What could be the reason for developing a red line between the butt cheeks, anal itching, constipation, and vaginal discomfort?

Hello,

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Please get back with the following details and clear photos of the lesions or the area for clarification: age, marital status, symptoms, duration, lesions, and distribution. Menstrual history; investigations, if any; treatment history; partner and intercourse history, if any; family history; usage of any contraceptives, drugs, etc. Any history of allergies, place of residence, occupation, or any other relevant details.

Thank you.

Hello,

Welcome back to icliniq.com.

I have reviewed the photo and details (attachments removed to protect the patient's identity). Therefore, I can determine your anxiety and stress related to this. Kindly relax and do not get stressed out about this. It appears like intertrigo, which may get superadded by fungal or bacterial infection.

My advice:

Consult your specialist doctor, talk with them, and take medications with their consent.

1. Wear loose cotton inners wear.
2. Do not wear tight, nylon, or friction-inducing clothes.
3. See that there is adequate ventilation.
4. Avoid friction or irritation.
5. Avoid long bike rides etc.
6. Do not rub the area with tissue too much, as it can cause a breach in the skin.
7. Check whether any diapers or tissue is inducing damage.
8. Use water for ablution rather than tissue, or wipe with wet tissue wipes.
9. Try creams like Vaseline to prevent friction.
10. Use Clotrimazole antifungal powders like Abzorb, Candid, or skin barrier creams with Dimethicone.
11. If you are overweight, reduce your weight.
12. Check for diabetes, if any.
13. Take a lot of fiber-rich fruits and vegetables balanced diet for constipation and hemorrhoids.
14. You can take stool softeners like liquid Paraffin, Isabgol (Psyllium husk), or Lactose.
15. Take antihistamines like Cetrizine when too itchy.

You have already tried steroids, antifungals, analgesics, etc. You can also stop all creams for a few days and see what works. However, it may get exacerbated as stopping steroids might fare up the lesion.

Revert for further queries.

Thank you.