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Anal itching - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   hi
User :   Do you have a diagnosis for the rash
Doctor :   yes, could you explain the symptoms and elaborate on the rash
User :   My 4-year old daughter has an itchy ring like rash around her anus (red bumps). She's also had a yellow discharge for about 3 days, which she hasn't had before. Could it be a yeast infection? I treated with Clotrimazole 1% and cortizone cream as I didn't know what it is.
Doctor :   does she have fever?
User :   no, she's fine
User :   just very itchy and slightly painful
User :   especially at night she wakes up to scratch a lot
Doctor :   ok
Doctor :   apart from this, does she complain of stomach ache?
User :   no. she eats fine. I also can't think of something new or different she's eaten. maybe too much chocolate lately which she isn't used to. I heard that chocolate can cause yeast infection.
Doctor :   from what you have explained to me, I can think of these possibilities
Doctor :   1. a worm infestation, common in children causing anal itching
Doctor :   2. a fungal infection
Doctor :   3. a hair follicle infection with a secondary bacterial infection causing a discharge.
User :   worms? oh. how do you treat that.
User :   fungal infection should be treated with a normal yeast cream like Clotrimazole I guess
Doctor :   does she feel better after the clotrimazole cream?
Doctor :   she needs an examination from a doctor, only after examining her anal region we can conclude on what it is.
User :   I think so. But I did mix it with cortizone to hit 2 birds with one stone in case it isn't a fungal infection. cortizone cures pretty much any skin issue.
Doctor :   generally a worm infestation cause severe itching in the area.
User :   so we have to look at her stool?
User :   can it be visible?
Doctor :   no, she needs to be examined
User :   I think since her vagina has an unusual discharge at the same time with the rash it could be a yeast infection.
Doctor :   and some swab tests may be needed
Doctor :   even other wise the doctor may put her on a course of medicines
User :   ok need to get an appointment i guess.
Doctor :   yes, an examination is needed in her case
User :   how do you find out if it's worms? a swab?
Doctor :   since cortizone will control the itch but not treat the underlying condition.
Doctor :   ya, swab and stool examinations microscopically
User :   makes sense
Doctor :   and an abdominal examination
Doctor :   if it is a superficial bacterial infection , it will be treated with local antiseptics
User :   ok. i hope the doctor will be able to see what it is. it seems like analysis is a bit difficult.
Doctor :   no, on examination , the doctor canconclude on what it is.
Doctor :   only with history, it is difficult to come to a conclusion.
Doctor :   but if it is a superficial skin infection / follicle infection , it can be treated easily.
User :   i just called the doctor's office and they have no appointments this week. great.
User :   NHS
Doctor :   ok
Doctor :   continue the clotrimazole
Doctor :   and wait for an improvement
Doctor :   if the child feels discomfort or pain, she needs to see doctor
User :   should I do 3x a day? or increased dose of 2%?
User :   i have it all here in my little pharmacy. :-)
Doctor :   do not increase the dose , just continue it
User :   that's what i thought. it's still a small child. might go away. but i'll call the office tomorrow to see if they have a cancellation.
Doctor :   did i answer your questions?
Doctor :   i think we need time
Doctor :   thanks for consulting me
Question is related to
Diseases and Conditions
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