Perineal/Anal Irritation, burning, itching, mostly after a bowel movement - Part 2

I agree totally that it was the Charmin as I have been using the Cottonelle wipes for over 5 years. Charmin toilet paper has a lot of dust, which I noticed all over the bathroom after only using one 24 roll pack of it.

Had a PA who gave me strong filtered coffee morning and afternoon.  Loved the coffee but developed the most chronic ring sting every time I had a bowl movement. Every bowel movement was sticky, clingy, hard to remove and extreme burning.  Whole area bleeding, stinging, couldn't wipe it, couldn't touch it, developed into a fissue, I was an embarrasing mess. Used creams, used wipes...couldn't work out what was wrong. 

My PA got married and left work to have a child and my regular coffee stopped.  It was a busy time and I was too lazy to get my own.  The painfull bowel movements cleared up.  The fissure went away.  A miracle.  I don't like instant coffees so black tea was my usual drink, I rarely bought a coffee, except in a restaurant (usually only one).  Realised I had occasional relapses but couldn't pick the cause (in hindsight big nights, or at a mates having multiple beautiful expresso/cappacino after dinners etc) 

Then this most amazing thing, the Nespresso, came into my life and the office.  So easy to have this beautiful rich coffee - love it, but guess what.  The anal ring sting returns with avengence. I can guarrantee it, just one coffee and its back within 6 to 12 hours.  Sticky, burning bowl movements and inflamed ass.  I love this coffee but it really hates me.  Its like clockwork.  Go without no problems, succumb to that Nespresso machine, burning ring sting again.   

If I have regular doses of metamusel (it stops the sticky clingy bowel movements) and only one Nespressao a day its tolerable but i really must give it away.  I don't know if its the caffeine or the coffee itself - but coffee, filtered or expresso (and instant if you can stand it) all cause the problem. (and chilli, but I can't give that up). I suspect other caffeine products but coffee is the main culprit. 

So look to your coffee habits, better the cure than dealing with the symptoms.

Hope this helps.   

Hi All,

I am the 29 yo female who posted in February that I had a problem with the serious itching and irritation.  I finally went to the dermatologists in April and they confirmed all of my suspicions.  It is the cottenelle bathroom wipes causing a problem.  The dermatologists said that "you would be surprised to find the numerous amounts of dermatology articles that come across their desk regularly regarding irritation the cottonelle wipes".  So just go to the dermatologist!!  She had to give me a topical steroid to get the irritation under control that I was not allowed to use more than 10 days.  Once that was over she recommended I use Vaseline   She did approve  my idea for my 'getting clean on the go' idea.  Instead of cottenelle wipes, I carry either the preparation H wipes or the tucks wipes (witch hazel) in my purse and use them after a BM.  My itching hasn't been 100% cured yet but I am 85% better than I was.  And with the continuing good practice it will be better.  

I might add for those who are debating affordability that my dermatologist costs without insurance between $75 and $125 depending on if you are a new or established patient.   The topical steroid was about $30 without insurance.  But I now have insurance so my copay's covered everything.

So would you go and take out the worms some how because it's inside of you.

I have a similar problem, intense itching while walking mostly, on ocasion while sitting. I noticed that there was no leakage other than a small amount of liquid mucus feces. I thought I had hemoroids, fungal infection etc. Then I paired that with an irratable stomach, and urine leakage, and what do you get. A herniated disk at l5 s1. If your problems persist get checked for this it is a spinal cord injury and is very serious

29/m returning to comment again 3 months later. I've found additional itch relief from using a modest amount of metamucil & plenty of water with breakfast and dinner. Having a sleeker stool that isn't a total mess and holds together during bowel movement (minimal strain) lessened the need for a lot of cleaning and wiping. If you decide to add metamucil to your diet, please do so gradually. For me personally, I discovered their recommended dosage is too high and it "bulked me up" too much. Finding your own balance is essential with fiber supplements. You want the stool to have a decent form, but you also need to eat the rounded diet and have the water intake that prompts poop once a day. Cheers so smooth moves!

Thanks for the Brita water filter suggestion. I stopped using my Brita filter pitcher and the irritation and itching, which I'd had for nearly five months, cleared up completely within  four days.

