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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Painful Lump In The Perineum Area With Rectal Itching?

Hi I have a large lump between my anus and vagina which has been there for 4 months now, it s painful when rubbed the wrong way, I also have severe itching around my anus every single day now for 2 years, which is causing a lot of stress. I am worried about bowel cancer.
Wed, 23 Sep 2015
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General & Family Physician,  's  Response
Hi,
Welcome to health care magic,
Lump between anal and vaginal region could be lipoma or skin tag or cyst etc but it must be examined before coming to any conclusion.

So,you need to consult surgeon or dermatologist for proper clinical examination.

Secondly,itching over anal region could be due to intestinal parasites or diarrhea or candidiasis or anal fissures etc.

You must be diagnosed before taking any specific treatment.It is very could be because of bowel cancer so no need to worry about it.

For that,you must be checked by surgeon for complete history and thoroughly clinical examination.

You may require routine blood count, stool examination for R/M ova and cyst and proctoscopy etc.

Treatment is mainly depend on the underlying cause but you may require full course of antibiotics (quinolones-ofloxacin with antiprotozoals like metronidazole or ornidazole) for minimum 7 to 10 days with antihelminthic, antihistamines and topical steroids and lignocaine in combination for symptomatic relief.

Thanks and Regards,
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What Causes A Painful Lump In The Perineum Area With Rectal Itching?

Hi, Welcome to health care magic, Lump between anal and vaginal region could be lipoma or skin tag or cyst etc but it must be examined before coming to any conclusion. So,you need to consult surgeon or dermatologist for proper clinical examination. Secondly,itching over anal region could be due to intestinal parasites or diarrhea or candidiasis or anal fissures etc. You must be diagnosed before taking any specific treatment.It is very could be because of bowel cancer so no need to worry about it. For that,you must be checked by surgeon for complete history and thoroughly clinical examination. You may require routine blood count, stool examination for R/M ova and cyst and proctoscopy etc. Treatment is mainly depend on the underlying cause but you may require full course of antibiotics (quinolones-ofloxacin with antiprotozoals like metronidazole or ornidazole) for minimum 7 to 10 days with antihelminthic, antihistamines and topical steroids and lignocaine in combination for symptomatic relief. Thanks and Regards,