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Itchy back passage, leaves white residue, smells unpleasant. Please advise

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Cardiologist
Practicing since : 1981
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hi,i have been suffering with an itchy back passage.it also leaves a white residue and smells rather unpleasant,please advise me what i need to do.thanks very much.i have been suffering with this condition for about 2
Posted Sun, 29 Jul 2012 in Digestion and Bowels
 
 
Answered by Dr. Anil Grover 4 hours later
Hi XXXXXXX
Thanks for writing in.
I am a medical specialist with an additional degree in cardilogy.
I read your question with diligence. My suggestion is:

Sometimes you'll have itchingi the anal area gets some waste on it... which in your case is this discharge you refer to. Just keep it clean when that happens, a damp tissue with a little plain KY jelly on it and wipe it off. Probably it's coming from a little constipation, which the waste will sit in there a little too long, and the body naturally wants to push it, and all that comes out is liquid. There's a lot of mucous associated with the bowels moving. Soooo, extra water daily and adding a little more fiber to your diet will help, and by fiber, just adding an extra couple slices of 100 percent whole wheat bread daily ought to take care of it, or more salads, or cheerios with a little juice in the mornings. Hope this helps. Testing the stool for parasites can be considered. Also, looking at the anal area to rule out pinworms should also be done.

Malabsorption can be evaluated by sending the stool off for fat analysis, as well as blood tests looking for celiac disease. Various breath tests can be done to look for bacterial overgrowth or lactose intolerance - all which can contribute to your symptoms.

These options can be discussed with your personal physician, or in conjunction with a GI physician.

Followup with your personal physician is essential.

Personally, I would recommend de worming as done in children with single Albendazole and then start getting concerned about other causes.

With Best Wishes
Dr Anil Grover, Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
 
Follow-up: Itchy back passage, leaves white residue, smells unpleasant. Please advise 17 hours later
hi,dr XXXXXXX thank you for your reply.i do consider myself hygenic and do clean myself but this condition is more like sweating.the itching can be straight after a shower and any time of the day,i have been using vaserline but this is little help XXXXXXX
 
 
Answered by Dr. Anil Grover 2 hours later
XXXXXXX I did not mean to say or suggest in any way that you are not hygienic some how words gave that expression. I regret if I offended you, my heartfelt apologies.
Well, vaseline does not have local anesthetic properties whereas KY jelly with 2% xylocaine base does have. I would suggest that.
Well, when you say "mass" that puts a different perspective on it. If you can get an a coming morning's appointment to see your doctor for physical examination it would be fine. If not possible so early, it can wait till Monday but not later. For hemorrhoids is one another thing -I know- you never said bleed behave that way. I would at least this condition as soon as possible.
If there is another query, I would be happy to answer asap. If not my request to close the query with comments and scoring.
With Best Wishes

Dr Anil Grover,
Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW
Above answer was peer-reviewed by
 
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