I am an older female who has been suffering with this problem for over 6 months.  The intense itching mostlly at night, burning, sorness, rawness, bleeding.  It has been driving me crazy but because of the embarrassing area, I did not want to go to a doctor and have been trying to deal with it myself.  I have tried everything, preparation H, cortisone creams, tucks, neosporin, triple paste, well you name it.  The problems started around my anal area but spread to the skin in my entire perianal area, around my "cheeks" and up into the "crack" area.  I finally saw my doctor who said it was a Candida infection and precribed Nystatin anti-fungal powder.  I used that for about 5 days and it made the problem much much worse.  In addition to intense itching and burning, the rash began to weep  to the point where even a panty liner does not help.  I have made an appointment with a dermatologist but can't get in for 3 weeks and in the meantime I am miserable.  It has affected all phases of my life.  Like others here I have been using Cottonelle wipes for YEARS.  I also use the Brita Water filter.  I am going to stop using the brita filter and find a substitute for the Cottonelle because really TP alone does not clean the area.   There is no hell like this and I am really hoping for some relief.

Look to the cause rather than the treating symptoms.  If you drink lots of coffee, stop it for two weeks and see the change. No coffee and a metamusil every day and you will amazed the difference.  Unfortunately, coffee then becomes an occasional treat and not a habit.

Give it a go.

    

AngelMyne.. Or anybody else.

I have suffered from anal fissures in the past but they have been healed for over a year now. Before I had fissures, It all started with symptoms similar to Prostatitis, So i was over prescribed antibiotics including a couple days of Cipro as well as a week of Ofloxacin among a few other antibiotics. I noticed that my symptoms of anal irritation and burning got worst after taking antibiotics ( doctors didnt tell me to take probiotics ) .

I do believe that antibiotics damaged my bacteria balance which is contributing to the anal irritation I get now. That along with minor pelvic floor muscle issues which I still have now . I have no idea how to cure this problem. I have tried probiotics and natural antifungals as well. I hope we all get past this phase.

If you can handle the pain (burning/stinging/tears to the eyes) of the Cortizone 10 Intensive Healing Formula for at least the first 10 minutes (3 times a day) - it does go away and so will the rash.  It took me a long time to subcume to that pain (after a doctor originally told me to use it, I promptly jumped in the shower and washed it off - didn't use it again for quite a while), but it paid off, and I no longer suffer the rash that I had for over 3 years!!!  I know each of us has different circumstances, but the conclusion after seeing SEVERAL doctors with SEVERAL different opinions and prognoses the best explanation was "Lichen Sclerosus" - which in the below statement says that doctors really don't know the cause or best effective treatment.  BUT I do hope this information helps - anyone!  Please make sure you consult with a doctor - or call a nurse-help-line - prior to using it for yourself.  ;-)

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What Is Lichen Sclerosus?

Lichen sclerosus is a long-term problem of the skin. It mostly affects the genital and anal areas. Sometimes, lichen sclerosus appears on the upper body, breasts, and upper arms.

Who Gets Lichen Sclerosus?What Are the Symptoms?What Causes Lichen Sclerosus?How Is It Diagnosed?How Is It Treated?Can People With Lichen Sclerosus Have Sex?Is Lichen Sclerosus Related to Cancer?What Kind of Doctor Treats Lichen Sclerosus?For More InformationWho Gets Lichen Sclerosus?

Lichen sclerosus appears in:

Women (often after menopause)Men (uncommon)Children (rare).What Are the Symptoms?

Early in the disease, small white spots appear on the skin. The spots are usually shiny and smooth. Later, the spots grow into bigger patches. The skin on the patches becomes thin and crinkled. Then the skin tears easily, and bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the disease is a mild case, there may be no symptoms.

Other symptoms are:

Itching (very common)Discomfort or painBleedingBlisters.What Causes Lichen Sclerosus?

Doctors don't know the exact cause of lichen sclerosus. Some doctors think a too active immune system and hormone problems may play a role. It is also thought that people inherit the likelihood of getting the disease. Sometimes, lichen sclerosus appears on skin that has been damaged or scarred from some other previous injury.

Lichen sclerosus is not contagious (it can't be caught from another person).

How Is It Diagnosed?

