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Does Keflex typically cause anal itching? I was on the wrong…

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Does Keflex typically cause...

Does Keflex typically cause anal itching? I was on the wrong antibiotics for several days before being prescribed reflex for a UTI and the itching has been awful.

Doctor's Assistant: When was your last pap smear? Have you ever had an irregular pap?

I had one in 2016. It was normal and I was told I didn't need one until this year. Never had an irregular one.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

No. I've been pretty healthy thus far in my life.

Submitted: 4 months ago.Category: OB GYN
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1/5/2018
OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago
Dr. Arun Phophalia
Category: OB GYN
Satisfied Customers: 38,080
Experience: MBBS, MS. Deal with women related all surgical problems including genito-urinary and breast surgery.
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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

Anal itching is not a typical adverse effect of Keflex. Please see the resource;

https://reference.medscape.com/drug/keflex-cephalexin-342490#4

Anal itching occurring in your case may be;

1) Due to Keflex. or

2) Due to previous antibiotic causing yeast / fungal infection.

You may take probiotics and apply over the counter yeast cream for the treatment.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

This itching and discomfort in the anus region can be pruritus ani which is quite a common condition. Excessive cleaning of the perianal area may exacerbate the problem by removing natural protective oils. Itching in the perianal area can also be associated with the presence of

a) hemorrhoids or

b) anal fissures,

c) infections or

d) skin conditions, so examination by a general surgeon and dermatologist would be prudent.

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

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OB GYN Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

Following can be helpfu for anal itchingl:

1) Referral to a dermatologist and a general surgeon is necessary for the proper management.

2) It is important to keep the perianal area clean but at the same time limit trauma and rough cleaning of the affected area. Thus be as gentle as possible.

3) Avoid using soap. Use QV cleanser or aqueous cream instead.

3) Minimize scratching as much as possible as it may make itching worse

4) Use a non-perfumed cornstarch powder or barrier ointment such as Bepanthen to protect the skin.

4) If moisture is a more resistant problem then consider using a sanitary pad.

5) If the above measures fail then a mild anti-inflammatory cortisone agent (such as Sigmacort 1% ointment or Egocort 1% cream available over the counter) may be required.

6) The dermatologist consultation should categorically rule out psoriasis, contact dermatitis, atopic dermatitis and hidradenitis suppurativa, as these need very specific treatment.

7) Dietary factors like certain foods items can be associated with anal pruritus; these are: coffee, tea, cola, chocolate, tomatoes, and citrus fruits. so they should be avoided.

8) A slight fecal soilage is very important cause for the anal itching. This happens due to a primary abnormality in the internal anal sphincter mechanism. Sleeping with a baby pad is the answer for it. Though some physician recommend biofeedback or Kegel exercises. The best ointment and helpful measure is a 1 percent hydrocortisone cream applied twice daily with keeping it dry. That should take care of it. Give atleast 3-4 weeks for this treatment as changing the local application cream frequently would not be helpful.

Please feel free for your follow up question.

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