What could cause itching and scratching tendency near the anal opening especially after sweating?

Hello,

Welcome to icliniq.com.

I have gone through the details provided from your end and I do understand your concern.

The concern you are facing is tinea infection also called tinea cruris which is a fungal infection of the anal opening area. It is due to the fact the area is unexposed and there is stagnation of sweat and moisture. Do not worry. They can be managed with medications. However, it needs to be noted that they need to be used for three-plus months. I would ideally advise using medications at least two weeks after the rashes completely subside so that no fungal elements remain. If they do remain, they may multiply when there is stagnation of sweat and moisture. Immunity also plays a major role since weak immunity can also cause recurrences of fungal infections.

I suggest the following,

1. Capsule Itraconazole 200 mg after dinner daily for three weeks.

2. Tablet Levocetirizine and Montelukast 2 hours before going to sleep at night for 3 weeks to help with itching.

3. Lulifin 1 % cream thrice daily on the affected area for 3 plus months.

4. Abzorb topical powder every 2 hours or in between cream applications to absorb excess moisture and sweat from the affected area.

5. Capsule Becosules Z daily after dinner for three months.

6. Ketoconazole soap. Use this soap on the affected area. Apply with water, keep for 3 minutes, and wash off. Use a regular soap on unaffected areas.

7. Make sure to completely dry the body with a towel after bathing and airing the area under the fan for 15 minutes daily.

8. Avoid using tight undergarments and clothes.

9. After using the washroom each time, clean the affected area dry with a clean tissue or towel daily.

10. Avoid sharing of belongings with close contacts.

Consult your specialist doctor, discuss with him or her, and take the medicines with their consent. These medications and advice will help you through the concern.

I hope I could be of help. Stay happy, healthy, and safe. Take care.

Hello,

Welcome back to icliniq.com.

I have viewed the image (attachments removed to protect the patient’s identity) and the details provided from your end, and I do understand your concern.

As I have mentioned previously, it will take at least three months for the symptoms to reduce. You may find the details mentioned above in the medical advice. Fungal infections multiply and thrive in moist areas where there is stagnation and sweat, and they can increase quickly. Therefore, consistency with medication is very important. Since you mentioned having used the medication for only 10 days, which is not an ideal duration to observe a change, I would highly suggest continuing the medications for at least three months.

In the meantime, if the symptoms are hindering your daily activities and causing severe discomfort, I would highly recommend consulting a doctor in person for examination and testing purposes. The doctor may test the discharge via swab or the dry flakes via a microscope to provide medications based on the test results.

I hope this helps you.

Take care.