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Fungal infection in the rectal area - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   I have suffered for the last 3 years with a very small bump in the perirectal area. This tiny bump is excruciatingly itchy and wakes me multiple times at night. When it first starting bothering me, I did some research on the internet and it was suggested to use a mixture of hydrocortizone cream and Nystatin. This completely relieved the itch for about 3 months or so. When the itch came back, I treated it again, and this time the relief lasted about 2 months, then one month, then a couple weeks, and now, nothing seems to work. I even upped the hydrocortizone to 2.5% but to no avail. In the last week, two more tiny bumps have appeared in the same area (about a sixteenth to an eighth inch apart). I am practically ready to tear my anus apart from the itch. Please help!!!
Doctor :   Let me read your query
Doctor :   Your age?
User :   43
Doctor :   Ok
Doctor :   Are you sexually active?
User :   Yes. I have been with my wife for over 20 years
Doctor :   Ok
Doctor :   Let me breif you
Doctor :   The causes for bumpos in anal region are nostly due to fungal infection
Doctor :   Then Comes bacterial and viral
Doctor :   Do you have previous history of anal fissures
User :   None
Doctor :   Helminthic infestation?
User :   Don't know what that is, so I'm
Doctor :   Its a worm ifestation
Doctor :   Obtained through Beef consumption
User :   oh, no I haven't
Doctor :   Ok
Doctor :   can you send me the pic so that i will have an clear idea
User :   Where do i send it
Doctor :   Because i have to distinguish from fungal and viral infection
User :   I have sent it. The subject is "anal itch - picture"
Doctor :   just amoment
Doctor :   These are not bumps
Doctor :   they are severe fungal infection
Doctor :   will require antifungal for a week
Doctor :   Like nystatin with steroid creams
Doctor :   And should avoid accumulartion of moist
Doctor :   Due to repetitive infection they are more virulent in your case
Doctor :   So polz start using Nystatin cream and keep the area clean
Doctor :   try wiping the area atleast every four hours with antiseptic lotions
Doctor :   And also use loose fitting clothes
User :   But I tried that and it only went away temporarily. I will try again. How many times/day should I apply? What kind of antiseptic lotion?
Doctor :   If unresponsive use MICANOZOLE CREAM
Doctor :   Unless precaution suggestes are taken they will reappear
Doctor :   Moist shouldbe strictly avoided
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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