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Pruritus ani and anal itch at night - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Doctor :   hi
User :   hi
Doctor :  
how can i help you?
User :   Recently I shaved around my anal area
User :   and now I have these irritating bumps
Doctor :  
ok
User :   and i need help with them
User :   what do I do?
Doctor :   ok
Doctor :  
i will help you with this
User :   they seem to itch at night
User :   and most of them seem to be inside of the skin
Doctor :  
please provide your age, gender, location, and occupation
Doctor :  
ok
User :   im 23
User :   male
User :   USA
User :   currently unemployed
Doctor :  
ok
User :   i'm a student
Doctor :  
the most common cause for it to happen is poor hygiene
Doctor :  
however, there are other causes also for this
Doctor :  
like piles/hemorroids
Doctor :  
any chronic diarrhea
Doctor :  
fungal and yeast infections
User :   yes diarrhea
Doctor :  
any parasitic infestations, like lice, mites, pinworms etc
Doctor :  
other causes include psoriasis, dermamtitis, eczema
User :   not that i know of
Doctor :  
diabetes or liver disease
User :   this all happened after i shaved
User :   no
Doctor :  
ok
Doctor :  
this can also happen if you use tight clothes
Doctor :  
i will suggest you a few things that you can do to get relief
Doctor :  
1). avoid tight clothes, wear cotton clothes
Doctor :  
2). wash undergarments in antiseptic solution in the last rinse, dry in sun and iron them before use
User :   are there any topical creams for the swelling
Doctor :  
3). avoid using toilet papers, rather use cotton balls/soft cloths
Doctor :  
4). avoid saops in the area, rather use mild cleansers eg. Cetaphil Cleanser.
Doctor :   5). cut down on spicy foods
Doctor :  
6. use any of these to soothe it
Doctor :  
a). Cetaphil kotion
Doctor :   b. cortisone cream 0.5%, you can get it prescribed by your physician, it is not and OTC cream
Doctor :  
these you can apply before and after going for motion
Doctor :  
and at night
Doctor :  
the best will be to get these bumps examined, such that any infestation and dermatitis causes can be ruled out/or if present can be treated appropriately
Doctor :  
are you there?
User :   yes
Doctor :  
have you followed what i have said?
User :   yes
User :   so you said cetaphil lotion
Doctor :  
yes
Doctor :  
this will soothe the itching
Doctor :   i will suggest you to get an examination done to see if you are having any fungal/yeast infection
Doctor :  
or if you are having pinworm infection
Doctor :  
as you said that the itch is more at night, so these might be the probable causes.
User :   males can have yeast infection?
Doctor :  
yes, yeast infection can be there if moisture is present and in poor hygiene
Doctor :  
is there anything else i can help you with?
Doctor :  
are you there?
User :   yes
User :   no i think that will be all
User :   thank you
Doctor :  
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Doctor :   have you filled the feedback form?
Doctor :  
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Question is related to
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