Brief Answer: Kindly elaborarte the details Detailed Answer: Hi, I can understand your concern for the the itching all over the body including anus and other of the areas. Before I guide you best for your condition can you please elaborate certain important points: - Have you felt any rash or bumps along with itching - Any history of systemic illness in last 1-2 years. - Any history of stressful event in last 1-2 years. - Do you feel any incontinence of feces or abnormal bowel movements. - Have you gone for complete checkup including blood investigations recently and after the onset of problem. Hope to hear soon form your side. Dr Sanjay MD

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Brief Answer: Non specific pruritus & Irritable bowel syndrome Detailed Answer: Hello XXXXXXX Thanks a lot for uploading all the important information. After thoroughly analyzing the complete situation I can make out that you are dealing with great stress not only because of general problems but also due to the condition of itching all over your body. There can be multiple reason of itching and in most the cases where there is a visible reason, we are able to find at least a rash or some bumps. In your case there is a sole problem of itching all over body. This type of itching is called as "Non specific pruritus". Along with this the important problem of bowel and stool problem is known as "Irritable bowel syndrome". I analyzed the whole situation and the basic root cause of all the problems comes to be the stress only. On the analysis of the report- all the reports are almost normal except for the urine report which has pus cells on bit higher side. tell me if you feel any urinary symptoms or any burning on urination. Let me tell you form my side that I quite often see your kind of complaints in my clinical practice and like yourself patients are quite distressed about the possibility of multiple types of symptoms as you are feeling and itching is just a part of expression of all these non specific problems. In your kind of cases the most important part is reduction of stress and some medicines. I suggest you to go for a psychological counseling for reduction of stress. In general the drug prescribed is Olanzapine under strict medical supervision. It is a generally started with a dose of 5mg per day but in my experience 10 mg would be the ideal dose to start with. It is to be taken after meals at night time. There is mild sedation after taking it for few days to weeks period and then it subsides. There is improvement after 3-4 weeks period. If the improvement is not seen then the dose can be increased to 15 mg per day and same 3-4 weeks observation is done. If still response is not seen then can be increased up to a dose of 20 mg per day under strict medical supervision. A dietary modification will definitely improve all the symptoms. For the betterment of diet kindly follow the suggestions below: 1. Eat at least 3-4 different fruits saplings per day. Every fruit is good but you can make a combination of sour with sweet fruits such as oranges, papaya and other of seasonal fruits. 2. Pulses are good source of proteins. So everyday have a small bowel full of mixed pulses. Add green leafy vegetables additionally in the pulses which contains lot of iron and vitamins in it. 3. Sprouts are the best source of fibers, minerals especially iron, vitamins and proteins too. so add it at-least alternate day if you can not make in every-day's part of meal. 4. Over night soaked and peeled almonds will give you good vitamin E which is good for the hair growth. 5. Curd should be included in every-day's schedule of diet. 6.Do light exercises, reduce your stress as all these have bit impact on skin. DO not sit alone and keep a good company for positive motivation. I am pretty sure that by all these measures you will find the best result in your symptoms. "With good health wishes" Dr Sanjay Kumar Kanodia MD- Dermatology

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Brief Answer: complete blood counts & urine examination Detailed Answer: Hello young fellow, Thanks for your follow up. As I got from your report you have bit urinary tract infection too. You should not correlate your problem with passing stool in hotel. There can be a possibility of infection but not because of comod sharing in hotel. Each and eery day so many people share the common toilets and it is not a part of spreading infection. So you should relieve your anxiety regarding above point. In my view you can go for routine blood tests including complete blood counts along with liver function tests and renal function tests to rule out any possibility of chronic infection as well any correlation of itching with internal problem. Additionally you should also go for complete urine examination including microscopy and culture of urine. Do follow other of the suggestions provided in previous mail. You will be alright soon. I hope these information will help you. I will be glad to answer any further of your queries or if not then can close the query and rate the answer. Regards, Dr Sanjay Kumar Kanodia MD- Dermatology & Sexually transmitted diseases

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