Brief Answer:
Dermatitis, loss of integrity of the skin

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

I have read your history and understood the contents and problems you have mentioned.
It is good to know that the topical and oral anti-fungal have helped you to cure prostatitis and the disease above anus on your tail bone.

To recapitulate: Prostatitis 2 years on tamosulin which you found better on anti-fungal - Hemorrhoid surgery 1 year - Itchy cracked spot on tail bone 6 months - affects prostate too- both conditions get better with anti-fungal... Now > wants to know > ''Any ideas to what is going on?''

As per my experience and you history your present problem looks to be a case of dermatitis. There can be an added fungal infection which get batter with anti-fungal treatment.

My suggestions would be:
We have a facility that you can attache a nice photographs. Please use it to attach a good quality picture if possible.

In my opinion, this is a condition of dermatitis in the intergluteal region.
The exact cause of this condition is not known, but this is treatable and can be cured.
It usually starts as a itch, particularly n summer season. This is probable due to inability to clean up this area nicely with water, retention of the sweat, soap and so on.
The itching causes small injuries and mild infection. The area may weep, gives fluidly secretion and causes more itching , particularly at night.
Patients starts using whatever ointments are available or suggested by friends, family or local doctors. Feels good, but the disease remains there to recur or have vexing and vanning.
Many patients have some or the other problems with digestion or motion.

I do advise all such patients as follows:
-Clean the area with plain water as frequently as possible.
-Apply liquid Povidone Iodine locally to the whole area and allow it to dry.
No other ointments or lotions/ soaps / chemicals are needed.
-A small course of an antibiotic and Metronidazole for about 5 days ( you need a prescription please- of a local Doctor)
-Continue anti-fungal treatment as before...

-This is basically a disorder due to deficiency of vitamins and minerals that the integrity of the skin is lost. So you have to have therapeutic dosage of Vitamin A and D and to continue as multivitamins which are available as anti-oxidant medicines for about a month or so.
-We have seen the best results in almost all patients with this therapy- thanks again for the photograph for correlation.

Take care, get well soon and permanently.

I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications if you feel there is a gap of communication.

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