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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
Persistent anal itching can be due to the nerve inflammation supplying the area.
This is likely if no skin changes seen around the itchy area.
Nerve related itching is best treated with oral medication.
Gabapentin 900 mg daily should be effective in most cases.
Topically Doxepine gel can be tried daily as an alternative.
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