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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Defecation And Itching Around The Anus?

Hello Doctor, I have pain defecating and my perineum hurts when I press on it. It also itches around my anus but more so on my perineum. It has been like this for two months and I thought it would go away on its own. When it first started, it was hard to sit because of the pain. I don t know what to do or how to make it go away. It is very embarrassing and hard to talk to anyone about it.
Mon, 26 Dec 2016
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General & Family Physician,  's  Response
Hi,
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:
1)Take flagyl 450 3 times for 7 days
2)Take Pacef 200 mg 2 times for 7 days
3)Take Albend 400 mg at bed time and repeat after 7 days
4)Use Lidocaine 5% before going to toilet
5)Use Cremaffin plus at night with milk to make stool soft
6)Use shield ointment for itching

Investigations-
Stool & Blood DC
I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
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What Causes Painful Defecation And Itching Around The Anus?

Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-: 1)Take flagyl 450 3 times for 7 days 2)Take Pacef 200 mg 2 times for 7 days 3)Take Albend 400 mg at bed time and repeat after 7 days 4)Use Lidocaine 5% before going to toilet 5)Use Cremaffin plus at night with milk to make stool soft 6)Use shield ointment for itching Investigations- Stool & Blood DC I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,