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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Skin Infection Around Anus?

I am female and have been very sore for ages now on my bottom, I have been applying talc every time it gets wet. Today I had a look with a mirror and saw a raw piece of skin near the anus. I have no idea how to treat this, do I try talc or a special cream? Of course, I try hard to keep the area clean and dry, difficult, as it is in such a bad place for infections. I suffer from Autoimmune Hepatitis and am on 2.5 mg steroids and other drugs.
Mon, 4 May 2015
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

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)
-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-
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What Causes Skin Infection Around Anus?

Hi. Thanks for your query and an elucidate history. 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) -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-