So for about 6 days I've been dealing with itching
Patient :So for about 6 days I've been dealing with itching and burning on my butt. It mainly occurs after a bowel movement. I feel fine pooping and don't have any blood in stool. I went to my dr this morning. He stuck his finger up there and couldn't feel anything wrong. I've tried hemorrhoid creams (recently using proctozone cream). Didn't work. Do it doesn't seem like hemorrhoid. My dr said it may be tensemus. He prescribed B&O suppositories for spasms and rectal pain. Three different pharmacies say they don't carry these and look perplexed about them. Not sure what to think. For 4-5 days I've been waking up with some pressure/cramping in lower back/pelvic area but then it all goes away when I'm up and about. Could this be possibly an anal fissure or proctitis? I did have a colonoscopy a few years back not for this problem and everything on that looked good. I'm not sure what to do here or how to proceed. I guess it's good he didn't feel anything. But to explain the itching and burning which is worse when I'm up and walking or after having a bowel movement could it be this tenesmus? Or anal fissure or possible proctits? I think if it was Colon cancer he would have felt something. Please I need advice. I don't like the idea of taking suppositories especially since most pharmacies aren't really using them.
Read and re-read and understood your problem.
This looks to be dermatitis of the anal and perianal area secondary to occult intestinal infection not showing so much of intestinal symptoms along with multivitamin deficiency.
The fissure is painful and does not allow the per-rectal examination.
Tenesmus is pain before passing motion with or without actual passage of stool.
Hemorrhoids are not palpable, they are seen on Proctoscopy examination.
I would advise you the following:
You will have to discuss this with your Doctor and get appropriate prescription.
- You need a course of an antibiotic like Cefixime or Ofloxacin and Metronidazole.
- Add on treatment is Therapeutic dosages of Vitamin A and D.
- To be continued with Multivitamins, Probiotics.
- Sitz bath at least twice a day and clean the area with plain warm water- no soaps or any chemicals at all except povidone iodine liquid in the morning before bath and in the evening if you can dry it up with a hair dryer.
- No ointments at all.
- Oral mild steroids like Deflazacort or Omnacortil for a few dosages only to take care of the dermatitis part.
This helps all my patients and may help you too.
In the meantime go for the tests of stool, blood, urine, colonoscopy and USG or CT abdomen if need be.
These Q&A’s are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.