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Itching in anal and testicle area - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1764 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hello Doctor
Doctor :  
Hi XXXXXXXX
Doctor :  
Proceed with your query
User :   i need your help in an itching problem at surrounding anus and testicles
Doctor :  
Sure, tell me your symptoms
User :   itching whiling washing after the toilet in side the anus
Doctor :  
Ok
Doctor :  
May I know your age, gender, height and weight?
User :   35, male, 5.6' and 62kg
Doctor :   Ok

Doctor :   Do you have/had piles problem?
User :   i have consulted many doctors and none is telling what the problem is.
Doctor :  
Ok
User :   they are ginve some creames and ointments etc
Doctor :   Do have bleeding during motions?
User :   yes. a few drops
Doctor :   Ok

Doctor :  
This favours Haemorrhoids
Doctor :  
When was the first episode?
User :   i cant remeber
Doctor :  
Roughly alteast
User :   but since May 2008 I have been going to doctors
Doctor :   Ok
Doctor :   Even now is there bleeding?
User :   yes but some times only when the stool is hard.
Doctor :  
Ok
User :   not always the stool is hard
Doctor :  
Now the next thing I would like to know was that
Doctor :  
How about bowel movements daily?
User :   i didnt get you?
Doctor :  
Like motions everday?
Doctor :  
Do you have any constipation?
User :   no
Doctor :  
Ok, thats good
User :   i go for motions twise
Doctor :  
So everyday you pass your motions without straining much
User :   some times in the evening while in the office.
Doctor :  
Ok
User :   yes
Doctor :  
And how frequent is the hard stool problem?
User :   some times only. about once in 3 days.
Doctor :  
Ok
Doctor :  
Do you pain in the area?
User :   no
Doctor :  
Thats good
Doctor :  
So occasional bleeding
Doctor :  
But itching is the main issue
User :   yes.
Doctor :  
What were you told by the doctor?
Doctor :  
Were you examined?
User :   now since april 2009 i am going to manipal hospital,
User :   XXXXXXXX rajeswari nagar, blr.
Doctor :  
Are you from Bangalore?
Doctor :  
Thats good
User :   i consulted a surgen also
User :   yes
Doctor :  
Ok
Doctor :  
Did he do a Proctoscopy?
User :   no
Doctor :  
Ok
Doctor :  
Do you know about Proctoscopy?
User :   no
Doctor :  
It is done with an instrument called Proctoscope
Doctor :  
It will be introduced via
Doctor :  
Anus to examine the Anal canal and The Rectum
User :   ok
User :   i see
Doctor :  
Was that not done?
User :   no
Doctor :  
Ok
Doctor :  
That is quite essential to know about the problem
User :   presently i am consulting dermetologist
Doctor :  
Ok
User :   after visiting so many times \for itching problem, when i aske about this anus problem he is telling to visit surgeon
Doctor :  
Ok
Doctor :  
I will give you the names of Proctologists to help you
Doctor :  
You consult them
User :   ok
Doctor :   They will help you to solve the issue
Doctor :  
WWW.WWWW.WW Doctor :  
Check it in the above link I have given
User :   ok doctor
User :   do you mean to say it is not skin problem?
Doctor :   So you can have a consultation with one of them
Doctor :   That has to examined first
Doctor :  
You can get the consultation done I think only on Tuesday
Doctor :  
So meanwhile I will give you some tips
User :   please
Doctor :  
Firstly Diet
Doctor :  
High fiber diet
Doctor :  
Plenty of fruits and vegeatables in it
Doctor :  
Apple is Ideal
Doctor :  
You can take 2-3 apples a day
Doctor :  
Next comes the exercise
User :   ok
Doctor :   Do brisk walking for 30 minutes continuosly everyday
Doctor :  
Morning/Evening as per you convenience
Doctor :   And you said that you have tried many ointments/creams
Doctor :  
Do not use them for more than 15 days at a stretch
Doctor :  
Are you getting it?
User :   yes . i walk about 6-7 km a day for going to office
Doctor :  
Ok
User :   but not brisk walk as you said doctor
Doctor :  
Let that be brisk and continuos
Doctor :  
There should not be much interruption
User :   ok
Doctor :  
And one more thing, how about your anal washing?
Doctor :  
How do you do that
Doctor :   After going to the toilet I mean
User :   normal water.
Doctor :  
That is fine
User :   some times i do sitz bath
User :   with hot water
Doctor :   Well Sitz bath is very beneficia
User :   with dettol
Doctor :  
but need to do it everday
Doctor :  
Just hot water with some salt is sufficient
Doctor :  
No need of dettol
User :   i want to tell one more thing.
