Brief Answer: Possibility of worm infestation to be considered Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day I do understand the difficult situation you may be facing in regards to your symptoms and not being able to have an appointment at earliest. Based on your description I could think of the following possibility 1. Worm Infestation: Pin worm infestation may cause itching around anal region and followed by rash. 2. Fissure in anus: its more likely in the presence of pain while passing stools. 3. Scabies Exact diagnosis can be arrived by clinical examination. It would be more helpful if you could provide me with a Clinical photograph of the same. In the meantime I would suggest you some measures that will definitely provide the much needed relief 1. Hot Seitz bath : Add a handful of common table salt to a tub of lukewarm water. Immerse the affected part in it by sitting in the tub. 20 to 30 minutes of exposure thrice a day will be helpful. 2. Dry the area with soft cloth after hot seitz bath. Local application of Betamethasone will be helpful. Along with Clotrimazole dusting powder. Do get back to me with the clinical photograph for further assessment and advice Take care Best Regards Dr T Shobha Deepak MBBS, MD

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Brief Answer: Could be due to Inflammation of rectum Detailed Answer: Hi Greetings Thanks for uploading the clinical photograph. The whitish discharge you are facing is due to mucous discharge coming from the rectum and is caused due to Proctitis(inflammation of rectum). This mucous discharge coming from the rectum has caused inflammation of perianal skin and has caused such lesion to appear. Amoebiasis could be the cause for Proctitis. Diagnoses can be confirmed by taking swab from the rectum and anal lesion along with stool examination of ova and cyst. Apart from the previous advise i would suggest you the following 1. Empirical Treatment with Combination Of Ciprofloxacin and Tinidazole for 10 days would be beneficial. 2. Thoroughyly wash your panties in boiling water to remove the traces of mucous and detergent in it. Contact with inadequately washed undergarments may lead to increase in lesion. Regularly change the undergarments. 3. Hot seitz bath 4. Local application of combination of Metronidazole ment and Framycetin ointment will be helpful. I am sure the above advise will be useful, do get back to me if you need any further assistance. Wishing you speedy recovery Take Care Do keep me updated about the progress and improvement. Take care Best Regards Dr T Shobha Deepak

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