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How can I get treated for red and itchy skin around anus and vulva?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a really embarrassing problem. The skin around my vulva and anus is red and it keeps cracking or bleeding. The skin around my anus is also flaky and yellow in some places. It is itchy and is causing me serious embarrassment. It has started affecting me psychologically as it has been an ongoing problem for the past year or so. I have been tested for all STDs (sexually transmitted disease) including HIV (human immunodeficiency virus) and I am negative. So, it has been ruled out. I have tried all sorts of steroid creams and thrush treatments, but they never worked. I really need help with this as it is making me really depressed. I also got an itchy flaky scalp and occasionally get flaky skin on my eyelids. What could this be and how can I get it treated?

Answered by Dr. Jyotisterna Mittal

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. There is no significant erythema or discoloration appreciable in the attached picture, so that is a good indicator.

Thank you for consulting me.

You can always reach me at icliniq.com.

The Probable causes

1. Itchy and flaky scalp and eyelids indicates seborrheic capitis and dermatitis or dandruff. 2. For that, you can use Ketoconazole based shampoo on your scalp twice a week. 3. You can apply Betamethasone lotion on your scalp over the itchy areas twice daily for one week. 4. Apply Hydrocortisone cream over the eyes once daily for seven days and then stop.

Probable diagnosis

Constant unremitting itching over the vulva could be due to lichen sclerosus.

Treatment plan

1. The mainstay of treatment will be topical steroids. In addition, you may take Fluconazole 150 mg orally once weekly for two weeks. 2. Use a non-soap cleanser. 3. Take oral antihistamines, for example, the 25 mg tablet of Hydroxyzine at night. 4. Avoid constant itching or rubbing. It will aggravate the symptoms. 5. Apply emollients for relief and to avoid itching. Loose cotton-based clothing and innerwear will be helpful.

Answered byDr. Jyotisterna Mittal

Medically reviewed byiCliniq medical review team

Published At March 26, 2016
Reviewed AtOctober 9, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Jyotisterna Mittal
Dr. Jyotisterna Mittal

Dermatology

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