Anal Rash and Itching

In August of '09 I started to have anal itching.  I didn't think much of it and ignored it for a few months because it wasn't that bothersome.  Then I started to have stinging pain with a bowel movement.  I'm not sure if I had a rash but probably did.  And because the itching wasn't going away and was getting extremely annoying I went to my gyn.  She looked and saw fissures and gave me some cream that had in it stuff that they used to treat high blood pressure but it was in cream form.  She also gave me something for the itching.  It didn't work at all.  Went back in and she said it looked like a yeast infection.  She prescribed Nystatin and Triamcinolone.  It cleared it right up.  However it came back about a week and a half later.  Then I was given fluconazole.  Doc had me on that for 1 week.  If anything it seemed like it made it worse.  VERY ITCHY!  Now doc is having me go see a dermatologist in 3 weeks to see exactly what it is.  I'm 25 years old, married with 2 kids, healthy and have NEVER had any problems with yeast.  It's only in my anal region not vaginal.  Any idea of what it could be other than yeast?

[1stBaby22]

i have almost the exact same thing and they gave me yeast infection stuff i think is called monazole vag 2% cream and yes it cleared everything up and it was fine for a little bit but then when i made a bowel movement my anus started bleeding a little and it was back to being extremely itchy... come to find out i have hemmroids.. and possibly a horrnea its very weird but either way make sure they check for all other possiblities so as to not tell you to just keep telling you to take all this medicine if its not what you have anyways!

[Angebelle]

I had a similar issue a couple of years ago, embarassing as it is, but my physician found no hemo's or other causes, then suggested that I look at my diet because certain foods can cause anal itching through bowel movements.  Sure enough tomatoes are the culprit for me, due to their acidity.  So I limit them in my diet.  It could be something as simple as that - Let's hope so!  I hope you find relief soon.

[Bhupinder Kaur, MD]

Hello,
These symptoms can be due to moisture(due to sweating or frequent washing), the abrasion caused by clothing, the pressure of sitting, chemical irritants like laundry soaps, colognes and scented toilet paper, certain food irritants, medicines like some antibiotics and laxatives, infections like STD’s and pinworms, anal abrasions and fissures and skin problems such as psoriasis, seborrhea and eczema. Sometimes hemorrhoids will start off as red rash and anal itching.

I suggest you to get an evaluation done from a dermatologist.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.