Doctors can look at severe lichen sclerosus and know what it is. But usually, a doctor takes a small piece of the skin patch (biopsy) and looks at it under a microscope. This allows doctors to make sure that it is not a different disease.

How Is It Treated?

If you have patches on the arms or upper body, they usually don't need treatment. The patches go away over time.

Lichen sclerosus of the genital skin should be treated. Even if it isn't painful or itchy, the patches can scar. This can cause problems with urination or sex. There is also a very small chance that skin cancer may develop in the patches.

Surgery is normally a good option for men. Circumcision (removing the foreskin on the penis) is the most widely used therapy for men with lichen sclerosus. The disease usually does not come back. Surgery is normally not a good option for women. When the lichen sclerosus patches are removed from the genitals of women and girls, they usually come back.

Treatment also includes using very strong cortisone cream or ointment on the skin. You put these creams on the patches every day for several weeks. This stops the itching. Then you use the cream or ointment two times a week for a long time to keep the disease from coming back. Treatment does not fix the scarring that may have already occurred.

You need regular followup by a doctor because using these creams and ointments for a long time can cause:

Thinning and redness of the skinStretch marks where the cream is appliedGenital yeast infections.

Sometimes, you don't get better when using the cortisone creams. Some things that can keep symptoms from clearing up are:

Low estrogen levelsInfectionAllergy to the medication.

When creams and ointments don't work, your doctor may suggest:

Retinoids, or vitamin A-like drugsTacrolimus ointmentUltraviolet light treatments (not used on skin of the genitals).

If you need medicine, ask your doctor:

How does the medicine work?What are its side effects?Why is it the best treatment for my lichen sclerosus?

If a young girl gets lichen sclerosus, she may not require lifelong treatment. Lichen sclerosus sometimes goes away at puberty. Scarring and changes in skin color may remain.

Can People With Lichen Sclerosus Have Sex?

Women with severe lichen sclerosus in the genitals may not be able to have sex. The disease can cause scars that narrow the vagina. Also, sex can hurt and cause the patches to bleed. However, treatment with creams or ointments can help. Women with severe scarring in the vagina may need surgery, but only after lichen sclerosus is controlled with medication.

Is Lichen Sclerosus Related to Cancer?

Lichen sclerosus does not cause skin cancer. However, skin that is scarred by lichen sclerosus is more likely to develop skin cancer. If you have the disease, see the doctor every 6 to 12 months. The doctor can look at and treat any changes in the skin.

What Kind of Doctor Treats Lichen Sclerosus?

Lichen sclerosus is treated by:

Dermatologists (doctors who treat the skin)Gynecologists (doctors who treat the female reproductive system)Urologists (doctors who treat the urinary or urogenital tract)Primary health care providers.

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Cortizone-10 Plus Top is used to treat the following:

Cutaneous T-Cell Lymphoma, Scaly Oily Skin Problem Primarily On Face and Scalp, Atopic Dermatitis, Contact Dermatitis, Inflammation of Skin caused by an Allergy, Disease that Causes Disc-Shaped Patches On the Upper Body, Reddish Nodules Arranged in a Circle On the Skin, Plaque Psoriasis, Psoriasis of Scalp, Anal Itching, Genital Itching, Skin Rash that Becomes Thick & Discolored From Rubbing It, Rash

 

 

Are hemorrhoids and an itchy perineum the same thing or are they separate issues as I have both. Have been using preparation h ointment. If they are separate issues can anyone recommend an over the counter treatment for an itchy perineum ? Thanks

I have suffered these symptoms occasionally for 4 or 5 hours.   I feel that I have successfully pinned mine down to eating raw carrots.  I have learned to avoid raw carrots but recently came unstuck by eating frozen carrots.   They were in mixed frozen vegetables which I have never bought before and won't again.  In spite of cooking the frozen carrots for a long time they remained quite firm  and consequently I experienced my first raw carrot allergic reaction for years.

