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I have had severe anal itching for 3 months. A colonoscomy 2

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I have had severe anal...
I have had severe anal itching for 3 months. A colonoscomy 2 weeks ago showed no signs of hemorroids. I have tried witch hazel, preparation H, and tenactin with no good results. I have been to a walk-in clinic that told me to take sitz baths. Again no relief. Itching has seemed to be most severe at night. Any suggestions
Submitted: 1 year ago.Category: Medical
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Answered in 6 minutes by:
11/28/2015
Doctor: khagihara, Doctor replied 1 year ago
khagihara
khagihara, Doctor
Category: Medical
Satisfied Customers: 6,590
Experience: Trained in the multiple medical fields for many years.
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It could be allergic dermatitis. You should take over-the-counter oral antihistamine such as Zyrtec and topical 1% hydrocortisone cream (two or three times a day). But you should not use opical 1% hydrocortisone cream for more than two weeks because of possible side effects, such as thinning of the skin.

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Customer reply replied 1 year ago
I have been taking benadryl and have tried hydrocortisone to no avail
Customer reply replied 1 year ago
how would I detect pin worm or is that not a possibility
Doctor: khagihara, Doctor replied 1 year ago

Okay. It is not allergic dermatitis. Any skin change? How old are you? How tall are you? How much do you weigh? Any medical problems? Any surgeries? Any other medications? Do people around you have similar problem? Any family medical history?

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Customer reply replied 1 year ago
65 years old 5'8" 172lbs no other medical problems that I am aware of. First time for this problem
Doctor: khagihara, Doctor replied 1 year ago

No skin change?

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Customer reply replied 1 year ago
no skin change except in anal area irritation
Doctor: khagihara, Doctor replied 1 year ago

Enterobius vermicularis (pinworm) is possible because of nocturnal anal pruritus although it is more common in children as compared with adults. Erythrasma, an infection withCorynebacterium minutissimum, is more common in older adults. But it presents as a slowly enlarging area of pink or brown dry skin.

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Customer reply replied 1 year ago
How would that get diagnosed and what should I do.
Customer reply replied 1 year ago
what do you suggest I do at this point. I have not gotten any new answers for the direction I need to go in.
Doctor: khagihara, Doctor replied 1 year ago

Enterobius vermicularis (pinworm) can be diagnosed via a pinworm paddle test. This is a clear plastic paddle coated with an adhesive surface on one side that is pressed against several areas of the perianal region. The paddle is then placed onto a glass slide and eggs can be visualized under a microscope. The diagnostic yield is greatest if the test is performed at night or first thing in the morning, prior to bathing. The diagnosis of erythrasma is based upon physical appearance and the presence of coral-red fluorescence with a Wood's lamp.

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Doctor: khagihara, Doctor replied 1 year ago

You should see a dermatologist to have the tests. S/he may do a skin biopsy if necessary.

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