Hi.
Thanks for your query.
Noted the history about your uncle and understood your concerns.
Since he is having the problem since childhood and is now in mid 50s it is imperative to have investigations for his symptoms of
bloating, itching anus, feeling of worms in anus in spite of deworming, itching of right foot to the abdomen and
scrotum followed by pain in abdomen and so on.
I would advise you the following in such a situation:
Ask him to
consult a General Surgeon for clinical evaluation, examination and investigations as needed.
MRI of the lower spine as there is problem with the right lower limb.
CT scan of the abdomen will be most fruitful wither to confirm or rule out any problems.
Stool tests for three consecutive days.
Tests of blood particularly the
thyroid and liver functions.
Once a clinical diagnosis is done added on by the reports of investigations, it will be easy for a proper management so that your uncle becomes alright.
He also has to forego all the activities that give him stress and
anxiety.