The crack of my butt -- high almost to where it ends near my lower back is scaly and red and itchy and when I sit on the toilet it leaves a pink blood stain -- not a lot but it s raw enough to slightly bleed but not hurt. In and around my actual anus it is very itchy and has been for years. I try cortisone creams live Walgreens etc but the cream itself makes the condition worse. Prescription strength corticosteroid make it go away and I have even gone so far as to spray the area with flonase nasal spray my mother used for her allergies but I noticed that after I did that I got stretch marks on my lower belly which are now going away. The folds between my buttocks cheeks are now left to right brown/red stained or strangely pigmented mirror images of each other. The texture of the skin is otherwise normal with no skin tags or warts . The area directly around my anus is flaky and itchy and I can peel it off like onion skin. I am a male 46. I have gained a lot of weight slowly over the past 8 years ( about 50 pounds) and I am under psychiatric care for panic and anxiety but in reality I can t climb stairs or walk fast because I get light headed -- this is not panic -- I just assume it is because I am too afraid to let an MD touch me unless its to see a psychiatrist -- I am now taking 4mg alprazoloam per day and mg Inderal. Sometimes the symptoms are better but overall I am severely agoraphobic and my life is awful -- I do not feel like a normal person and it s not mental. I work as a writer and I write very well but my mind is very screwed up. I scare easily and things that would normally just annoy someone, make me get very weak where I have to lie down and sleep -- when I can sleep -- if I am out in the sun or I get hot I feel awful and if my shower is too warm I take hours and hours to cool off. I also have wheezing when I get nervous -- like taking a shower. The wheezing is not that bad but I can feel it. I cannot lift or carry anything -- I get so weak so fast that I have to lie down and rest -- sometimes it takes days to get over this. This atrted in 2006 with a full blown panic attack and some kind of subsequent nervous breakdown but prior to that I was fearful of cold sores which wi Oulw get once every two years -- most of this started after the death of my younger brother which was very bad but I find it hard to believe that everyone else in my family is okay, but I am this big fat, sweaty, out of breath, itchy assed, guy who can no longer work or do anything sociable without having a glass of wine -- if I try to take less xanax I get horrible withdrawal symptoms -- all it does not is keep me from getting withdrawal -- there is really no ther purpose for taking it.. Also, this all started at the same time I developed a lot of discreet keratosis on the backs of my hands and the tops of my feet.