Hello
Thanks for posting your query.
I can understand your concern.
Anal itching at times can be without any cause. And this itching itself can lead on to aberration. Since everything has been examined and any possibility of any condition has been ruled out, it's unlikely that there is anything physically inside the anal canal.
You mentioned two spots around the anus, you could send me a picture of that.
Meanwhile you can start taking an anti histamine like claritin at night.
If claritin doesn't work in the next five days, then you could consider taking a second opinion.
Application of cortisone cream around the anal area will also help to relieve the itching and will take of the condition in most of the cases.
Another cause as your MD rightly suspected in a worm infestation. (Enterobious ). In many cases the stool test will not show any result. However Albendazole or Mebandazole is the best treatment option (not flagyl). You should discuss this with your GP and consider taking a single dose of Albendazole.
Please let me know if you have any queries.
Take care
Patient replied :
Hi doctor thanks for your reply here is the photo of the red areas around anus you requested
Hello
Thanks for your reply and the picture.
There seems to be some redness, a fissure and a bacterial infection of the hair follicle which is seen in the form of a pits filled boil.
I would recommend application of a moisturizer and also a mixture of cortisone and neosporin cream on the area.
This might help in resolving the itching.
Please let me know if you have any queries.
Take care
Patient replied :
Thanks doctor, sorry but final question, i visited my doctor again today for followup, he changed me to ciprofloxacin 750 mg twice a day and also a xylocaine jelly 2% (lidocaine hydrochloride) , he said that i am very stressed with the issue and so my mind is locked down there and so i am not feeling any better because i am over worried about it and so he gave me Dogmatil 50 to keep me calm , when i was on the drug store i asked for the Albendazole as you said and bought one pack to be taken for 3 days, do you think i can take the Albendazole with the Cipro or may be try the Albendazole first for 3 days then start taking the Cipro if it didnt work?, also is this Xylocaine helly helpfull for this skin issues?
Thanks
Hello,
I really cannot comment on this, as you are also taking medication under care of a Doctor. You should discuss this with your Doctor (regarding Albendazole). Generally both can be taken together under the care of your Doctor. Lignocaine jelly is helpful in reducing symptoms.
Thank you