Hi,I am Dr. Andrew Rynne (Family Physician). I will be looking into your question and guiding you through the process. Please write your question below.
I have anal itching. I have used different hemorid creams and ointments and no relief . My Doctor perscribed me Hydrocortisone AC 25 mg supp I used for a few weeks . helped... but i hurt in my rectom after using for awhile. so I quit. I have been using medicated pad which stops the itching for awhile what should I do? I am 61 years old 175 lbs 5ft 4 1/4 good health . have my checks when due. along with blood work. High blood pressure meds. potassium ,celxa, 81 asprin,
I understand your discomfort and distress. The usual causes for perianal itching is a fungal infection or a parasite called enterobius vermicularis (Pin worm). In pin worm the itching is mainly at night and if you inspect your motion or the perianal region you might see the worm. The fungal lesion can also be diagnosed by a KOH preparation, which can be done at most labs. Hydrocortisone suppresses the symptoms but not the cause. Check your blood sugar if it has not checked recently, as diabetes makes one prone to fungal infections. If you are unable to meet a doctor and get a proper diagnosis, empirical treatment can be tried with Albendazole tablet and canesten cream locally. I sometimes advise this on my virtual practice. Best wishes, Dr. Noble Zachariah
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Suggest Treatment For Anal Itching
Hello, I understand your discomfort and distress. The usual causes for perianal itching is a fungal infection or a parasite called enterobius vermicularis (Pin worm). In pin worm the itching is mainly at night and if you inspect your motion or the perianal region you might see the worm. The fungal lesion can also be diagnosed by a KOH preparation, which can be done at most labs. Hydrocortisone suppresses the symptoms but not the cause. Check your blood sugar if it has not checked recently, as diabetes makes one prone to fungal infections. If you are unable to meet a doctor and get a proper diagnosis, empirical treatment can be tried with Albendazole tablet and canesten cream locally. I sometimes advise this on my virtual practice. Best wishes, Dr. Noble Zachariah