Doctor :   Sure
User :   when i am in office i dont have itching. after coming to home after removing clothes. i feel like scratching the area surrounind testicles.
Doctor :  
Ok
Doctor :  
Is it only around the testicles or even in the anus?
User :   every alternate my sleep gets disturbed at 1 30 am and i feel like scratching the anus area.
User :   yes
Doctor :  
Ok
Doctor :  
This happens due to a worm infection
Doctor :  
sometimes
User :   feel like going to toilet and scratch
Doctor :  
You will need to take treatment for that
User :   this is in the early morning at 1 am to 3am
Doctor :  
Yes
Doctor :  
The infestation I mentioned is more common in children
Doctor :  
It is called Enterobiasis or Pin worm infestation
Doctor :  
You can talk to the about this as well
Doctor :  
So that he will prescribe you Anti-parasitic medications
Doctor :  
to overcome this
Doctor :  
Also wash your hands thoroughly after visiting the toilet
User :   yes
Doctor :  
You need to use alcohol based cleanser like Steryllium
Doctor :  
This is most likely a Parasitic infestation
Doctor :  
It will be resolved with Medications
User :   is this why dermetologist told not to use the same clothes for one month.
Doctor :   I cannot say about that
User :   he has prescribed liquid parafin to apply
User :   what for it is used?
Doctor :  
He might have suspected something else
Doctor :  
Liquid paraffin is a bland liquid
Doctor :  
which will help you overcome the itch
Doctor :  
But the root cause has to be evaluated
Doctor :  
And you will need Oral Medications
Doctor :  
Is that fine?
User :   yes.
Doctor :  
Demand for a deworming tablet like Albendazole from your doctor
User :   when i visited yesterday doctor was saying. one pile is there.
User :   what is it.
Doctor :  
A skin XXXXXXXX like
Doctor :  
Which is called Piles/Hemorrhoids
Doctor :  
That is why I recommended a Proctoscope for you
Doctor :  
It can be better said after getting that done
User :   is it a serious or dangerous problem?
Doctor :  
No
Doctor :  
It is a prevalent problem
Doctor :  
Which treatable with Simple surgery
Doctor :  
'which is
Doctor :  
Not required now for you I feel
Doctor :  
If you take that antiparasitic medication I think your problem will get resolved
Doctor :  
So get a deworming medication soon
Doctor :  
That is the key
User :   ok
User :   how about clothing? and my chair in office should be changed.
Doctor :  
Nothing
Doctor :   As you would already be using washed undergarments daily
Doctor :  
not much required
Doctor :   in that regard
User :   since 2 years i am travelling buy public transport for going to office.
Doctor :  
Ok
User :   i may be sitting on a seat which is used by many. can it affect me?
Doctor :  
No
Doctor :  
It does not
Doctor :   No worries about it
User :   and regarding proctoscopy can i approach same hospital since it is very near by to my office and convenient to multiple visits?
Doctor :   Ok
User :   how do i demand them for serious attention for this problem?
Doctor :  
Tell that your relative(like cousine) has suggested that
User :   since every time the doctor is changing the creames and ointments
Doctor :   Is that measure/trick fine with you?
Doctor :   Are you there?
User :   yes
Doctor :  
Ok
Doctor :  
So does the idea I suggested fine with you?
User :   yes
Doctor :  
Ok
User :   it is good idea
Doctor :   But I would recommend you to take the medication first
Doctor :  
and then go for Proctoscopy
User :   ok
Doctor :  
Because it is quite possible that you can get your problem
Doctor :  
rectified with medications alone
User :   ok
Doctor :  
You will have to repeat the medications after 2 weeks, even if the doctor forgets to mention that
Doctor :  
The antiparasitic medication only
Doctor :   I hope it is clear with you

User :   yes doctor
Doctor :  
Is there any thing else I can help you with?
User :   that'it for the time being doctor.
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
Have you filled the feedback form?
User :   yes how do i come back to you with the feed back
User :   or continuation of this chat?
User :   it is really great
Doctor :   You can login to your account
Doctor :  
and come back
User :   thank you very much. it is really more that talking to a doctor who is present in front of me
Doctor :  
We work 24/7
Doctor :  
Thank you
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to ur service.
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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