Question: Hi there, I'll try again. I am a 55 y/o active and healthy female, normal weight and non smoker. I have had a problem going on 4 years of itchy anus unrelieved by everything I have tried. It is now becoming severely intense (past 6+ months) with pain radiating to my coccyx. My Dr has no answers and where I live we do not have Proctologists. The itching is persistent day and night, but worse at night and that area is so raw and tender with skin breakdown in the crack. I am not overweight, I eat soo healthily. I've quit coffee x 1 month, am on a gluten free diet and have reduced tomato intake which never was excessive. I have and do use, cornstarch, zinc oint, steroid oint on occasion, olive oil, witch XXXXXXX and now sitz bath of epsom salts 2-3 x/wk. I took Combantrin 3 times in the past years, no relief. I have not been able to visualize any thready worms, even on a tape test. I recently finished a course of Penicillin, no relief. My Dr suggests taking Amytriptiline but I want to find the cause, not cover it up. I have very frequent stools, tho' not diarrhea, neither bloody or mucousy, but several a day and always feel like I have to go each time I sit to pee. My question is, could this be an unresolved case of severe worm infestation or something more sinister considering the new onset of sacral pain? It is beginning to impact my life in the sense of intermittent oozing of small amounts of stool undetected until I use the washroom. I am obsessive with cleanliness in the area and exacerbate an already tender problem by continual washing. I had, in my younger years 6 children and do know that I have mild prolapsed uterus. I had a colonoscopy last year which was negative and at that time the GP could not visualize any reason for this intense itching. I just need help!! I prefer a natural approach to healing but wonder if a CT or MRI would reveal anything? Thank you in advance for your advice...............S.

Thank you Dr Tayal, I appreciate your comments. You don't mention how or if treating skin tags, psoriasis or loose stool would resolve the problem. My GP has not offered treatment solutions for these things despite her noting the presence of a skin tag and the possibility of psoriasis. Who is the specialist that I should request to see in this case? I diligently use cornstarch after every bathroom trip to keep the area dry. I thank you for your suggestions but have exhausted these measures already, including being aware of spicey foods. I can't accept that this is a 'normal' situation that I must endure. I am making the assumption you are from India...is there Ayurvedic treatment that you know of?

Best regards,
S. XXXXXXX