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Facing it from last 2.5 years
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 symptoms are consistent with chronic pruritus ani (anal itching), most likely due to a combination of:
• Irritation after bowel movements
• Moisture/sweat + prolonged sitting
• Possible subclinical fungal infection or dermatitis
Good that you ruled out fissure/piles based on symptoms. This is common and treatable, but often needs proper hygiene + targeted treatment.
Next Steps
1. Hygiene correction (most important) l
• Wash with plain water after bowel movement (avoid harsh soaps)
• Pat dry gently (no rubbing)
• Keep area completely dry
• Use soft cotton underwear
2.Lifestyle changes
• Avoid prolonged sitting → take breaks every 1–2 hours
• Avoid tight/warm clothing
• Reduce spicy food, caffeine (can worsen itching)
3. Treatment
Consult a doctor for proper evaluation and treatment.
Helpful Tips / Word of Caution:
• Do not scratch → worsens itch cycle
• Avoid oils like Jatyadi tel internally → can irritate more
• Excess cleaning/soap use can worsen condition
• If persistent → rule out fungal infection, eczema, or rarely psoriasis
This is not a serious disease
With proper hygiene + short treatment, most people get significant relief within 1–2 weeks.
Next Steps
You can take an online consultation with me via practo for detailed evaluation and treatment.
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Don't worry...you are suffering from eczematous dermatitis causing this problem.. Specific medicine available for good control... Treatment depends on the severity..Do direct online consultation for detailed prescription by sending photos.
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Hi there young man...
Thanks for that detailed history.
Apart from things like a worm infestation, irritable bowel syndrome etc it appears that stress is playing a major role here.
However this will need a more in-depth one on one chat to guide you further and provide a clear action plan.
You are welcome to connect using this App's INSTANT ONLINE Consultation 🙏
Alternatively, do meet a Dermatologist and a counselor/psychologist near you who you are comfortable with.
Good Luck & Godspeed.
Health Tips
Avoid OTC products, home remedies, self medications and Dr Google's suggestions 🙏
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Dr. Alisha Fatima
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
7 yrs exp
Lucknow
Kindly consult dermayologist
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Will improve with medication
Consult online for further management
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It could be a few differentials like parasitic infection, fungal infection, dermatitis and more. Kindly consult for better diagnosis and management
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Looking at the history, there are many possibilities of diagnosis
Next Steps
better to consult a dermatologist, online or in clinic
if online, make sure there are good quality photos too
Health Tips
not to use any creams without expert advice as there may worsen your disease
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Dr. Dhavala Guna Sagarika
Dermatologist
8 yrs exp
Srikakulam
Detailed history along with clear images are required for correct diagnosis and treatment
Next Steps
kindly book online consultation for proper management
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Dr. Moin Ahmad Siddiqui
Trichologist
7 yrs exp
Lucknow
Visit a dermatologist
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