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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling of things moving in public hair and eyebrows, anal itching. Have head lice. Detected no infestation. Help

I feel things moving and biting me in my pubic hair but the doctor can see no infestation. I have taken thread worm tablets for 3 times but still have itching around the anus as well. I also have head lice and itching and biting in my eye brows and wriggling in my tear ducks. I feel infested but, apart from a few head lice eggs around the back of the ears nobody can find anything and I m going mad from having them crawling on me. I also feel them wriggling under my waist band. I have not been sexually active in 10 years so it s not crabs either. Please can you help?
Thu, 19 Dec 2013
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General & Family Physician 's  Response
Hello
Thanks for the query .
Head lice is very difficult to eradicate until full course is not taken .Beside full course personal hygiene is very important.
In this type of condition I usually prescribe permethrine 12 mg / day for 7 days .
I also prescribe albendazole 400 mg/ day for next 3 days.
Local application of permethrine soap twice in day for almost 10 days .
After 10 days I recommend gammabenzene as a local application for three days.
You also require dermatitis treatment around anus.
In my opinion consult a dermatologist and get his opinion for anal treatment.
Good luck.
Dr. HET
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Psychiatrist Dr. Ashish Mittal's  Response
Hello,
welcome to Healthcare Magic.

It is good that you have already taken treatment for parasitic infestation. If your problem is leading to so much distress (Feeling mad) and no physician able to see any infestation, then we should suspect delusional parasitosis in your case.

In that case you should be non judgemental and meet nearby psychiatrist. Apart from that start some multivitamins specially B12 as its deficiency leads to tingling/numbness over body.

Wish you good health and all the best.

Regards,
Dr Ashish Kumar Mittal
www.99doctor.com
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Feeling of things moving in public hair and eyebrows, anal itching. Have head lice. Detected no infestation. Help

Hello Thanks for the query . Head lice is very difficult to eradicate until full course is not taken .Beside full course personal hygiene is very important. In this type of condition I usually prescribe permethrine 12 mg / day for 7 days . I also prescribe albendazole 400 mg/ day for next 3 days. Local application of permethrine soap twice in day for almost 10 days . After 10 days I recommend gammabenzene as a local application for three days. You also require dermatitis treatment around anus. In my opinion consult a dermatologist and get his opinion for anal treatment. Good luck. Dr. HET