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Facing from last 2.5 yrs
I believe I have Pruritus ani, which started 2.5 years ago with very severe, unbearable itching, especially at night when it started. Being from a small town, I couldn't consult a proper doctor and felt hesitant to discuss it. It improved little but returned around Aug-Sept. As a JEE aspirant, I sit 10-12 hours daily on chair, which may contribute to it. I tried Jatyadi tel for 4-5 months, but felt no relief and increased it inserted. from January, consulted a homeopathic doctor and did sitz baths for 2 months baths reduced symptoms by ~30-40%, but itching still persists. it's unbearable, from all my knowledge I can conclude it's not piles, fissures (as no pain/bleed), not worms since nowadays from few months it doesn't itch at night, maybe some kind of skin disease. &it only happens after bowel movements, all day i wear warm clothes and undergarments and doesn't itch. but whenever I expose the area to air it itches. it feels like some mosquito bites in anus scratching make it worse
Answers (9)
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Your long study hours creates heat and moisture that likely damaged your skin barrier, making it hypersensitive to sweat or stool. Without pain or bleeding, your itching is likely caused by moisture, a fungal infection common in sweaty environments, or idiopathic pruritus, where a scratch itch cycle keeps the skin from healing.
Next Steps
keep the area clean using only lukewarm water, avoiding soaps and harsh rubbing, and ensure it is completely dry with a cool-setting hairdryer after bowel movements. Apply a thin layer of zinc oxide based barrier cream for protection, wear loose cotton underwear, and take standing breaks every hour to reduce pressure and moisture avoid common triggers like caffeine, spicy foods, citrus, and dairy, as these can irritate the area during bowel movements. Most importantly, you must stop scratching, as it creates micro tears that keep the itch cycle going; keep your nails short to prevent accidental damage
Health Tips
Since this has persisted for 2.5 years, you should consult a dermatologist or a proctologist for a formal diagnosis. They can rule out fungal infections or specific skin diseases like psoriasis or eczema
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Could be due to fungal infection. Take tab mondeslor one daily for 7 days.
Apply candid b ointment locally over it, 2 times daily for 14 days.
Avoid constipation.
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Go for proctoscopy an outdoor procedure by general surgeon.
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Please consult with proctologist or general surgeon physically for proper evaluation.
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Your history is very typical of Pruritus Ani (chronic anal itching).
Key features you described that help narrow it down:
• Itching triggered after bowel movement
• Worse when area is exposed/dry air contact
• No bleeding, no severe pain → less likely fissure/piles
• Long sitting (10–12 hrs) + sweating/occlusion
• Partial relief with sitz bath
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Please consult for treatment and follow up plan .
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.