Suggest Treatment For Severe Diarrhea And Itching In Anus
Clinical evaluation, investigations and proper treatment
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate salient points: Male/37 - diarrhea and sickness 4 months ago - BM 9 am - pains - Doctor - more than pruritus ani - followed his advise - got treated for pin-worms - itching unbearable sometimes - fecal matter for hours after each movement - so put cotton balls - seems that leakage is causing irritation - at wits end....
My opinion and advise as from the history you have provided:
- If you can, post clear pictures as it helps for on-the-spot diagnosis.
- Tests of stool for 3 consecutive days.
- Tests of blood to rule out diabetes, thyroid function, CBC and other as indicated
- Therapeutic trial of an antibiotic and metronidazole to ward off any intestinal and local peri-anal infection/dermatitis.
- Probiotics and other symptomatic therapy.
- Ultrasonography of the abdomen.
- Clinical evaluation and an actual per-rectal digital examination to see the tone of the sphincters, any fissure, hemorrhoid and anything that causes concerns like a polyp.
Proctoscopy and colonoscopy
CT scan of the abdomen if needed.
Continue your treatment as before. And add probiotics and multivitamins, therapeutic dosages of Vitamin A and D.
Treatment of any medical disorders found during the course of investigations and treatment.
This will help to correlate the findings and have a plan of proper treatment.
Please discuss this with your Doctor, get an appointment of a Gastroenterologist or General Surgeon and get the most proper diagnosis and treatment, please feel free to ask for further relevant queries if you feel that there is a gap of communication.