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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Soreness In And Around Anus And Vagina?

i am 27, female and 14stone 5ft2. I have had a recurring problem with my anus for years now. it starts as a soreness sensation and then spreads around the anus and skin between anus and vagina. It causes immense pain when going to the toilet - to the point where i am in agony. The dr says there are little lesions or cuts around, as there have been in the past. They have tried me on betnovate, dactacort and trimovate creams to name a few, and i also take anit-histamines etc. I'm at my wits end as it is making me depressed and my husband and i cannot try for a baby. I also had an endoscopy last year and was told all clear apart from minor heamerroids - but since i have ibs, my stools are still irregular and have mucus / red blood on occasion, as well as feeling like my muscles just do not work - causing intense itching when my bowels are full and waiting to be emptied. Any help or advice would be brilliant as i am worried that steroid cream will simpl eggacerbate the problem in the long run and thin my skin.
Mon, 4 Dec 2017
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General Surgeon,  's  Response
Hello dear

Warm welcome to Lybrate.com
I have evaluated your query thoroughly .

* This is in relation with chronic fissure and peri anal skin cracking from
dryness issue .

* Guidelines for better recovery

Drink plenty of liquids .
Prefer soft , light diet with more of green leafy veg , whole grains , cereals , pulses , legumes , organic fresh fruits .
Avoid all types of oily , spicy , non veg , hot beverages , junk foods , dairy fat .

Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of drinking lukewarm water helps by smooth bowel evacuations .
Tab. Ibuprofen ( 400 ) mg after meals for control of pain , burning .
Xylocaine ( 5 % ) jelly application over the anal part gives soothing action .

Sitz bath ( sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools ) helps .
Avoid long drives , sitting prolong on hard surfaces .

Control of blood sugar , cholesterol , body weight .
Avoid smoking , alcohol if consuming .
Avoid anal sex ( if performing ) .

Hope this clears your query .
Wishing you fine recovery .

Welcome for any further assistance .
Regards dear take care .
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What Causes Recurring Soreness In And Around Anus And Vagina?

Hello dear Warm welcome to Lybrate.com I have evaluated your query thoroughly . * This is in relation with chronic fissure and peri anal skin cracking from dryness issue . * Guidelines for better recovery Drink plenty of liquids . Prefer soft , light diet with more of green leafy veg , whole grains , cereals , pulses , legumes , organic fresh fruits . Avoid all types of oily , spicy , non veg , hot beverages , junk foods , dairy fat . Bulk forming laxative as Ispaghula husk 3 teaspoonful at night with a glass of drinking lukewarm water helps by smooth bowel evacuations . Tab. Ibuprofen ( 400 ) mg after meals for control of pain , burning . Xylocaine ( 5 % ) jelly application over the anal part gives soothing action . Sitz bath ( sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools ) helps . Avoid long drives , sitting prolong on hard surfaces . Control of blood sugar , cholesterol , body weight . Avoid smoking , alcohol if consuming . Avoid anal sex ( if performing ) . Hope this clears your query . Wishing you fine recovery . Welcome for any further assistance . Regards dear take care .