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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28277
Experience:  MD
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Hi Three days ago I felt a burning and itching sensation in

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Hi
Three days ago I felt a burning and itching sensation in my anal area. The following morning I woke up with soreness and a pain when I had a bowel movement. During the day I no longer was itchy day but I felt extremely sore and felt burning. The next day I saw rashes all over my anal area which did not itch but was very sore and painful. It was also red in the general area. I went to the doctor who said she didnt see any hemorrhoids and prescribed me mupirocin 2% ointment and a suppository which she said would help heal a possible fissure. After one application, i noticed the rashes have decreased in size and now look like white heads. I also discovered the source of what was causing the most pain and soreness especially during and after a bowel movement. There looks to be a big huge rash just at the entrance of my anus. The doctor was not able to give me a rectum exam due to my pain so I'm a little concern this is more serious than she could evaluate. Note: she said she did not see any fungal growth.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Mysticdoc :

Indeed this can be more serious infection than thought of.

Mysticdoc :

Bacterial infection with MRSa is more likely since mupirocin helped.

Mysticdoc :

Oral antibiotic like Bactrim will be helpful --for 7 days.

Mysticdoc :

Besides the bacterial infection, another possibility can be genital herpes.

Mysticdoc :

This can be checked out by sending out a herpes PCR test from the lesion exudates.

Mysticdoc :

If your doctor is not comfortable in handling this condition, it is better for you to see a dermatologist.

Customer:

I developed these rashes while I was treating a UTI. I was in the middle of my 7-day course of antibiotics.

Customer:

Another thing, I have a picture which I'm attaching

Full Size Image

Mysticdoc :

Thanks for the picture.

Mysticdoc :

This does look like a bacterial infection like staph infection.

Mysticdoc :

Oral antibiotic like Bactrim twice daily for 7 days will be effective.

Mysticdoc :

Please do discuss with your doctor.

Customer:

Are you suggesting to take bactrim with the mupirocin ointment I am currently using?

Customer:

How would I have acquired this staph infection?

Mysticdoc :

yes you can do that --no problem

Mysticdoc :

staph infection occurs from the skin bacteria.

Mysticdoc :

you can catch this from the shower, public bathrooms, sometimes sharing towels etc.

Customer:

okay. So this is not genital herpes? This is highly unlikely in my mind.

Mysticdoc :

does not look like that.

Mysticdoc :

However, it can be confirmed with herpes PCR test

Customer:

My primary care physician was the one who examined me but what kind of of a physician do you suggest I go to, a dermatologist?

Mysticdoc :

yes a dermatologist

Customer:

Alright. Thank you.

Mysticdoc :

very welcome

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