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Butt Rash Question! Sometimes When I Drink A Lot Or

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Posted on Mon, 30 Mar 2020
Question: Butt rash question! Sometimes when I drink a lot or eat unhealthy I poop more frequently. Caffeine before workouts or in general causes me lots of butt sweat also. Last week I noticed I was wiping myself raw, I even noticed that it seemed so "chapped" the skin had cracked a bit just like a chapped lip would. So I switched to using mostly wet wipes, and applied destine whenever I thought to. Now I have a pretty solid red, itchy and uncomfortable rash around the hole and directly above in the crack. My symptoms have lasted for about a week now, and generally I'm able to get rid of the problem in a couple days. I had a long weekend of drinking and have not gotten back to eating healthy and trying to really reduce how much I'm using the bathroom until today. I'm wondering if Desitin cream, or gold bond powder is the right thing for me to be using. Or if there could've been some sort of bacterial infection because the skin was so raw and my sweat was pretty uncontrollable the past 3-4 days. If there's something else I should be using to remedy the situation. Or if it's just a matter of continuing with the desitin and trying to get my body more proper rest to help it recover. Sorry for being wordy! Thank you
doctor
Answered by Dr. T Chandrakant (18 minutes later)
Brief Answer:
Please give details and post actual photographs.

Detailed Answer:
Hi.
Thanks for your query and detailed history.
Please give additional information for me to assist you better:
Your age and gender please.
Please post clear and focused photos if possible.
Any medical problems like diabetes?
What are the other symptoms related to GI tract like bloating, gases, nausea, vomiting?
Is the stool sticky/ blood stained or so?
Any other information please.
Awaiting.
Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (34 minutes later)
Sorry, I was trying to avoid sending a picture if possible given the location. Here is one!
I am a 27 year old male. No diabetes. No blood in my stool. It is never very solid though. I eat a lot of spicy food, drink alcohol, and caffeine which all seems to cause an excessive amount of sweat as well as frequent poops.

I had to upload the photo under "reports" I didn't see any other options.

Thank you
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As discussed

Detailed Answer:
Thanks for your feedback and photo.
The photo clearly shows this to be peri-anal excoriation.
The causes can be one of the following:
Intestinal infection.
Local skin condition.
Desitin cream is the correct thing you are using and should be used before passing motion for it to act as a barrier against bacteria in stool.
I would advise the following in addition:
Get the stool tests done for a few days. If there is any evidence of an intestinal infection then you would require a course of an antibiotic, metronidazole and probiotic. These are prescription based.
Surely, one of the important part of management is prevention:
Since coffee, alcohol and unhealthy food is causing the problem you have to avoid/stop any such factors, foods and beverages to get early and proper effect of management.
Also take multivitamins, mineral and trace elements in capsule form as it helps in healing.
If hte problem is recurrent then colonoscopy is advised for detailed diagnosis.

I hope this answers your query. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Also give followup.

Dr T Chandrakatn.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Butt Rash Question! Sometimes When I Drink A Lot Or

Brief Answer: Please give details and post actual photographs. Detailed Answer: Hi. Thanks for your query and detailed history. Please give additional information for me to assist you better: Your age and gender please. Please post clear and focused photos if possible. Any medical problems like diabetes? What are the other symptoms related to GI tract like bloating, gases, nausea, vomiting? Is the stool sticky/ blood stained or so? Any other information please. Awaiting. Dr T Chandrakant.