Suggest Treatment For Severe Anal Itching

Question: Dear Doctor,

Severe anal region itching - Affecting quality of life:

1.Past one and a half year , suffer from severe anal itching

Repeated visits to dermatologist no help , same medicines .

The oinments prescribed by the dermatologists gives little relief on that particular night

Next day from mid-day , the cycle of itch-scratch starts and never allow me to do office work with good concenteration
and deeply impact my quality of life.

The itch is severe in the evening and late evening time and often go to toilet many times and additionaly with burning sensation.

The area of itch , to define is completly around the anus , and 1 to 1.5 cm deep inside the rectum from anal opening.

Also itch is prominent in perinnieal region and back side of the scrotum, and also in between the thigh joints a white itchy line appearance

2. There is also a thickened mound linear patch near the gleutal region , black in colour , raised surface , black in colour
very itchy , and on scrarching with nail , the itch aggravates. Do not understand what it is. Shown to dermatologist (M.D , Derm) , gave an oinment Tenovate M . More medicines like Xyzal for sedation , etc.
for itching.

3. Had a consultation with Gastroenterologist , identified that fungal infection around the anal and perinneal region
and put on some mediciens for 10 days, already a week on , but still no releif from itching.

Please suggest a solution doctor.

Attachments :


. Gastroenterologist ( MD - Gast) Prescription


Thanks.

The prescriptions of dermatologist.Gastro-enterologist and the blood report took a week before and the photos of infected anal region are attached/
Thanks