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Compulsion to wipe near the anus - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3602 Questions
User :   Over the past few months I have been experiencing and irritating / itchy anus. Also when I wipe myself clean I sometimes have to return to the bathroom 2-3 times and wipe myself again, each time it appearing that I havent wiped myself properly at the previous visit. Any advice would be much appreciated.
Doctor :   HI
Doctor :  
Let me read it
User :   hi
Doctor :  
Ok
Doctor :  
May I know your age and gender?
User :   im male 29 years
Doctor :   Ok

Doctor :  
Are you married?
User :   yes
Doctor :  
Do you see any worms in your stool?
User :   no
Doctor :   Since when are you having this problem
User :   maybe 3-4 months
Doctor :  
Does it itch when you are asleep at night?
User :   not excessivley, I am aware of it most of the time but it is irritated by passing a stool
Doctor :   Do you have the itch or do you have a sensation of something sticky at the anus?
User :   the urge to itch is worse after passing a stool, it has never felt sticky although at times it does feel damp
Doctor :   How many glasses of water do you take per day?
Doctor :  
How many times you pass stool?
Doctor :  
per day?
User :   I probably drink 3-4 pints of water and pass a stool once a day
Doctor :   Does it happen to any one else in your family?

User :   no
Doctor :  
Do you have any other problems?
User :   no
Doctor :  
Do you scratch near the anus?
Doctor :  
or just wipe with a tissue?
Doctor :  
What is your age?
Doctor :  
Sorry
User :   just wipe
User :   im 29
Doctor :  
You already told me your age
Doctor :  
Do you have any other compulsions like this
User :   no
Doctor :  
Do you see blood or streaks of blood in the stool?
Doctor :  
Do you take medicines for any other reasons
User :   no and no
Doctor :  
Ok
Doctor :  
I think this is a problem about your thinking than an actual problem
User :   i have seen some blood when wiping but i think this is caused by excessive wiping
Doctor :  
Ok
Doctor :  
Did you see a Doctor
User :   no, it is a slightly embarrassing problem
Doctor :  
Ok
Doctor :  
I think this is a problem about your thinking than an actual problem
User :   that is ridiculous
Doctor :   When you wipe the anus with a tissue do you find anything to the tissue
Doctor :  
the stool sticking to it?
User :   sometimes small amount of blood
Doctor :  
But you say it is because of constant and repeated wipins
Doctor :  
wipings
User :   no stool sticking
Doctor :  
Usually stool can cause such itchings at the anal area
Doctor :  
since it contains microbes
Doctor :  
But I am more wanting to know if there are hemorrhoids
User :   why do i have to keep wiping?
Doctor :   The sensations can irritate you and thus you keep wiping

User :   they would have to be internal as they are not visible
Doctor :  
Yes
User :   when i am wiping there is exrement on the tissue
Doctor :   Do you feel good after wiping?
User :   why is there excrement on the tissue?
User :   very briefly but then the itching gets worse
Doctor :  
and then you want to wipe more
Doctor :  
Is it?
User :   yes
Doctor :   Ok, after listening to your problem I opine that you need to get few tests done along with a local examination of the area
Doctor :  
This is common and many people will have this kind of problems
Doctor :  
and they get very better on getting appropriate treatment
User :   thanks
Doctor :  
This is not worrisome
Doctor :  
But I want to give you some tips
Doctor :  
Cut your nails
Doctor :  
this will reduce the damage near the anus
Doctor :  
and no bleeding
Doctor :  
Did you follow?
User :   yes
Doctor :   Use soft tissues

Doctor :  
Instead of using tissues try to see if using water to clean the area will help or not
User :   ok
Doctor :  
This is a good suggestion
Doctor :  
from me
User :   cheers
Doctor :  
You can help yourself going to a local PCP
User :   i will do
Doctor :  
and get tested if you are not having piles
Doctor :  
One more thing before we end
Doctor :  
Are you sexually active?
Doctor :  
and is this affecting your sexual life?
User :   it is not affecting my sex life
Doctor :  
Ok fine
Doctor :  
good
Doctor :  
Please let me know the Doctor's opinion on examination
Doctor :  
I think I can add my inputs too after his examination

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