You can use Emoderm cream twice daily for ten days, Luliconazole cream at night for fourteen days, and tablet Wicet 5 mg (Levocetirizine) twice daily for seven days. Kindly follow up.
Thank you doctor,
It is not painful. I do not have any discharge and aggravation during night time. Itching is found to be consistent. It does not burn normally. But I have wounds now due to scratching from itching. It burns when I apply soap over it. It is also present on my inner thigh. I am attaching a few pictures. Please say me what is this condition. I have not started using ointments. Now, I start using the ointments suggested by you.
Hi,
Welcome back to icliniq.com.
It is a fungal infection. You can use Luliconazole cream twice daily for fifteen days and tablet Wicet 5 mg twice daily for fifteen days, tablet Terbinafine 250 mg once a day for 15 days. You can use Fucidin cream in the evening for ten days and take tablet Zifi 200 mg twice daily for five days (if the lesion is oozing). Do not use Emoderm. Add some neem leaves in the bathwater or any antiseptic liquid-like Dettol or Savlon in the bathwater. Keep the area dry. Do not scratch or rub the lesion because it can cause secondary bacterial infection. You do not share your belonging with anyone. Try to wash your clothes separately. Try to wear loose inners and clothes. Avoid sweating as the fungus grows faster in moist, humid, and wet conditions.
Thank you doctor,
I have completed the course for fifteen days. I have an improvement in itching but it tends to come and go. The color is not improved much and it is still white. I have attached the latest pictures. Please suggest the reason behind it. I am worried. Please advise on what to do next.
Hi,
Welcome back to icliniq.com.
The lesion has improved a lot. It takes two to three months to get healed. Please mention from when you have it again and how many weeks do you have it. Kindly mention whether you have itching, oozing, dryness, or extreme itching. Please say whether you do excess scratching and rubbing of the lesion.
Thank you doctor,
It has been three months now since it appeared. I started following the treatment suggested by you for a month. I have irritation sometimes. But there is no oozing and it is dry and rough. Sometimes I have sudden itching over it. I try to avoid scratching or rubbing it. Please advise.
Hi,
Welcome back to icliniq.com.
I suggest you use Fucidin cream in the evening for ten days, use Luliconazole cream twice daily in the morning and night for fifteen days. You can take tablet Wicet 5 mg two times a day (when itching). You can take tablet Terbinafine 250 mg once a day for fifteen days. Try to keep the area as much as possible. You should wear loose and comfortable inners and clothes. Avoid scratching over it. You can take antiseptic precautions. You can take an antiseptic bath (add neem leaves in the bathwater or any antiseptic liquid-like Dettol or Savlon in the bathwater). Do not use hot water. Try to use lukewarm water while bathing. Try to wash your clothes separately and do not share your belongings. Have a follow up for any doubts. It is good to continue the same treatment for fifteen days again to know whether the lesion is getting improved. Let us hope for the nest. Take care.
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