How can I overcome pruritus ani? Please help.

Question

Hi doctor,

I have a skin condition. As per my research, it could be pruritus. But I am sure I would get a proper and accurate diagnosis from your end. I have a severe itchy bum and have been suffering from the same for almost eight years. I have never had the courage to consult a dermatologist in person because of the reason for a physical examination. All I am looking forward to is a cure for it as it has been really disturbing lately. I would highly appreciate your suggestions.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I can understand your concerns as I have analyzed each detail that you have provided. I have managed lots of cases with matching conditions and feel that you too will make good use of the information and suggestions.

First please get your stool tests done on three consecutive days.
Need to wear loose undergarments made of thin cotton and dry up your skin after every bath and whenever there is moisture.
Use antibiotic and antifungal creams mixed in equal quantities to take care of any germs inhabiting the area.
For now, no steroid creams need to be used. If you are using one, taper that off slowly till you are comfortable without one. This might lead to a temporary increase in discomfort but it is an absolute requirement.
Have sufficient antiallergics like Levocetirizine once or twice a day to neutralize itching completely.
The affected area need not be touched and for that medication helps a lot plus there is a good contribution from one's determination too.
Deworm your GI (gastrointestinal) system with Albendazole or another suitable agent about which you can get advice from your physician.

I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch-scratch which is bound to result in the thickening of the affected skin.

I hope this information will help you.

Thanks.

Answer 2

Hi,

Welcome back to icliniq.com.

Please go ahead with the tests and maintain a positive attitude. You can manage the problem with hard work and guidance. Best wishes.