I'm pleased to be finding this as its nice to know you're not alone. I'm 36 and pregnant with my second child. I've had itching in the perinauem, anus along with a sort of raised red spot on and off for probably 10 years. I've gone to so many docs & I'm fed up but I have some thoughts I'd like to share that might help. I also have had a fungal toenail infection that has gotten worse over the years, frequent thrush, IVF & gestational diabetes. I've had eczema since birth and so been on antibiotics a lot over the years and drugs with the IVF. Also after my 1st pregnancy I had a mystery illness - extreme nausea with what felt like a moving mass in my stomach & racing pulse coinciding with menstrual cycles - I did a battery of tests, they ruled out serious stuff but never told me what it actually was. Eventually the symptoms lessened and went though I did feel a tiny mass awhile ago but it was so much smaller than it was like a pebble where before it was like a big rock. The doctors said they thought my hormones went out of whack due to IVF & righted themselves but doesn't sound very scientific to me! They really didn't know. I've had lots of theories from doctors on what the raised red spot is - a batholin cyst which my gyno laughed at as in wrong spot, an allergy from hair follicles & the common one , the vague 'you're just susceptible due to your eczema'. It sort of looks like a haemorrhoid but thats been ruled out because its part of the skin and goes back to normal so theres nothing to remove, its always lying dormant. When it settles down a bit after putting antifungal cream on it it changes from a hanging spot thing into a flat blistered part of skin. I also have dermatologists who annoy me even the so called good ones, I really do think diet has a part to play and my dermatologist keeps pointing to my allergy tests coming up negative except for dust which I'm highly allergic to & says 'everyone thinks diet is a problem with skin but dust is the only thing that came up on your tests so let the diet thing go'. I did an experimental diet myself at one time where I gave up wheat & had only non cows milk dairy & I felt heaps better but found it hard to stick to especially during my pregnancies I've found it hard because of the no white cheese thing. Anyway, I believe my fungal nail infection is making me sicker & amplifying my food intolerances along with the pregnancy hormones. I'm currently taking an anti fungal cream which I thought was helping & last few days I had no wheat spelt bread & felt better but hubby accidentally bought a spelt bread that had wheat i it & itch came back on perinauem & all the way up anus so I'm really thinking the wheat is a factor & I'm going to give it up. I don't think I'll do too much with dairy while pregnant though. I'd love to find more health practitioners who are trained in both modern medicine & traditional medicine as I find the either/or responses are unhelpful & in pregnancy I'm a lot more cautious. Hopefully giving up wheat & sugar will help enough as I can't take much being pregnant & this is the last day I can take the anti fungal & I suffered all through 1st trimester with itch as you're not supposed to take anything & I'd do anything for my babies. I can't really do much about the fungal nail infection which I think would help because even home remedies are dicey when you're pregnant or Breastfeeding. Hope this itch goes away. Am very scared about getting an infection while pregnant.

I have suffered, and I don't say this lightly as I'm sure many can attest, suffered these same symptoms for 5 years... since my first pregnancy. I to this day have no idea for certain what the real cause of this all was, but, I have found a cure and I would dearly love to  pass it along for anyone who can benefit from it.  Dr. Newman's Triple Nipple Cream... I know... not what you would expect!!  This cream was recommended by my friend who had severe breast feeding trauma due to chronic cracked and bleeding nipples from nursing and swears that it could cure any ailment involving lacerations, itching or infection... she uses it for everything basically even though her kids are in school. 

Now I've tried 6 different doctor recommended creams, that didn't do a thing, tested for parasites, allergies etc etc. -  and nobody knew what to do. No answers, no conclusions. 

I used the cream after begging a referred gastrointestinal Dr. for a prescription.  He had no idea what it was and looked up the ingredients online, then wrote a prescription for the pharmacy to recreate the formula based on this. After the first day of using it I wasn't itchy at all... I haven't had a day without scratching my bottom raw for 5 years... 5 years!!! I haven't had a day with these symptoms since. it's been a week.

I sincerely hope someone can benefit from this!! Give it a try :-|

 If your doctor will prescribe it and your pharmacist will mixit up for you, Dr. Jack Newman’s nipple ointment is excellent. It is amixture of an anti-fungal cream and Clotrimazole(10% cream, 15 gms). These are anti-fungals to treat the candida, or yeast. In addition, the cream contains Mupricon (antibiotic – 2% ointment, 15gms) and Betamethasone (cortocosteroid to decrease inflammation -0.1%ointment. 15 gms).

 

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GOOD LUCK!!