Can you suggest a medicine for wet feeling in the anus?

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 had some wet feelings in the anus for the past one year. I had both colonoscopy and sigmoidoscopy. The doctor said everything was fine. They said probably the wet feeling is due to sweat. But, I feel it is some liquid discharge from the anus skin. Can you suggest some medication?

Thanks.

Answered by Dr. Suvash Sahu

HI,

Welcome to icliniq.com.

I have read your concern.

It is better to take discharge over a swab and send it for culture and sensitivity. If you have any growth over it, then get treated based on the sensitivity.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

Please find the enclosed culture and sensitivity report. Kindly suggest the suitable medication.

Thanks.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have read your query and read your given report (attachment removed to protect patient identity). It seems that you have a perianal abscess or fistula-in-ano, which is discharging this pus and giving you a wet feeling. Klebsiella pneumonia is a common cause of this kind of abscess. On the basis of the sensitivity report, I would suggest you tablet Augmentin 625 mg (Amoxicillin and Clavulanate Potassium) three times a day for five days if you are not allergic to this and after consulting your general practitioner. I would also recommend you to take a second opinion from a nearby surgeon to re-examine your problem and do the needful for you.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

I have taken Augmentin 625 mg for five days, but the wet feeling still persists. Earlier my doctor already gave prescription drugs for 15 days, assuming it was Fistula in ano. During colonoscopy and sigmoidoscopy also, the doctors did not find any perianal abscess. Doctors have ruled out all of the above.

Recently I found that there is a white tooth paste type discharge from the anus (very little and very rarely). However, there is absolutely no pain except the wet feeling. Can it be fungus? Did my earlier culture report show any signs of fungus?

You may prescribe suitable oral drugs or tropical creams.

Thanks.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I understand your concern.

In your previous report, there was no fungus. You can get a swab KOH (potassium hydroxide), to rule out fungal elements. Till that you can apply Mupirocin ointment plus Clotrimazole cream twice for five days.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thanks for your reply.

I have attached the KOH report. Shall I change my medicines or ointment?

Thanks.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have read your report. It does not show any fungal elements, so suspicion of infection with fungus is ruled out. But it contains gram-positive cocci and gram-negative bacilli. Gram-positive cocci indicate a staphylococcal infection, which is normal commensals and nonpathogenic, while gram-negative bacilli are present in the gut, so these bacteria either come from stools or secretion taken on a swab from your suspected opening. In your case needs a proper physical examination by a gastrointestinal surgeon if you are still symptomatic.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

As advised by you, I will visit a GI surgeon. In the interim, can you prescribe medicine for staphylococcal infection?

Thank you.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I understand your concern.

I suggest using Fusidic acid cream (Butylhydroxyanisole, Cetyl alcohol and Potassium sorbate) twice daily for seven days.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

I have applied Fusidic cream for seven days externally, and it worked. Though not completely. Maybe for the infection to clear up completely I need to take oral medication apart from cream.

Please suggest.

Answered by Dr. Suvash Sahu

Hi.

Welcome back to icliniq.com.

I understand your concern.

I have read your concern. If infection is still there then you can use tablet Augmentin 625 mg thrice daily for five days after consulting your general physician or nearby dermatologist and continue to apply Fusidin cream for the same duration.

I hope this information will help you.

Thanks.

Patient's Query

Hi doctor,

Thank you for the reply.

My GP said there could be dermatitis in the anal region due to which wet feeling is there and asked me to consult a dermatologist. I have attached the pictures. Please prescribe suitable medicine.

Thanks.

Answered by Dr. Suvash Sahu

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have seen your query and examined your picture (attachment removed to protect the patient's identity).

It seems you have developed intertrigo. I suggest using Clotrimazole cream and Fusidic acid cream twice daily for seven days and taking tablet Fluconazole 150 mg once a week for four weeks after consulting your doctor or near by dermatologist.

I hope this information will help you.

Thank you.

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Answered by Dr. Suvash Sahu

Medically reviewed by Dr. K. Shobana

March 7, 2018

October 23, 2024

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

Dr. Suvash Sahu

Dermatology

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