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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itchy Holes In Stools?

i have holes in my stools,i get really itchy at night,this has been for about 10 years now,iv been to the doctors a few times about it n left samples but nothing shows up in it,iv also taken tablets for thread worm a few times but the holes are still there and the itching every night
Wed, 30 Aug 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
It looks that you have holes near anus and not in the stool, also have itching and thus I would advise you the following in such a situation:
Consult a General Surgeon for clinical evaluation, examination, per-rectal digital examination, ano-proctoscopy and plan for colonoscopy.
If this is due to fistula in ano, you need a biopsy, fistulography and surgery along with biopsy of the specimen for getting the correct diagnosis for getting a specific treatment.
If there is no specific cause that can be found surgery still helps.
But there is no fistula but perianal excoriation then the obvious treatment is a course of an antibiotic, metronidazole, probiotics and local application of liquid povidone iodine after washing with copious amount of water and keeping the area dry; avoid tight clothes and hot, humid atmosphere.
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What Causes Itchy Holes In Stools?

Hi. Thanks for your query. Noted the history and understood your concerns. It looks that you have holes near anus and not in the stool, also have itching and thus I would advise you the following in such a situation: Consult a General Surgeon for clinical evaluation, examination, per-rectal digital examination, ano-proctoscopy and plan for colonoscopy. If this is due to fistula in ano, you need a biopsy, fistulography and surgery along with biopsy of the specimen for getting the correct diagnosis for getting a specific treatment. If there is no specific cause that can be found surgery still helps. But there is no fistula but perianal excoriation then the obvious treatment is a course of an antibiotic, metronidazole, probiotics and local application of liquid povidone iodine after washing with copious amount of water and keeping the area dry; avoid tight clothes and hot, humid atmosphere.